Progress in Catheter Ablation Clinical Application of New Mapping and Ablation Technology 1st Edition by Eugene Downar, Bing Liem ISBN 940159791X 9789401597913

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ISBN 10: 940159791X
ISBN 13: 9789401597913
Author: Eugene Downar, L. Bing Liem

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.

Progress in Catheter Ablation Clinical Application of New Mapping and Ablation Technology 1st Table of contents:

• Introduction to Catheter Ablation

  • History and evolution of catheter ablation in arrhythmia treatment.
  • Overview of the principles behind catheter-based ablation procedures.

• Understanding Arrhythmias

  • Types of arrhythmias (e.g., atrial fibrillation, ventricular tachycardia).
  • Mechanisms underlying arrhythmias.

• Advancements in Mapping Technology

  • Importance of electrophysiological mapping in arrhythmia treatment.
  • New technologies (e.g., 3D mapping systems, electroanatomical mapping).
  • Integration of imaging technologies (e.g., MRI, CT scans).

• Ablation Techniques

  • Radiofrequency ablation: Mechanisms and uses.
  • Cryoablation: Principles and clinical applications.
  • Laser and microwave ablation.
  • Catheter designs and innovations.

• Clinical Applications

  • Catheter ablation for atrial fibrillation: Indications, techniques, and outcomes.
  • Ablation for other arrhythmias (e.g., ventricular arrhythmias, atrial flutter).
  • Tailoring ablation strategies to individual patients.
  • Role of ablation in conjunction with other treatments (e.g., antiarrhythmic drugs, pacemakers, defibrillators).

• Complications and Challenges

  • Risks and complications of catheter ablation (e.g., thromboembolic events, damage to surrounding structures).
  • How to mitigate risks and improve outcomes.
  • Strategies for overcoming common challenges in catheter ablation.

• Future Directions in Mapping and Ablation

  • Next-generation technologies in mapping and ablation.
  • AI and machine learning in electrophysiology.
  • Potential breakthroughs in catheter design and treatment protocols.

• Case Studies and Clinical Evidence

  • Case studies illustrating successful catheter ablation procedures.
  • Reviews of clinical trials and studies on the efficacy of ablation techniques.

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