"Fire or Ice" in the Treatment of Patients with Complex Heart Rhythm Disorders

Abstract

Introduction. When a pathological process emerges in a part of the cardiac conduction system, it results in various cardiac arrhythmias causing cardiac activity disorders affecting the entire body and posing a threat to the patient’s life.Today, the endovascular treatment of arrhythmias has replaced many open heart surgeries becoming a widely accepted alternative to drug therapy. The key techniques of x-ray-guided endovascular treatment of arrhythmias includes the implantation of various devices, transcatheter radiofrequency ablation of arrhythmogenic zones and cryoablation. An excellent comparison of ablation techniques has been presented in the most extensive international randomized clinical trial FIRE AND ICE.The implantation of single-and two-chamber pacemakers, electrophysiological research, radio frequency ablation are all performed at the Bashkir State Medical University Clinic.Material and methods. The electrophysiological research and transcatheter radiofrequency endocardial ablation using the Carto 3 system for complex rhythm disorders have been carried out at the Bashkir State Medical University Clinic since 2013.Results and discussion. 159 EPIs and RFAs have been performed at the Bashkir State Medical University Clinic.Conclusions. X-ray guided endovascular surgery is the method of choice in the treatment of various forms of arrhythmias.

Keywords

• аритмия
• радиочастотная абляция
• криоабляция
• рентгенэндоваскулярное лечение
• криобаллоны
• абляционные катетеры