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Aktuelles Management der Therapie ventrikulärer Tachykardien durch Katheterablation

Eine Übersicht

Current strategies in the treatment of ventricular tachycardia by catheter ablation

A review

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Zusammenfassung

Die Therapie ventrikulärer Tachykardien unterlag innerhalb der letzten Jahre einem relevanten Wandel. Interventionelle Strategien mittels Katheterablation gewinnen zunehmend an Bedeutung. Verschiedene aktuelle Studien demonstrierten einen Vorteil der Ablationsbehandlung gegenüber der konventionellen medikamentösen Behandlung. Die Identifizierung der effektivsten Techniken sowie der Patientenkollektive, welche am meisten von einem derartigen Eingriff profitieren, ist jedoch weiter Gegenstand aktueller Forschung. Die Vielzahl möglicher Formen und zugrunde liegender Entitäten von ventrikulären Tachykardien und die damit verbundene Notwendigkeit der Kenntnis aktueller Daten zur korrekten Indikationsstellung der Katheterablation stellen entsprechende Herausforderungen an den behandelnden Kardiologen dar. Die vorliegende Übersichtsarbeit fasst die aktuelle Studienlage in prägnanter Form zusammen.

Abstract

The treatment of ventricular tachycardia has recently undergone relevant changes as certain interventional treatment options, such as radiofrequency catheter ablation, have gained in importance. Numerous current publications have demonstrated the advantages of catheter ablation compared to conventional therapy with antiarrhythmic drugs in terms of effectiveness and morbidity. Improving the ablation technique and identifying those patient collectives who are most likely to benefit from ablation are still the objectives of current research. The treatment of ventricular tachycardia in the setting of different cardiac and non-cardiac conditions can be challenging and requires understanding of the current procedures and the recommendations for catheter ablation of ventricular tachycardia. This review succinctly summarizes the current research in this evolving field of interventional cardiology.

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Authors and Affiliations

  1. Abt. Elektrophysiologie, Herzzentrum, Universität Leipzig, Strümpellstraße 39, 04289, Leipzig, Deutschland

    S. Koenig, A. Arya, G. Hindricks & B. Dinov

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  1. S. Koenig
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  2. A. Arya
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  4. B. Dinov
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Correspondence to S. Koenig.

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Interessenkonflikt

S. Koenig, A. Arya und B. Dinov geben an, dass kein Interessenkonflikt besteht. G. Hindricks hat Forschungsunterstützung von Abbott Vascular und Boston Scientific erhalten.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Koenig, S., Arya, A., Hindricks, G. et al. Aktuelles Management der Therapie ventrikulärer Tachykardien durch Katheterablation. Herz 43, 628–632 (2018). https://doi.org/10.1007/s00059-017-4615-9

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  • DOI: https://doi.org/10.1007/s00059-017-4615-9

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