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

St. Vincentius Hospital Karlsruhe-Academic Hospital of the University of Freiburg

9.8/10 from 23 Votes
location_onGermany, Karlsruhe

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.

Include:
people Interpreter up to 18 hours
list Translation of medical documents up to 10 pages
card_membership Visa support
book Insurance against increased costs in case of complications with a cover of 200,000 €

University Hospital Rechts der Isar Munich

10/10 from 70 Votes
location_onGermany, Munich
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Department of Cardiology, Angiology and Pulmonology

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

The Department of Cardiology, Angiology and Pulmonology offers the full range of services in these medical fields.

University Hospital Muenster

9.8/10 from 78 Votes
location_onGermany, Muenster
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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.

University Hospital Frankfurt am Main

10/10 from 97 Votes
location_onGermany, Frankfurt am Main
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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.

Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from 23 Votes
location_onGermany, Frankfurt am Main

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.

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes
location_onGermany, Munich
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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.

HELIOS Clinic Krefeld

9.7/10 from 38 Votes
location_onGermany, Krefeld

Department of Cardiology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #388337

The Department of Cardiology offers the full range of services in this medical focus. The department specializes in the treatment of heart failure, heart rhythm disorders, heart valve diseases and other heart pathologies. For the provision of emergency medical care, the department has a Chest Pain Unit.

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes
location_onGermany, Berlin

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.

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes
location_onGermany, Hamburg

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.

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes
location_onGermany, Munich
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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.

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes
location_onGermany, Munich
certificate

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.

University Hospital Saarland Homburg

9.8/10 from 28 Votes
location_onGermany, Homburg

Department of Cardiology, Angiology and Internal Intensive Care

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #412424

The Department of Cardiology, Angiology and Internal Intensive Care offers the full range of modern conservative and interventional cardiology. One of the specialization areas is the treatment of coronary heart disease.

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes
location_onGermany, Berlin

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.

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes
location_onIsrael, Tel Aviv

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.

Hannover Medical School

9.8/10 from 43 Votes
location_onGermany, Hannover
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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.

HELIOS University Hospital Wuppertal

9.8/10 from 42 Votes
location_onGermany, Wuppertal

Department of Cardiology

Radiofrequency ablation (RFA) to treat atrial fibrillation (flutter) #392020

The Department of Cardiology offers the whole range of modern cardiology, ranging from corrective diagnostics and restoration of coronary vessel patency up to the implantation of artificial heart valves.

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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