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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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University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine

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

The Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine of the University Hospital Cologne is part of the Heart Center Cologne. The Department offers its patients treatment at the highest level with the use of all innovations for treating coronary artery stenosis, arrhythmias and hypertension.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
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Price 17591.00

University Hospital rechts der Isar der TU München

8.3/10 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.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 17698.00

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Cardiology, Angiology and Nephrology

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

Department of Cardiology is a part of one of the most prestigious German hospitals – the University Hospital Frankfurt. The doctors of the Department are not only perfectly trained, but they also pay attention to upskilling and take an active part in medical researches.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 20340.00

Charite University Hospital Berlin

9/10 from 95 Votes

Department of Cardiology and Angiology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #106839

The Department of Cardiology and Angioly at the University Hospital Charite Berlin treats patients with cardiac and angiological diseases. It is located at the Charite Mitte Campus.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin
certificate

Price 24969.00

RWTH University Hospital Aachen

8.7/10 from 41 Votes

Department of Cardiology, Pneumology, Angiology and Internal Intensive Medicine

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #105373

The focuses of the Medical Department I are Cardiology, Pneumology, Angiology and Internal Intensive Medicine. In cooperation with the medical departments II and IV, there is treated the entire spectrum of internal diseases at the highest level.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
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Price 17476.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of Cardiology, Angiology and Pneumology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #102923

The Department of Cardiology, Angiology, and Pneumology at the Heidelberg University Hospital with the staff of over 500 members is the largest department of the Heidelberg University Hospital. The Department constanly expands the specialization of its clinical and scientific activities.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Heidelberg
certificate

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from 42 Votes

Department of Internal Medicine I (Gastroenterology, Hematology, Onkology, Cardiology, Pulmology, Sport Medicine)

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #52857

The main treatment areas of the Department of Internal Medicine I, headed by Prof. Dr. med. Thomas Budde, are invasive and non-invasive cardiac diagnostics and therapy of all cardiac diseases.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 14363.00

Hannover Medical School, MHH

9.8/10 from 43 Votes

Department of Cardiology and Angiology

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

The main focus of the cardiology and angiology clinic is clinical treatment, as well as experimental and clinical studies of acute myocardial infarction, chronic heart failure, arteriosclerosis and heart rhythm abnormalities.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Price 17507.00

Städtisches Klinikum Neuperlach

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.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

Price 16231.00

Marienhaus Klinikum 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.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Neuwied

Price 15990.00

Preventicum Hospital

9.8/10 from 1 Votes

Department of Cardiology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #117523

Basis of an optimum medical advice in the Department of Cardiology is the precise, reliable diagnosis of all possible risk factors and diseases. With the ultrasound examination, soft tissue can be well judged.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 17610.00

Waldbrol District Hospital of the Klinikum Oberberg

9.7/10 from 23 Votes

Department of Cardiology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #286715

The Department of Cardiology (Medical Department I) at the District Hospital of Waldbröl offers the entire spectrum of cardiologic services at the latest scientific level. One of the main focuses is diagnosis and treatment of coronary arteries (over 3,000 examinations a year).


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Waldbrоl

Price 14354.00

Schlosspark Academic Teaching Hospital

9.7/10 from 23 Votes

Department of Internal Medicine (Gastroenterology and Cardiology)

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #281359

The Department of Internal Medicine I at the Schlosspark-Klinik provides the whole range of services in the field of modern diagnosis and treatment of diseases of the internal organs.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 17217.00

University Hospital Halle (Saale)

9.6/10 from 78 Votes

Department of Cardiology and Angiology (Department of Internal Medicine III)

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #250233

The Department of Internal Medicine III at the University Hospital of Halle (Saale) offers the entire range of medical services of the modern cardiology and angiology, including interventional cardiology (e. g.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Halle

Price 17183.00

Essen University Hospital

9.6/10 from 23 Votes

Department of Cardiology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #290724

The goal of the Department of Cardiology at the Essen University Hospital is to provide the best patient medical care. The Department offers a wide range of diagnostic and therapeutic services for an optimal treatment of the entire spectrum of cardiovascular diseases.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 17313.00

Gummersbach District Hospital of the Klinikum Oberberg

9.6/10 from 23 Votes

Department of Internal Medicine I (Diabetology, Gastroenterology, Infectious Diseases, Cardiology, Nephrology and Dialysis, Pneumology)

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #285402

The Department of Internal Medicine I at the Klinikum Oberberg in Gummersbach provides treatment to patients with all diseases from the field of internal medicine apart from drug treatment of malignancies (cancer) and blood disorders.


Duration 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Gummersbach

Price 14326.00

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