Endoscopic ablation systems

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 be...

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Published inExpert review of medical devices Vol. 10; no. 2; pp. 177 - 183
Main Authors Bordignon, Stefano, Chun, Kyoung-Ryul Julian, Gunawardene, Melanie, Schulte-Hahn, Britta, Nowak, Bernd, Fuernkranz, Alexander, Schmidt, Boris
Format Journal Article
LanguageEnglish
Published England Taylor & Francis 01.03.2013
Expert Reviews Ltd
Informa Healthcare
Subjects
Ablation
Ablation (Surgery)
Animals
Arrhythmia
arrhythmias
Atrial Fibrillation - diagnosis
Atrial Fibrillation - physiopathology
Atrial Fibrillation - surgery
atrial fibrillation ablation
Cardiac Catheters
Care and treatment
Catheter Ablation - instrumentation
Drugs
Durability
Endoscopes
endoscopic ablation system
Endoscopic surgery
Endoscopy
Endoscopy - instrumentation
Equipment Design
Health aspects
Humans
laser
Laser Therapy - instrumentation
Lasers
Patients
Pulmonary Veins - physiopathology
Pulmonary Veins - surgery
Surgical implants
Therapy
Treatment Outcome
Veins
Germany
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Summary: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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ISSN:1743-4440
1745-2422
DOI:10.1586/erd.12.86