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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, 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...


Duration: 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
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University Hospital Rechts der Isar of the Munich Technical University

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

University Hospital Frankfurt

9.5/10 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.


Duration: 6 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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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 Angiology at the University Hospital Charite treats patients with cardiac and angiological diseases. Located at the Campus Charite Mitte, the department provides functional diagnosis services, cardiac catheterization, electrophysiology, sleep medicine and telemedicine. .


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

University Hospital RWTH 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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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

DRK Altenkirchen-Hachenburg Hospital

10/10 from 23 Votes

Department of Internal Medicine (Gastroenterology, Cardiology, Pulmonology, Oncology, Diabetology, Intensive Care Medicine)

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #322123

The Department of Internal Medicine offers treatment not only for patients of the Altenkirchen region, but also for those from other countries. The department employs highly qualified medical specialists, which allows to achieve the best results in patient care.


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

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.


Duration: 6 days
Type of Treatment: Inpatient
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.


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

Academic Hospital 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

Rambam Health Care Campus

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.


Duration: 6 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Haifa

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

District Hospital Waldbröl 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

Academic Hospital Schlosspark

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

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

Hospital Gummersbach Oberberg

9.6/10 from 23 Votes

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

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

The Department of Internal Medicine I provides treatment of diseases in the fields of gastroenterology (diseases of the digestive tract, liver and pancreas), nephrology and dialysis (kidney diseases) and conservative cardiology (heart diseases), diabetology, infectious diseases and pulmonology.


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




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