Skip to main content
Log in

Recent advances in radio frequency ablation techniques of atrial fibrillation

  • Published:
Journal of Shanghai Jiaotong University (Science) Aims and scope Submit manuscript

Abstract

Multiple wavelet hypothesis and fibrillatory conduction are believed to be atrial fibrillation’s pathogenesis. Radio frequency ablation (RFA) technique, a therapy for atrial fibrillation (AF), applies radio frequency (RF) energy to targeted tissue to make it transmural. Research on AF ablation has already been conducted in China. Currently, there are single-electrode and dual-electrode ablation electrodes. It is discovered that the latter can reduce the treatment time and maintain the ablation shape of the tissue. Clinical application has shown that it has become the first-line treatment option for part of indications patients with AF.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Kazi D S, Hlatky M A. Atrial fibrillation ablation, symptoms, and stroke risk: Comment on discerning the incidence of symptomatic and asymptomatic episodes of atrial fibrillation before and after catheter ablation [J]. JAMA Internal Medicine, 2013, 173(2): 156–157.

    Article  Google Scholar 

  2. Cappato R, Calkins H, Chen S A, et al. Updated worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation [J]. Circulation: Arrhythmia and Electrophysiology, 2010, 3(1): 32–38.

    Google Scholar 

  3. Tracy C M, Epstein A E, Darbar D, et al. 2012 ACCF/AHA/HRS focused update of the 2008 guidelines for device-based therapy of cardiac rhythm abnormalities [J]. Heart Rhythm, 2012, 9(10): 1737–1753.

    Article  Google Scholar 

  4. Zeng Rui, Zeng Zhi. The 2012 ESC interpretation and inspiration of valvular heart disease treatment guidelines [J]. Chinese Journal of Internal Medicine, 33(4): 293–295 (in Chinese).

  5. Zhou Zi-qiang, Hu Da-yi, Chen Jie, et al. Epidemiological studies of Chinese atrial fibrillation current situation [J]. Journal of Internal Medicine, 2004, 43(7): 491–494 (in Chinese).

    Google Scholar 

  6. ud Xin, Ma Chang-sheng. Recognition of atrial fibrillation (A) [J]. Chinese Journal of Cardiovascular Disease Research, 2005, 3(10): 725–727 (in Chinese).

    Google Scholar 

  7. Tong Xin. Atrial fibrillation increases the risk of stroke [J]. Chinese Health Care, 2013(7): 38–39 (in Chinese).

  8. Healey J S, Connolly S J, Gold M R, et al. Subclinical atrial fibrillation and the risk of stroke [J]. New England Journal of Medicine, 2012, 366(2): 120–129.

    Article  Google Scholar 

  9. Dewire J, Agarwal S, Khurram I K, et al. Safety and efficacy of atrial fibrillation ablation in young patients [J]. Journal of Atrial Fibrillation, 2013, 6(3): 19–22.

    Google Scholar 

  10. Bunch T J, May H T, Bair T L, et al. Atrial fibrillation ablation patients have long-term stroke rates similar to patients without atrial fibrillation regardless of CHADS2 score [J]. Heart Rhythm, 2013, 10(9): 1272–1277.

    Article  Google Scholar 

  11. Beukema R J, Adiyaman A, Smit J J J, et al. Catheter ablation for atrial arrhythmia recurrence following surgical atrial fibrillation ablation [J]. European Heart Journal, 2013, 34(supl 1): P511.

    Article  Google Scholar 

  12. Morillo C A, Verma A, Connolly S J. Should radiofrequency ablation be first-line treatment for paroxysmal atrial fibrillation? [J]. The Journal of Clinical Outcomes Management, 2014, 21(4): 151–153.

    Google Scholar 

  13. Cao Yu-min. Pathogenesis of atrial fibrillation [J]. China Coal Industry Medicine, 2011, 14(3): 460–461 (in Chinese).

    Google Scholar 

  14. Liu Hong-qi. Advances in the pathogenesis and treatment of atrial fibrillation [J]. Hebei Medicine, 2009. 31(20): 2793–2793 (in Chinese).

