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Zheleznev S.I.

Centre for Vascular and Hybrid Surgery, Federal state budgetary institution, Federal state budgetary institution Academician E.N. Meshalkin Novosibirsk State Research Institute Of Circulation Pathology, Rosmedtekhnologii, Novosibirsk, Russia

Bogachev-Prokof'ev A.V.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Pivkin A.N.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Nazarov V.M.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Laviniukov S.O.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Ivanov I.V.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Emeshkin M.I.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Karas'kov A.M.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Comparative analysis of results of mono- and bipolar radiofrequent ablation in patients with valvular heart diseases and atrial fibrillation

Authors:

Zheleznev S.I., Bogachev-Prokof'ev A.V., Pivkin A.N., Nazarov V.M., Laviniukov S.O., Ivanov I.V., Emeshkin M.I., Karas'kov A.M.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2012;5(4): 84‑87

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COMPARATIVE ANALYSIS OF RESULTS OF MONO- AND BIPOLAR RADIOFREQUENT ABLATION IN PATIENTS WITH VALVULAR HEART DISEASES AND ATRIAL FIBRILLATION
COMPARATIVE ANALYSIS OF RESULTS OF MONO- AND BIPOLAR RADIOFREQUENT ABLATION IN PATIENTS WITH VALVULAR HEART DISEASES AND ATRIAL FIBRILLATION

To cite this article:

Zheleznev SI, Bogachev-Prokof'ev AV, Pivkin AN, et al. . Comparative analysis of results of mono- and bipolar radiofrequent ablation in patients with valvular heart diseases and atrial fibrillation. Russian Journal of Cardiology and Cardiovascular Surgery. 2012;5(4):84‑87. (In Russ.)

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Results of monopolar (MP group - 82 patients) and bipolar (BP group - 104 patients) ablation were analyzed in patients with atrial fibrillation undergoing correction of valvular heart diseases. Hospital mortality amounted 1.2% (1 patient) in the MP group and 0.96% (1 patient) in the BP. Time of ablation amounted 28,9±7,8 min and 14,5±5,7 min in the MP and BP groups respectively. By the moment of discharge stable sinus rhythm was observed in 62 (75.6%) patients from the MP group and 88 (84.6%) patients from the BP group. In 5 (6.1%) patients from MP group and 7 (6.7%) patients from the BP group pacemaker implantation was required for sinus node dysfunction. In long-term period (36 months) absence of atrial fibrillation and flutter was observed in 78.6% of patients after bipolar ablation and only 55.9% of patients after monopolar ablation. Ablation in patients with valvular heart diseases and atrial fibrillation is efficient and safe. Application of bipolar device demonstrates advantages in long-term results of treatment.

Keywords:

atrial fibrillation
valvular heart disease
radiofrequent ablation

Authors:

Zheleznev S.I.

Centre for Vascular and Hybrid Surgery, Federal state budgetary institution, Federal state budgetary institution Academician E.N. Meshalkin Novosibirsk State Research Institute Of Circulation Pathology, Rosmedtekhnologii, Novosibirsk, Russia

Bogachev-Prokof'ev A.V.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Pivkin A.N.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Nazarov V.M.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Laviniukov S.O.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Ivanov I.V.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Emeshkin M.I.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Karas'kov A.M.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

List of references:

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  2. Benussi S., Nascimbene S., Galanti A. et al. Complete left atrial ablation with bipolar radiofrequency. Eur J Cardiothorac Surg 2008; 33: 590-595.
  3. Bonow R., Carabello B., Chatterjee K. et al. 2008 Focused update in corporated in to the ACC/AHA 2006 Guidelines for the Management of Patients with Valvular Heart Disease. Circulation 2008; 118: 523-661.
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  7. Deneke T., Khargi K., Müller K.M. et al. Histopathology of intraoperatively induced linear radiofrequency ablation lesions in patients with chronic atrial fibrillation. Eur Heart J 2005; 26: 17: 1797-1803.
  8. Deneke T., Khargi K., Lemke B. et al. Intra-operative cooled-tip radiofrequency linear atrial ablation to treat permanent atrial fibrillation. Eur Heart J 2007; 28: 23: 2909-2914.
  9. Geidel S., Lass M., Boczor S. et al. Monopolar and bipolar radiofrequency ablation surgery: 3-year experience in 90 patients with permanent atrial fibrillation. The Heart Surgery Forum 2004; 7: 5 :1054-1057.
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  11. Kannel W., Abbot R., Savage D., McNamarra P. Epidemiological features of the atrial fibrillation in the Framingham study. N Engl J Med 1982; 306: 1018-1022.
  12. Khargi K. et al. A possible surgical technique to avoid esophageal and circumflex artery injuries using radiofrequency ablation to treat atrial fibrillation. Interact Cardio Vasc Thorac Surg 2004; 3: 352-355.
  13. Lall S., Melby S., Voeller R. et al. The effect of ablation technology on surgical outcomes after the Cox-maze procedure: A propensity analysis. J Thorac Cardiovasc Surg 2007; 133: 389-396.
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  15. Thomas S.P., Guy D.J., Boyd A.C. et al. Comparison of epicardial and endocardial linear ablation using hand held probes. Ann Thorac Surg 2003; 75: 2: 543-548.

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