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Erschienen in: Herzschrittmachertherapie + Elektrophysiologie 3/2018

06.08.2018 | Schwerpunkt

Rotor mapping: black box or very simple? The FIRM approach

verfasst von: Prof. Dr. med. Stefan Georg Spitzer, M.D., László Károlyi, M.D., Dipl.-Ing. Carola Rämmler, Frank Scharfe, M.D., Dipl.-Ing. (B.A.) Mirko Zieschank, Anke Langbein, M.D.

Erschienen in: Herzschrittmachertherapie + Elektrophysiologie | Ausgabe 3/2018

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Abstract

Catheter ablation has become the most common therapy in patients with atrial fibrillation (AF). However, despite significant advances in technology and operators’ experience, ablation outcomes remain suboptimal, especially in patients with persistent AF. Focal impulse and rotor modulation (FIRM) represents a new technology for mapping and ablation of patient-specific AF sources. This approach is based on the concept of localized sources, which can be understood as organized rotational waves or focal impulses driving disorganized AF. Several studies, mainly single-center case series, have shown an incremental benefit in long-term outcome when adding FIRM-guided ablation to conventional pulmonary vein isolation (PVI). Therefore, the results of ongoing multicenter randomized trials are needed to support this data.
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Metadaten
Titel
Rotor mapping: black box or very simple? The FIRM approach
verfasst von
Prof. Dr. med. Stefan Georg Spitzer, M.D.
László Károlyi, M.D.
Dipl.-Ing. Carola Rämmler
Frank Scharfe, M.D.
Dipl.-Ing. (B.A.) Mirko Zieschank
Anke Langbein, M.D.
Publikationsdatum
06.08.2018
Verlag
Springer Medizin
Erschienen in
Herzschrittmachertherapie + Elektrophysiologie / Ausgabe 3/2018
Print ISSN: 0938-7412
Elektronische ISSN: 1435-1544
DOI
https://doi.org/10.1007/s00399-018-0584-9

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