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Cardiology: Radiofrequency Ablation (RFA) to Treat Atrial Fibrillation (FlutTER)

Atrial flutter is frequent (up to 400 per minute) rhythmic contractions of the atria. According to statistics, the problem is detected in approximately 1% of cardiac patients. The reason for this condition is appearance of a pathological wave of pulses circulating through the myocardium repeatedly. Pathology treatment depends on its type. For the chronic form of flutter, the physician may recommend radiofrequency ablation (RFA).

Method

The method implies destruction (ablation) of a pathological focus of excitation with a high frequency current. The procedure is performed through a catheter, which is applied to the desired location under the X-ray monitoring. Therefore, the ablation is called "catheter ablation". The normal heart rhythm after RFA is restored in 80% cases.

Contraindications

The following conditions may become an obstacle to surgery:

  • blood clots in the atria,
  • uncorrected cardiac pathology,
  • myocarditis,
  • hyperthyroidism,
  • severe extracardiac diseases,
  • electrolyte disorders.

Preparation

On the eve of RFA, all patients are prescribed:

  • 12-lead ECG,
  • echocardiography,
  • 24h (Halter) ECG monitoring,
  • transesophageal echocardiography (to rule out the atrial thrombosis)
  • ultrasound of large vessels (upon suspicion for the presence of blood clots)
  • a set of laboratory tests (coagulation, blood tests for HIV, hepatitis and so on).

At the planning stage, the heart surgeon holds a discussion with the patient.

Procedure

The intervention is performed without incisions. Through a vein in the thigh, the physician brings the catheter with electrodes to the right atrium. After identification of arrhythmogenic areas, they are exposed to RF energy. Manipulation precision is monitored by X-rays. During surgery, the patient remains in the waking state and follows the surgeon’s instructions.

After the procedure, the catheter is removed, and a pressure bandage is applied on the puncture site. The patient is transported to the ward. He is prescribed bed rest for a few hours. When the patient feels good, s/he is discharged from the hospital in 1 or 2 days.

After the Procedure

In order to prevent complications, the patient is recommended to take anticoagulants for 3 months. To determine the RFA effectiveness, the ECG monitoring is carried out. During the first year, the follow-up examinations are repeated every 3 months, and during the next 2 years, every 6 months. Upon successful outcome of the procedure, the patient does not need drug therapy. 

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St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

Department of Cardiology, Angiology and Intensive Care Medicine

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #336360

The Department of Cardiology, Angiology and Intensive Care Medicine provides modern diagnostics and treatment of all forms of acquired and congenital heart diseases.


location_onCountry: Germany
location_searchingCity: Karlsruhe

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

Department of Cardiology, Angiology and Pulmonology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #178461

A team of experts from the Department of Internal Medicine at the university hospital Klinikum rechts der Isar treats patients with cardiovascular diseases.


location_onCountry: Germany
location_searchingCity: Munich
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University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #78365

According to the Focus magazine rating, the Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine at the University Hospital Cologne ranks among the top German departments specializing in the treatment of cardiovascular diseases! The department provides the entire ra...


location_onCountry: Germany
location_searchingCity: Cologne
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Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from 23 Votes

Department of Cardiology, Gastroenterology and Sleep Medicine

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #334164

The Department of Cardiology, Gastroenterology and Sleep Medicine covers a full range of diagnostics and treatment of all diseases of the gastrointestinal tract, liver and cardiovascular diseases. In addition, the department specializes in the study of sleep and related phenomena.


location_onCountry: Germany
location_searchingCity: Frankfurt am Main

University Hospital Muenster

9.8/10 from 78 Votes

Department of Cardiology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #137569

The Department of Cardiology is part of the Center for Heart and Vascular Medicine at the University Hospital Muenster (UHM). The patients with all diseases of the heart, circulatory and vascular system are treated here.


location_onCountry: Germany
location_searchingCity: Muenster
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University Hospital Frankfurt am Main