    Google Scholar 

  15. Jalife J. Mechanisms of persistent atrial fibrillation [J]. Current Opinion in Cardiology, 2014, 29(1): 20–27.

    Article  Google Scholar 

  16. Haissaguerre M, Hocini M, Sanders P, et al. Catheter ablation of long-lasting persistent atrial fibrillation: Clinical outcome and mechanisms of subsequent arrhythmias [J]. Journal of Cardiovascular Electrophysiology, 2005, 16(11): 1138–1147.

    Article  Google Scholar 

  17. Bai Jing-feng, Chen Ya-zhu, Chen Chang-zhi, et al. Research of radiofrequency ablation instrument to cure atrial fibrillation [J]. Journal of Scientific Instrument, 2006, 27(3): 259–262 (in Chinese).

    Google Scholar 

  18. Feng Jie. Thermal damage calculation and experimental study of radiofrequency ablation of atrial fibrillation therapy [D]. Shanghai: School of Biomedical Engineering, Shanghai Jiao Tong University, 2007 (in Chinese).

    Google Scholar 

  19. Ye Hong-yu, Huang Wei-zhao, Wu Ying-meng, et al. Compare the efficacy and safety of monopolar and bipolar radiofrequency ablation for atrial fibrillation during intraoperative [J]. Practical Journal of Medicine, 2013, 29(1): 75–77 (in Chinese).

    MATH  Google Scholar 

  20. Gillinov A M, Mccarthy P M. Atricure bipolar radiofrequency clamp for intraoperative ablation of atrial fibrillation [J]. The Annals of Thoracic Surgery, 2002, 74(6): 2165–2168.

    Article  Google Scholar 

  21. Huang W, Wu Y, Ye H, et al. Comparison of the outcomes of monopolar and bipolar radiofrequency ablation in surgical treatment of atrial fibrillation [J]. Chinese Medical Sciences Journal, 2014, 29(1): 28–32.

    Article  Google Scholar 

  22. Kiser A C, Pappas H R, Garner K C, et al. Evaluation of an integrated bipolar and unipolar ablation device [J]. Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 2014, 9(1): 33–37.

    Google Scholar 

  23. Sivagangabalan G, Barry M A, Huang K, et al. Bipolar ablation of the interventricular septum is more efficient at creating a transmural line than sequential unipolar ablation [J]. Pacing and Clinical Electrophysiology, 2010, 33(1): 16–26.

    Article  Google Scholar 

  24. Nagashima K, Watanabe I, Okumura Y, et al. Epicardial ablation with irrigated electrodes: Effect of bipolar vs. unipolar ablation on lesion formation [J]. Circulation Journal: Official Journal of the Japanese Circulation Society, 2011, 76(2): 322–327.

    Article  Google Scholar 

  25. Gizurarson S, Spears D, Sivagangabalan G, et al. Bipolar ablation for deep intra-myocardial circuits: Human ex vivo development and in vivo experience [J]. Europace, 2014: euu001.

    Google Scholar 

  26. Huang Zhi-hua, Li Ping, Liu Guang-jiao, et al. Efficacy of radiofrequency catheter ablation treatment of elderly patients with persistent atrial fibrillation [J]. Chinese Journal of Gerontology, 2013, 33(015): 3571–3573 (in Chinese).

    Google Scholar 

  27. Ouyang F, Tilz R, Chun J, et al. Long-term results of catheter ablation in paroxysmal atrial fibrillation lessons from a 5-year follow-up [J]. Circulation, 2010, 122(23): 2368–2377.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jing-feng Bai  (白景峰).

Additional information

Foundation item: the Shanghai Science and Technology Research Projects Fund (No. 11441900200) and the National Key Technology R&D Program (No. 2012BAI15B07)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zeng, By., Bai, Jf. Recent advances in radio frequency ablation techniques of atrial fibrillation. J. Shanghai Jiaotong Univ. (Sci.) 19, 702–705 (2014). https://doi.org/10.1007/s12204-014-1569-4

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12204-014-1569-4

Key words

CLC number

Navigation