12.11.2024
Combined treatment of heart rhythm disorders was first carried out in Bashkiria by surgeons of the BSMU Clinic
For the first time, a multidisciplinary team of surgeons at the BSMU Clinic conducted a unique treatment for heart rhythm disorders. The uniqueness of the technique in a combined approach that improves the quality of life.
Surgical treatment was carried out by a multidisciplinary team, which included thoracic, cardiovascular and X-ray endovascular surgeons, anesthesiologists-resuscitators. The chief operating surgeon was Arkady Alexandrovich Dolganov, head of the vascular surgery department of the BSMU Clinic of the Ministry of Health of Russia.
According to the combined method of radiofrequency ablation of the mouths of the pulmonary veins, more than 20 patients have already been operated on.
Surgery consists of two stages. The first stage - transthoracic, radiofrequency ablation (RFA) - this type of surgical intervention leaves only small punctures in the area of the ribs. At this stage, the boat is brought to the heart through large vessels to the target areas of the heart, where, using high-frequency radio-wave radiation, point heating destroys areas of the heart tissue, which cause heart rhythm disturbances. The second stage is endovascular, through the arterial access, an electrophysiological study of the heart is performed (stimulation of the heart, ECG recording).
This combined approach has a number of advantages in both recovery and is characterized by a lower number of relapses - after surgery, patients were discharged home the very next day without arrhythmias.
"Next year we plan to expand the number of operations and introduce so-called hybrid methods of treatment, when these open operations will be combined with endovascular methods of rhythm restoration in patients with more severe and more complex rhythm disturbances," said Arkady Dolganov, head of the vascular surgery department of the BSMU Clinic of the Russian Ministry of Health.
Radiofrequency ablation (RFA) is an effective minimally invasive surgical technique used to treat arrhythmias. The method is used in cases where conservative methods are not effective enough.
The basics of the method:
Radiofrequency catheter ablation works by point heating and destroying areas of cardiac tissue that cause rhythm disturbances. The catheter is brought to the heart through large vessels, most often by puncture of the femoral vein. Under X-ray guidance, the catheter is guided to target sites in the heart. During the procedure, high-frequency radio-wave radiation is used, which is transmitted through a specialized catheter to pathological areas.
This approach has its advantages:
* RFA is superior to conservative treatment, especially for certain types of arrhythmias.
* In most cases, a single procedure is sufficient to achieve the desired result.
* No open surgery required, reducing recovery time and risk.
* The method is suitable for patients of all ages, including the oldest.
* Heart RFA with low-risk surgery compared to traditional surgical techniques.
Indications
RFA has its own indications, and is especially effective in treating a number of specific heart rhythm disorders. Among them, there are:
* Ventricular tachycardia. It is a life-threatening arrhythmia in which excessive frequent ventricular contraction occurs. RFA effectively eliminates sources of abnormal impulses, stabilizing the rhythm.
* Ventricular extrasystole. In this state, between normal heart contractions, additional contractions occur. Very frequent extrasystole that does not respond to drug treatment is an indication for RFA.
* Atrial fibrillation. This disorder is characterized by erratic and very rapid contraction of the atria, which prevents the ventricles from effectively filling up and ejecting blood. RFA interrupts the paths of abnormal electrical impulses, restoring a normal, regular rhythm.
* Wolff-Parkinson-White syndrome (ERV). This disease is accompanied by the presence of additional electrical pathways in the heart, which leads to too fast transmission of impulses and rhythm disturbance. RFA effectively removes these pathways, returning the heart rate to normal.
Surgical treatment was carried out by a multidisciplinary team, which included thoracic, cardiovascular and X-ray endovascular surgeons, anesthesiologists-resuscitators. The chief operating surgeon was Arkady Alexandrovich Dolganov, head of the vascular surgery department of the BSMU Clinic of the Ministry of Health of Russia.
According to the combined method of radiofrequency ablation of the mouths of the pulmonary veins, more than 20 patients have already been operated on.
Surgery consists of two stages. The first stage - transthoracic, radiofrequency ablation (RFA) - this type of surgical intervention leaves only small punctures in the area of the ribs. At this stage, the boat is brought to the heart through large vessels to the target areas of the heart, where, using high-frequency radio-wave radiation, point heating destroys areas of the heart tissue, which cause heart rhythm disturbances. The second stage is endovascular, through the arterial access, an electrophysiological study of the heart is performed (stimulation of the heart, ECG recording).
This combined approach has a number of advantages in both recovery and is characterized by a lower number of relapses - after surgery, patients were discharged home the very next day without arrhythmias.
"Next year we plan to expand the number of operations and introduce so-called hybrid methods of treatment, when these open operations will be combined with endovascular methods of rhythm restoration in patients with more severe and more complex rhythm disturbances," said Arkady Dolganov, head of the vascular surgery department of the BSMU Clinic of the Russian Ministry of Health.
Radiofrequency ablation (RFA) is an effective minimally invasive surgical technique used to treat arrhythmias. The method is used in cases where conservative methods are not effective enough.
The basics of the method:
Radiofrequency catheter ablation works by point heating and destroying areas of cardiac tissue that cause rhythm disturbances. The catheter is brought to the heart through large vessels, most often by puncture of the femoral vein. Under X-ray guidance, the catheter is guided to target sites in the heart. During the procedure, high-frequency radio-wave radiation is used, which is transmitted through a specialized catheter to pathological areas.
This approach has its advantages:
* RFA is superior to conservative treatment, especially for certain types of arrhythmias.
* In most cases, a single procedure is sufficient to achieve the desired result.
* No open surgery required, reducing recovery time and risk.
* The method is suitable for patients of all ages, including the oldest.
* Heart RFA with low-risk surgery compared to traditional surgical techniques.
Indications
RFA has its own indications, and is especially effective in treating a number of specific heart rhythm disorders. Among them, there are:
* Ventricular tachycardia. It is a life-threatening arrhythmia in which excessive frequent ventricular contraction occurs. RFA effectively eliminates sources of abnormal impulses, stabilizing the rhythm.
* Ventricular extrasystole. In this state, between normal heart contractions, additional contractions occur. Very frequent extrasystole that does not respond to drug treatment is an indication for RFA.
* Atrial fibrillation. This disorder is characterized by erratic and very rapid contraction of the atria, which prevents the ventricles from effectively filling up and ejecting blood. RFA interrupts the paths of abnormal electrical impulses, restoring a normal, regular rhythm.
* Wolff-Parkinson-White syndrome (ERV). This disease is accompanied by the presence of additional electrical pathways in the heart, which leads to too fast transmission of impulses and rhythm disturbance. RFA effectively removes these pathways, returning the heart rate to normal.
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