10/10 from 97 Votes

Department of Cardiology and Angiology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #76517

According to the Focus magazine rating of 2017, the Department of Cardiology and Angiology ranks among the top German departments in the treatment of heart diseases! The department offers the full range of services in the field of diagnosis and treatment of cardiological and angiologic disorders.


location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes

Department of Cardiology, Pneumology and Internal Intensive Care

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #144191

The department of cardiology, pneumology and internal intensive care treats cardiovascular disease and lung diseases. seriously ill patients are treated in intensive care units. The medical emphases of cardiology are the treatment of valvular heart disease, arrhythmias and myocardial insufficiency or heart failure.


location_onCountry: Germany
location_searchingCity: Munich
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Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

Department of Internal Medicine, Cardiology and Conservative Intensive Medicine

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #337809

The Department of Internal Medicine, Cardiology and Conservative Intensive Medicine offers the full range of treatment of internal diseases. Diseases of the heart, lungs and pathologies associated with circulatory disorders are treated here.


location_onCountry: Germany
location_searchingCity: Berlin

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

Department of Cardiology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #356866

The Department of Cardiology offers the full range of services in this field. It provides high-quality diagnostics and treatment of cardiovascular diseases, pathologies of large vessels and all internal comorbidities. Patients with heart attacks are provided with round-the-clock medical care.


location_onCountry: Germany
location_searchingCity: Hamburg

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiology and Internal Intensive Medicine

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #68681

The Department of Cardiology and Intensive Care Medicine at the Academic Hospital Bogenhausen offers all modern diagnostic and therapeutic methods for heart and circulatory diseases. The medical emphases are on the non-invasive and invasive diagnosis and treatment of heart disease and cardiac arrhythmias.


location_onCountry: Germany
location_searchingCity: Munich
certificate

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

Department of Cardiology, Pneumology and Internal Intensive Medicine

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #140355

The Department of Cardiology, Pneumology and Internal Intensive Care Medicine in Schwabing treat patients with acute and chronic diseases of the heart and lungs.


location_onCountry: Germany
location_searchingCity: Munich
certificate

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #358194

The Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care offers the full range of services in the relevant medical fields. It provides high-precision diagnostics and complex treatment of all diseases of the heart, vessels and kidneys.


location_onCountry: Germany
location_searchingCity: Berlin

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

Department of Cardiology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #329898

The Department of Cardiology at the Tel Aviv Sourasky Medical Center specializes in the diagnosis and treatment of the entire spectrum of heart diseases starting from critical conditions up to chronic pathologies requiring ongoing monitoring or rehabilitation.


location_onCountry: Israel
location_searchingCity: Tel Aviv

Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiology and Angiology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #247065

The Department of Cardiology and Angiology at the Hannover Medical School specializes in treatment of acute myocardial infarction, chronic heart failure, arteriosclerosis and cardiac arrhythmias. An interdisciplinary focus is on cardiomyopathy in pregnancy, especially on the peripartum cardiomyopathy.


location_onCountry: Germany
location_searchingCity: Hannover

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Cardiology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #328368

The Department of Cardiology at Rambam Health Care Campus deals with the diagnosis and treatment of the entire spectrum of heart diseases. With 37 beds, the department is the largest of its kind in Northern Israel. The medical team consists of 22 cardiology specialists and 9 physicians.


location_onCountry: Israel
location_searchingCity: Haifa

Marienhaus Hospital St. Elisabeth Neuwied

9.8/10 from 23 Votes

Department of Internal Medicine (Cardiology / Rhythmology)

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #292614

The Department of Invasive Cardiology / Rhythmology at the Marienhaus Klinikum St. Elisabeth Neuwied deals with the treatment all diseases of the cardiovascular system. Cardiology covers the full range of diagnosis and non-surgical treatment of heart diseases.


location_onCountry: Germany
location_searchingCity: Neuwied




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