Radiofrequency catheter ablation: How to manage and prevent collateral damage?
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MediaSphere Medical LLC
Abstract
Radiofrequency catheter ablation has become the standard of care for the management of various arrhythmias and, in fact, the first-line therapy for many tachyarrhythmias. It entails creating scar tissue in the heart in regions where abnormal impulses form or propagate to restore normal cardiac conduction. As the heart is a complex organ and is surrounded by and related to many other anatomical structures, it is important to avoid the collateral damage that can happen from radiofrequency (RF) ablation on the endocardium as well as on the epicardium. This review explores methods for mitigating or limiting collateral damage during catheter ablation. © 2020 Innovations in Cardiac Rhythm Management
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Keywords
Ablation, Atrial fibrillation, Collateral damage, Management, Ventricular tachycardia, Antiarrhythmic agent, Anticoagulant agent, Atrioesophageal fistula, Bleeding disorder, Cerebrovascular accident, Coronary artery, Cryoablation, Esophagus fistula, Heart arrhythmia, Heart tamponade, Heart ventricle tachycardia, Hemodynamic parameters, Hemopericardium, Human, Managed care, Pacemaker implantation, Pericardial effusion, Phrenic nerve, Phrenic nerve paralysis, Primary prevention, Pulmonary vein stenosis, Radiofrequency catheter ablation, Review, Supraventricular tachycardia, Systematic review (topic), Thromboembolism, Vagal nerve plexus injury, Vagus nerve injury