Progress in Catheter Ablation

Clinical Application of New Mapping and Ablation Technology

  • Liong Bing Liem
  • Eugene Downar

Part of the Developments in Cardiovascular Medicine book series (DICM, volume 241)

Table of contents

  1. Front Matter
    Pages i-xvii
  2. Challenges in Catheter Ablation

    1. Front Matter
      Pages 1-1
    2. Ruben Coronel, Antonius Baartscheer, Johannes M. E. Rademaker, Jessica T. Vermeulen, Jacques M. T. de Bakker
      Pages 3-11
    3. Anton. E. Becker
      Pages 29-38
    4. L. Bing Liem
      Pages 59-62
  3. Newer Mapping Techniques

    1. Front Matter
      Pages 63-63
    2. Shih-Ann Chen, Ching-Tai Tai, Chin-Feng Tsai, Ming-Hsiung Hsieh, Yu-An Ding, Mau-Song Chang
      Pages 79-92
    3. Angelo A. V. De Paola, Roberto L. Farias, Almino C. Rocha Neto
      Pages 93-104
    4. Fred H. M. Wittkampf
      Pages 125-135
    5. Eugene Downar, Stéphane Massé, Elias Sevaptsidis, Mei-Hao Shi, Menashe B. Waxman
      Pages 203-223
    6. Bradley P. Knight, Fred Morady
      Pages 225-240
  4. Newer Ablation Approaches and Modalities

    1. Front Matter
      Pages 271-271

About this book

Introduction

Catheter ablation is widely accepted as an effective and safe form of therapy for cardiac arrhythmia. In many instances this curative procedure is considered as the first line of therapy if not the ultimate treatment of choice. With the use of radiofrequency (RF) modality; which has revolutionized the technology from a barotraumatic, potentially injurious procedure using high­ voltage, direct-current (DC) shock to a safe and relatively painless one; catheter ablation procedure now carries a very low risk and is extremely effective for certain types of arrhythmia. Its efficacy rate in curing supraventricular tachycardia involving an accessory pathway or dual atrioventricular nodal pathways has been near perfect and its application for certain types of atrial and ventricular arrhythmia have also been very satisfactory. However, conventional RF ablation has several well known limitations, most notably is its ability to only produce relatively small, point lesions; rendering it effective only for an arrhythmia with a small and/or a superficial target. It was soon recognized that the technology would not likely to have significant utility in arrhythmia with a more widespread target such as atrial fibrillation or those which involve scarred and deep myocardial tissue such as ventricular tachycardia. Indeed, the application of conventional RF technology in these complex but common arrhythmia has yielded unsatisfactory results.

Keywords

Ablation anatomy angiography atrial fibrillation congenital heart disease electrophysiology heart pathophysiology physiology ultrasound

Editors and affiliations

  • Liong Bing Liem
    • 1
    • 2
  • Eugene Downar
    • 3
    • 4
  1. 1.Stanford UniversityStanfordUSA
  2. 2.Experimental Cardiac ElectrophysiologyStanford University Medical CenterStanfordUSA
  3. 3.University of TorontoTorontoCanada
  4. 4.Invasive Cardiac ElectrophysiologyToronto General HospitalTorontoCanada

Bibliographic information

  • DOI https://doi.org/10.1007/978-94-015-9791-3
  • Copyright Information Springer Science+Business Media Dordrecht 2001
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-90-481-5882-9
  • Online ISBN 978-94-015-9791-3
  • Series Print ISSN 0166-9842
  • About this book
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