Health
Catheter AF ablation is growing in popularity and complexity
catheter ablation It is rapidly becoming one of the safest and most effective treatments. atrial fibrillation (AF) New technologies are becoming increasingly available for the widespread treatment of the approximately 40 million people worldwide with this disease.
In a recently published book policy statementthe Heart Rhythm Association noted that physicians performing atrial fibrillation ablation must formally maintain skills in electrophysiology-based testing and mapping and advanced ablation methods.
In the United States, physicians complete advanced electrophysiology fellowship training to obtain board-certified or board-certified status in clinical cardiac electrophysiology. The training will enable clinicians to “interpret evolving evidence while adopting new technologies to provide state-of-the-art, comprehensive arrhythmia treatment aimed at optimal long-term outcomes for patients,” the society said. states.
Despite the introduction of anatomical tools to facilitate ablation, electrical isolation of the pulmonary veins is fundamental to AF ablation and essential to the success of the procedure, the statement said. Lack of complete and durable electrical isolation of the pulmonary veins is an important cause of recurrent atrial fibrillation after ablation, so physicians should perform electrophysiology testing to assess the effectiveness of the procedure. there is.
difficult complex procedure
The use of catheter AF ablation in combination with percutaneous left atrial appendage closure or occlusion is gaining attention among clinicians, the conference reported. However, the results of the combined procedure remain uncertain. As a result, it alerted the public that physicians performing these two complex surgeries must pay close attention to detail to achieve optimal quality and results.
In the combined procedure, AF ablation should be performed using the same comprehensive electrophysiological evaluation and endpoints as standalone AF ablation.
“The Society is committed to ensuring consistent, high-quality care for the management of atrial fibrillation,” said Kenneth A. Ellenbogen, M.D., president of the Society. 『EP [electrophysiology] The endpoint remains critical to the success of AF ablation. “This statement emphasizes and reaffirms the fundamental principles of AF ablation aimed at optimal long-term outcomes for patients suffering from atrial fibrillation.”
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Sources 2/ https://www.medscape.com/viewarticle/catheter-af-ablation-growing-popularity-and-complexity-2024a1000lx7 The mention sources can contact us to remove/changing this article |
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