Hiippala Anita, Parikka Hannu, Happonen Juha-Matti
HUS, lastenklinikka, kardiologian klinikka.
Duodecim. 2013;129(11):1141-8.
Catheter ablation is currently the preferred treatment for various arrhythmias. Radiofrequency ablation has been shown to be efficacious and safe. Cryoablation provides better ablation catheter stability and reduces the risk of an inadvertent atrioventricular (AV) block when treating arrhythmia substrates near the normal conduction system. In our own seven year experience of cryoablation in 157 patients no serious complications occurred. In children and young patients, cryoablation has become the preferred method for AV nodal re-entrant tachycardia. Cryoablation is preferable for all tachycardia substrates near the normal conduction system in children, teenagers and adults.
导管消融术目前是治疗各种心律失常的首选方法。射频消融已被证明是有效且安全的。冷冻消融在治疗靠近正常传导系统的心律失常基质时，能提供更好的消融导管稳定性，并降低意外发生房室传导阻滞的风险。根据我们自身对157例患者进行七年冷冻消融的经验，未发生严重并发症。在儿童和年轻患者中，冷冻消融已成为房室结折返性心动过速的首选治疗方法。对于儿童、青少年和成人中靠近正常传导系统的所有心动过速基质，冷冻消融是更可取的。
