Cryoablation vs Radiofrequency Ablation in Atrial Fibrillation: Results of the latest trials
| Main Authors: | Ciechański, Erwin, Ciechański, Krystian, Ciechańska, Magda |
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| Format: | Article Journal |
| Terbitan: |
, 2019
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| Online Access: |
https://zenodo.org/record/3372758 |
Daftar Isi:
- Ciechański Erwin, Ciechański Krystian, Ciechańska Magda. Cryoablation vs Radiofrequency Ablation in Atrial Fibrillation: Results of the latest trials. Journal of Education, Health and Sport. 2019;9(9):11-14. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3372249 http://ojs.ukw.edu.pl/index.php/johs/article/view/7280 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.08.2019. Revised: 15.08.2019. Accepted: 20.08.2019. Cryoablation vs Radiofrequency Ablation in Atrial Fibrillation: Results of the latest trials Erwin Ciechański, erwciech@gmail.com, ORCID: 0000-0003-0058-896X, Departemenf Of Cardiology, Regional Specialist Hospital, al. Kraśnicka 100, Lublin Krystian Ciechański, krystian54321@gmail.com, Student’s Research Group at the Department of Toxicology, Medical University of Lublin Magda Ciechańska, szponarowa@gmail.com, Department of Toxicology, Medical University of Lublin Abstract In the recent years the importance of atrial fibrillation escalated rapidly. Despite having only 2% occurrence of total population in EU, becomes serious both medical and socioeconomical problem. According to the latest data one percent growth in the next ten years may be observed. There are many complications resulting from this disease such as: all cause deaths, brain strokes, heart failure and burden of health care caused by hospitalisations and lack of life quality. Pharmacological treatment of such disease is based on two strategies: antiarrhythmic drugs and cardioversions or ventricular rhythm control for permanent atrial fibrillation. Aiming at the specific group of patients with paroxysmal or persistent AF (atrial fibrillation) in both groups further invasive treatment should be considered. There are two main invasive treatments of AF – Radio frequency ablation (RF) and cryoballoon ablation (CRYO) as for the left atrium veins isolation. According to the The Cryo Vs RFA trial 208 patients underwent randomised clinical trial comparing CRYO, RF and COMBINED strategy. At 5 years of follow up, 57% of COMBINED patients remained free of AF after a single procedure compared to 47% CRYO and 19% RF patients. CRYO turned out to be superior to RF. Both of techniques combined had a significantly higher ratio of success in a single procedure efficacy. Aim of this study is to review newest trials comparing both of these techniques. Key worlds: Atrial Fibrillation, Catheter Ablation, Radio frequency Catheter Ablation, Cryo Balloon Ablation, Pulmonary Vein Reconnection,