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Cox and his associates at Duke, and later at Washington University School of Medicine developed the "maze" or "Cox maze" procedure, an "open-heart" cardiac surgery procedure intended to eliminate atrial fibrillation (AF). Incidence of stroke in patients with AF who are anticoagulated is still around 2-5% per year.
A major reason for recurrence of atrial fibrillation after ablation has been the belief of electrical pulmonary vein reconnection, which has not been seen for PFA. [7] In one study, atrial fibrillation recurrence in the thermal ablation group was 39% compared to 11% in the PFA group. [8]
Catheter ablation is a procedure that uses radio-frequency energy or other sources to terminate or modify a faulty electrical pathway from sections of the heart of those who are prone to developing cardiac arrhythmias such as atrial fibrillation, atrial flutter and Wolff-Parkinson-White syndrome.
Surgical ablation of atrial fibrillation with off-pump, epicardial, high-intensity focused ultrasound: Although the HIFU minimaze is performed epicardially, on the normally beating heart, it is also usually performed in conjunction with other cardiac surgery, and so would not be minimally invasive in those cases.
New data indicates that more than 80% of patients who received radiofrequency-based ablation were free from any form of atrial arrhythmia at a one-year followup.
The ULTRASEAL LAA device, from Cardia, is a percutaneous, transcatheter device intended to prevent thrombus embolization from the left atrial appendage in patients who have non-valvular atrial fibrillation. As with all Cardia devices (such as: Atrial Septal Defect Closure Device or Patent Foramen Ovale Closure Device), the Ultraseal is fully ...
ablation equipment to destroy abnormal tissue; an electroanatomic mapping system that tracks and records the catheter position in 3D and associated electrical signals; ready access to cardiac medications such as adenosine, atropine, dopamine, and isoproterenol; ready access to an assortment of introducer sheaths and catheters
For TIC due to atrial fibrillation, rate control, rhythm control, and RF catheter ablation can be effective to control the tachyarrhythmia and improve left ventricular systolic function. [ 5 ] [ 9 ] For TIC due to atrial flutter, rate control is often difficult to achieve, and RF catheter ablation has a relatively high success rate with a low ...