Abstract
During the reporting year 2021, the Department of X-Ray Surgery and Intraoperative Diagnosis and Treatment of Arrhythmias of Bakoulev National Medical Research Center for Cardiovascular Surgery treated 3,553 procedures for 2,275 patients: 1,374 diagnostic and 2,179 therapeutic procedures (1,973 surgeries and 206 therapeutic manipulations (implantation of a temporary electrode, electrical impulse therapy, etc.). The overall dynamics of the department’s interventional work increased compared to the previous year, and during this period, a record number of patients were operated on compared to all years of work. There were 1280 radiofrequency ablation and 693 implantations of antiarrhythmic devices. The total number of complications was 21 cases (1.46% of the total number of operations).There was no lethality.
Based on the materials of ongoing scientific and practical work, 15 articles were published in 2021, including 3 clinical recommendations. The staff of the department, together with leading specialists of the Russian Federation in the field of treatment of cardiac arrhythmias, took part in the development of standards for the treatment of patients with ventricular and supraventricular tachycardia, bradyarrhythmias and atrial fibrillation. In 2021, work on the complex topic was continued: “Assessment of functional and electroanatomical changes in the atrial myocardium during interventional treatment of various forms of atrial fibrillation.”
References
- Blomström-Lundqvist C., Gizurarson S., Schwieler J., Jensen S.M., Bergfeldt L., Kennebäck G. et al. Effect of catheter ablation vs antiarrhythmic medication on quality of life in patients with atrial fibrillation: The CAPTAF Randomized Clinical Trial. JAMA. 2019; 321 (11): 1059–68. DOI: 10.1001/jama.2019.0335
- Kuck K.H., Brugada J., Fürnkranz A., Metzner A., Ouyang F., Chun K.R. et al.; FIRE AND ICE Investigators. Cryoballoon or radiofrequency ablation for paroxysmal atrial fibrillation. N. Engl. J. Med. 2016; 374 (23): 2235–45. DOI: 10.1056/NEJMoa1602014. Epub 2016 Apr 4.
- Andrade J.G., Champagne J., Dubuc M., Deyell M.W., Verma A., Macle L. et al.; CIRCA-DOSE Study Investigators. Cryoballoon or radiofrequency ablation for atrial fibrillation assessed by continuous monitoring: A randomized clinical trial. Circulation. 2019; 140 (22): 1779–88. DOI: 10.1161/CIRCULATIONAHA.119. 042622. Epub 2019 Oct 21.
- Kowlgi G.N., Kapa S. Advances in atrial fibrillation ablation: Energy sources here to stay. Card. Electrophysiol. Clin. 2020; 12 (2): 167–74. DOI: 10.1016/j.ccep.2020.02.005
- 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. Circ. Arrhythm. Electrophysiol. 2010; 3 (1): 32–8. DOI: 10.1161/CIRCEP.109.859116
- Бокерия Л.А., Шалов Р.З., Филатов А.Г., Горячев В.А., Сабиров Ш.Н. Одномоментное эндокардиальное и эпикардиальное картирование левого предсердия у пациентов с длительно персистирующей формой фибрилляции предсердий. Анналы аритмологии. 2019; 16 (4): 184–93. DOI: 10.15275/ annaritmol.2019.4.1 Bockeria L.A., Shalov R.Z., Filatov A.G., Goryachev V.A., Sabirov Sh.N. The simultaneous endocardial and epicardial mapping of the left atrium in patients with long-persistent atrial fibrillation. Аnnals of Arrhythmology. 2019; 16 (4): 184–93 (in Russ.). DOI: 10.15275/annaritmol. 2019.4.1
- Avanesyan G.A., Saparbaev A.A., Filatov A.G., Kovalev A.S., Shalov R.Z. Pulsed field ablation in the treatment of atrial fibrillation. Creative Cardiology. 2021; 15 (3): 332–41 (in Russ.). DOI: 10.24022/1997-3187-2021-15-3-332-341
- Su W.W., Reddy V.Y., Bhasin K., Champagne J., Sangrigoli R.M., Braegelmann K.M. et al.; STOP Persistent AF Investigators. Cryoballoon ablation of pulmonary veins for persistent atrial fibrillation: Results from the multicenter STOP Persistent AF trial. Heart Rhythm. 2020; 17 (11): 1841–7. DOI: 10.1016/j.hrthm.2020.06.020. Epub 2020 Jun 24.
- Chen S., Schmidt B., Bordignon S., Bologna F., Perrotta L., Nagase T., Chun K.R.J. Atrial fibrillation ablation using cryoballoon technology: Recent advances and practical techniques. J. Cardiovasc. Electrophysiol. 2018; 29 (6): 932–43. DOI: 10.1111/jce.13607. Epub 2018 May 9.
About the authors
Andrey G. Filatov, Dr. Med. Sci., Head of Department;
ORCID
