Martinek M, Pürerfellner H
Krankenhaus der Elisabethinen, Akademisches Lehrkrankenhaus der Universitäten Innsbruck und Wien, Abteilung für InnereMedizin II/Kardiologie, 4010 Linz, Austria.
Herzschrittmacherther Elektrophysiol. 2007 Dec;18(4):216-24. doi: 10.1007/s00399-007-0585-6.
Radiofrequency ablation is increasingly being established as a curative treatment option for atrial fibrillation refractory to antiarrhythmic drug therapy. Especially catheter ablation of atrial fibrillation is associated with significant procedure-related risks, as this is one of the most complex interventional electrophysiologic procedures. Knowledge about common and infrequent complications, incidence, etiology, and techniques for prevention should minimize risk and help to further increase procedural success. This paper intends to provide a practice-oriented summary of international surveys and consensus documents in comparison with data from our own electrophysiologic laboratory. Great attention will be laid upon early recognition and technical as well as procedure-related possibilities to prevent any complication.
射频消融术越来越多地被确立为抗心律失常药物治疗无效的心房颤动的一种治愈性治疗选择。尤其是心房颤动的导管消融与显著的手术相关风险相关，因为这是最复杂的介入性电生理手术之一。了解常见和罕见并发症、发生率、病因以及预防技术应能将风险降至最低，并有助于进一步提高手术成功率。本文旨在结合我们自己电生理实验室的数据，对国际调查和共识文件进行以实践为导向的总结。将高度重视早期识别以及预防任何并发症的技术和与手术相关的可能性。
