Zusammenfassung
Das Vorhofflimmern stellt die häufigste aller anhaltenden supraventrikulären Arrhythmien dar. Pathophysiologisch liegen dem Vorhofflimmern multiple, sich wellenförmig simultan ausbreitende Reentrykreise zugrunde (Moe 1962). Allessie et al. konnten diese Hypothese validieren und zeigen, daß eine kritische Anzahl von Reentrykreisen für die Aufrechterhaltung von Vorhofflimmern erforderlich ist, die durch die Wellenlänge als Funktion der lokalen Refraktärzeit und der Leitungsgeschwindigkeit bestimmt wird (Allessie 1990).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Allessie MA, Resma PL, Brugada J, Smeets JLRM, Penn O, Kirchof CJHJ (1990) Pathophysiology of atrial fibrillation. In Zipes DP, Jalife J (eds) Cardiac electrophysiology: from cell to bedside. Saunders, Philadelphia, pp 548–558
Brignole M, Gianfranchi L, Menozzi C et al. (1994) Influence of atrioventricular junction radiofrequency ablation in patients with chronic atrial fibrillation and flutter on quality of life and cardiac performance. Am J Cardiol 74: 242–246
Brignole M, Menozzi C, Gianfranchi L, Musso G, Mureddu R, Bottoni N, Lolli G (1998) Assessment of atrioventricular junction ablation and VVIR pacemaker versus pharmacological treatment in patients with heart failure and chronic atrial fibrillation. Circulation 98: 953–960
Cox JL, Schuessler RB, Lappas DG (1998) An 8 and ½ year clinical experience with surgery for atrial fibrillation. J Thorac Cardiovasc Surg 101: 569–583
Evans GT, Scheinman MM, Bardy G et al. (1991) Predictors of inhospital mortality after DC-catheter ablation of the atrioventricular junction. Results of a prospective, international, multicenter study. Circulation 84: 1924–1937
Fitzpatrick AP, Kourouyan, A, Siu HD et al. (1996) Quality of life and outcomes after radio-frequency His-bundle cathter ablation and permanent pace maker implantation: Impact of treatment in paroxysmal and established atrial fibrillation. Am Heart J 131: 499–507
Gallagher JJ, Svenson RH, Kasell JH, German LD, Brady GH, Broughton A, Critelli G (1982) Catheter technique for closed-chest ablation of the atrioventricular conduction system. N Engl J Med 306: 194–200
Hindricks G (1993) The Multicentre European Radiofrequency Survey (MERFS): complications of radiofrequency catheter ablation of arrhythmias. Eur Heart J 14: 1644–1653
Haissaguerre M, Jais P, Shah DC et al. (1998) Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med. 339: 659–66
Hoffmann E, Gerth A, Remp T, Müller D, Steinbeck G (1992) Linksventrikuläre Katheterablation des AV-Überleitungssystems mit Radiofrequenzstrom. Z Kardiol 81: 378–384
Hoffmann E, Steinbeck G (1993) Elektrotherapie supraventrikulärer Tachykardien (Vorhofflimmern/Vorhofflattern). Innere Medizin 48: 446–452
Jackman WM, Wang X, Friday KJ et al. (1991) Catheter ablation of atrioventricular junction using radiofrequency current in 17 patients. Comparison of standard and large-tip electrodes. Circulation 83: 1562–1576
Jais P, Haissaguerre M, Schah DC, Chouairi S, Clementy J (1994) Regional disparities of endocardial activation in paroxysmal atrial fibrillation. PACE 19 (II): 1998–2003
Jais P, Shah DC, Takahashi A, Hocini M, Haissaguerre M, Clementy J (1998) Long-term follow-up after right atrial radiofrequency catheter treatment of paroxysmal atrial fibrillation. Pacing Clin Electrophysiol 11 (II): 2533–2538
Kalman JM, Olgin JE, Karch MR (1997) Are linear lesion needed in both atria to prevent atrial fibrillation in a canine model? Circulation 96: I-555
Konings KTS, Kirchof CJHJ, Smeets, JRML, Wellens HJJ, Penn O, Allessie MA (1994) High density mapping of electrically induced atrial fibrillation in humans. Circulation 89: 1665–1680
Kuck KH, Ernst S, Khanedani A et al. (1998) Clinical follow-up after primary catheter based ablation of atrial fibrillation using the carto system. PACE 21: II-868
Langberg JJ, Chin MC, Rosenqvist M et al (1989) Catheter ablation of the atrioventricular junction with radiofrequency energy. Circulation 80: 1527–1535
Lee SH, Chen SA, Tai CT et al. (1998) Comparisons of quality of life and cardiac performance after complete atrioventricular junction ablation and atrioventricular junction modification in patients with medically refractory atrial fibrillation. J Am Coll Cardiol 31: 637–44
Moe GK (1962) On the multiple wavelet hypothesis of atrial fibrillation. Arch Int Pharmacodyn Ther 140: 183–188
Olgin JE, Scheinmann MM (1993) Comparison of high energy direct current and radiofre-quency catheter ablation of the atrioventricular junction. J Am Coll Cardiol 21: 551–564.
Moe GK (1962) On the multiple wavelet hypothesis of atrial fibrillation. Arch Int Pharmacodyn Ther 140: 183–188
Remp T, Hoffmann E, Reithmann C et al. (1997) Electroanatomical mapping during atrial fibrillation in humans using a nonfluoroscopic mapping system. Circulation 96: I-237
Robbins IM, Colvin EV, Doyle TP, Kemp WE, Loyd JE, McMahon WS, Kay GN (1998) Pul-monary vein stenosis after catheter ablation of atrial fibrillation. Circulation 17: 1769–75
Scheinman MM, Morady F, Hess DS, Gonzalez R (1982) Catheter-induced ablation of the atrioventricular junction to control refractory supraventricular arrhythmias. JAMA 248: 851–855
Sousa J, El-Atassi R, Rosenheck S, Calkins H, Langberg JJ, Morady F (1991) Radio-frequency catheter ablation of the atrioventricular junction from the left ventricle. Circulation 84: 567–571
Swartz JF, Pellersels G, Silvers J, Patten L, Cervantes D (1994) A catheter-based curative approach to atrial fibrillation in humans. Circulation 90: I-335
Tondo C, Scherlag BJ, Otomo K (1997) Critical atrial site of pacing induced atrial fibrillation in normal dog hearts. J Cardiovasc Electrophysiol 8: 1255–1265
Twidale N, Manda V, Nave K, Seal A (1998) Predictors of outcome after radiofrequency catheter ablation of the atrioventricular node for atrial fibrillation and congestive heart failure. Am Heart J 136 (IV-1): 647–57
Williamson BD, Man KC, Daoud E, Niebauer M, Stickberger A, Morady F (1994) Radiofrequency catheter ablation of atrioventricular conduction to control ventricular rate during atrial fibrillation. N Eng J Med 331: 910–17
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1999 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Remp, T. (1999). Ablationsverfahren zur Behandlung von Vorhofflimmern. In: Hoffmann, E., Steinbeck, G. (eds) Interventionelle kardiale Elektrophysiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58522-7_12
Download citation
DOI: https://doi.org/10.1007/978-3-642-58522-7_12
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-63630-1
Online ISBN: 978-3-642-58522-7
eBook Packages: Springer Book Archive