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Qualitätskriterien zur Durchführung der Katheterablation von Vorhofflimmern

Positionspapier der Deutschen Gesellschaft für Kardiologie

Quality criteria for performing catheter ablation of atrial fibrillation

Position paper of the German Cardiac Society

  • Positionspapier
  • Published:
Der Kardiologe Aims and scope

Zusammenfassung

Als wissenschaftliche Fachgesellschaft vertritt die Deutsche Gesellschaft für Kardiologie den Standpunkt, dass die Standards zur Durchführung einer Katheterablation bei Patienten mit Vorhofflimmern (VHF) stetig kritisch betrachtet und angepasst werden müssen, um dauerhaft eine gute Behandlungsqualität mit hoher Erfolgs- und geringer Komplikationsrate zu gewährleisten. Das ist insbesondere auch deshalb notwendig, weil die Anzahl von Zentren und Kardiologen, die diese Intervention durchführen, rasant ansteigt. Im vorliegenden Positionspapier werden daher zunächst die aktuelle Datenlage zur Katheterablation von VHF sowie die Indikationsstellung zur Ablation, Komplikationen des Verfahrens und neueste Entwicklungen detailliert ausgeführt, bevor abschließend eine Darstellung der personellen, technischen und räumlichen, strukturellen sowie organisatorischen Anforderungen an klinische Zentren erfolgt, an denen Katheterablationen von VHF durchgeführt werden.

Abstract

In order to ensure the best treatment quality with a high success rate and a low rate of complications, the position of the German Cardiac Society on catheter ablation of atrial fibrillation (AF) is that the standards of performing this therapeutic intervention need to be critically evaluated and adapted on a regular basis. This is particularly warranted in view of the rapidly increasing numbers of centers and cardiologists offering catheter ablation of AF. The present position paper therefore reviews currently available scientific data, addresses the indications for and complications of catheter ablation of AF, presents latest technological developments and finally discusses the mandatory requirements for centers at which catheter ablation of AF is performed in terms of personnel, equipment, premises, structure and organization.

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Abb. 1

Notes

  1. Für den Zertifizierungsprozess werden die Prüfkriterien entsprechend vorher definiert und für das Prüfprotokoll festgelegt.

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Authors and Affiliations

  1. Abteilung für Kardiologie, Herz-, Gefäß-, Diabeteszentrum, Asklepios Klinik St. Georg, Hamburg, Lohmühlenstr. 5, 20099, Hamburg, Deutschland

    K.‑H. Kuck

  2. Klinik für Kardiologie, St. Marien-Hospital, Hamm, Deutschland

    D. Böcker

  3. Cardioangiologisches Centrum Bethanien, Medizinische Klinik III, Markuskrankenhaus, Frankfurt am Main, Deutschland

    J. Chun

  4. Klinik für Kardiologie/Rhythmologie, Herz- und Gefäß-Klinik, Bad Neustadt a.d. Saale, Deutschland

    T. Deneke

  5. Herzzentrum Leipzig – Universitätsklinik, Abteilung für Rhythmologie, HELIOS Kliniken GmbH, Leipzig, Deutschland

    G. Hindricks

  6. Klinik für Kardiologie und Internistische Intensivmedizin, Städtisches Klinikum München, Klinikum Bogenhausen, München, Deutschland

    E. Hoffmann

  7. Abteilung für Invasive Elektrophysiologie, Herzzentrum, Dresden, Deutschland

    C. Piorkowski

  8. Klinik für Kardiologie mit Schwerpunkt Elektrophysiologie, Universitäres Herzzentrum Hamburg, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    S. Willems

Authors
  1. K.‑H. Kuck
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  2. D. Böcker
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  3. J. Chun
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  4. T. Deneke
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  5. G. Hindricks
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  6. E. Hoffmann
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  7. C. Piorkowski
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  8. S. Willems
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Corresponding author

Correspondence to K.‑H. Kuck.

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Kuck, K., Böcker, D., Chun, J. et al. Qualitätskriterien zur Durchführung der Katheterablation von Vorhofflimmern. Kardiologe 11, 161–182 (2017). https://doi.org/10.1007/s12181-017-0146-0

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