Endoscopic ablation systems.

Expert Rev Med Devices

Cardioangiologisches Centrum Bethanien, Wilhelm-Epstein-Strasse 4, Frankfurt am Main D-60431, Germany.

Published: March 2013

AI Article Synopsis

  • Pulmonary vein isolation is a common treatment for patients with atrial fibrillation who don't respond to medication.
  • While radiofrequency ablation is the standard method, new technologies, like the endoscopic ablation system, allow better visualization of the veins during the procedure.
  • Initial studies suggest that this new laser-based technique is both safe and effective, and further research could establish it as a leading option for treating cardiac arrhythmias.

Article Abstract

Pulmonary vein (PV) isolation for ablation of atrial fibrillation is a well-accepted therapy option for high symptomatic patients refractory to antiarrhythmic drugs. Radiofrequency point-by-point ablation is the gold-standard technique; however, in the last two decades, many new technologies have been developed. The endoscopic ablation system makes direct PV ostium visualization possible, despite the large anatomy variation thanks to its compliant balloon. The laser generator delivers precise lesions that in the first clinical studies seem to be durable, with a safety and efficacy profile similar to the other PV isolation techniques. If these early results are confirmed by larger clinical studies, the endoscopic ablation system will offer a new paradigm in ablation of cardiac arrhythmias by directly visualizing the target substrate.

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Source
http://dx.doi.org/10.1586/erd.12.86DOI Listing

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