Zusammenfassung
In den letzten Jahren unterlag die Behandlung des Vorhofflimmerns einem tiefgreifenden Wandel. Nachdem lange das Maze-Verfahren als einzige, kurative chirurgische Therapieoption galt, existieren heute diverse Ablationsverfahren, die einerseits zwar gute Ergebnisse erzielen, andererseits aber auch schwere Komplikationen verursachen können. Deswegen berichten wir über unsere ersten positiven Erfahrungen mit der epikardialen Kryoablation.
Summary
During the last few years, surgical therapy of atrial fibrillation has changed significantly. Today there are many ablative procedures which partially lead to similar results as the Maze procedure. But on the other hand, they may result in serious side effects. Therefore, we report on our first positive experiences with the epicardial cryoablation procedure.
References
Christiansen S, Autschbach R (2005) A new cryoablation device for surgical therapy of atrial fibrillation. J Cardiovasc Surg, in press
Doll N, Kornherr P, Aupperle H, Fabricius AM, Ullmann C, Schneider K et al (2003) Epicardial treatment of atrial fibrillation in an acute off-pump sheep model with a new cryoablation device. Thorac Cardiov Surg 51(Suppl 1):S 88
Gaita F, Gallotti R, Calo L, Manasse E, Riccardi R, Garberoglio L et al (2000) Limited posterior left atrial cryoablation in patients with chronic atrial fibrillation undergoing valvular heart surgery. J Am Coll Cardiol 36:159–166
Hindricks G, Mohr FW, Autschbach R, Kottkamp H (1999) Antiarrhythmic surgery for treatment of atrial fibrillation: new concepts. Thorac Cardiov Surg 47(Suppl 3):365–369
Kottkamp H, Hindricks G, Autschbach R, Krauss B, Strasser B, Schirdewahn P, Fabricius A, Schuler G, Mohr FW (2002) Specific linear left atrial lesions in atrial fibrillation. J Am Coll Cardiol 40:475–480
Kubota H, Takamoto S, Morota T, Ohtsuka T, Motomura N, Kotsuka Y, Sudo K (2003) Epicardial pulmonary vein isolation by cryoablation as concomitant cardiac operation to treat nonvalvular atrial fibrillation. Ann Thorac Surg 75:590–593
Kubota H, Takamoto S, Ohtsuka T, Endo H, Sato M, Fujiki T, Sudo K (2004) Epicardial pulmonary vein isolation with a hook-shaped cryoprobe to treat atrial fibrillation. Ann Thorac Surg 78:1056–1059
Manasse E, Colombo P, Roncalli M, Gallotti R (2000) Myocardial acute and chronic histological modifications induced by cryoablation. Eur J Cardiothorac Surg 17:339–340
Mohr FW, Fabricius AM, Falk V, Autschbach R, Doll N, von Oppell U, Diegeler A, Kottkamp H, Hindricks G (2002) Curative treatment of atrial fibrillation with intraoperative radiofrequency ablation: Short-term and midterm results. J Thorac Cardiovasc Surg 123:919–927
Sueda T, Imai K, Ishii O, Orihashi K, Watari M, Okada K (2001) Efficacy of pulmonary vein isolation for the elimination of chronic atrial fibrillation in cardiac valve surgery. Ann Thorac Surg 71:1189–1193
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Christiansen, S., Schmid, M. & Autschbach, R. Erste Erfahrungen mit der epikardialen Kryoablation bei Vorhofflimmern. Z Herz- Thorax- Gefäßchir 19, 75–77 (2005). https://doi.org/10.1007/s00398-005-0489-x
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s00398-005-0489-x