inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1inovmed-52Research ArticleСЛУЧАИ ИЗ ПРАКТИКИCASE REPORTSПЕРВЫЙ ОПЫТ УСТРАНЕНИЯ ДЛИТЕЛЬНО ПЕРСИСТИРУЮЩЕЙ ФОРМЫ ФИБРИЛЛЯЦИИ ПРЕДСЕРДИЙ С ИСПОЛЬЗОВАНИЕМ ТОРАКОСКОПИЧЕСКОЙ РАДИОЧАСТОТНОЙ АБЛАЦИИFIRST EXPERIENCE OF PROLONGED PERSISTENT ATRIAL FIBRILLATION ELIMINATION WITH THORACOSCOPIC RADIOFREQUENCY ABLATION APPLICATIONАртюхинаЕ. А.ArtukhinaE. A.artelena.71@mail.ruРевишвилиА. Ш.RevishviliA. S.noemail@neicon.ruМалашенкоЕ. С.MalashenkoE. S.noemail@neicon.ruМунереттоС.MunerettoC.noemail@neicon.ruИнститут хирургии им. А.В. Вишневского Министерства здравоохранения РФРоссияVishnevsky Institute of Surgery, Ministry of Health of the Russian FederationRussian FederationУниверситет медицинской школыИталияUniversity of Brescia Medical SchoolItaly201730032017512327Copyright © Артюхина Е.А., Ревишвили А.Ш., Малашенко Е.С., Мунеретто С., 20172017Артюхина Е.А., Ревишвили А.Ш., Малашенко Е.С., Мунеретто С.Artukhina E.A., Revishvili A.S., Malashenko E.S., Muneretto C.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/52

В статье представлен клинический случай, демонстрирующий первый опыт применения торакоскопической радиочастотной аблации с использованием вакуумной технологии Estech Cobra Fusion у пациента 46 лет с длительно персистирующей формой фибрилляции предсердий. Обсуждены актуальные вопросы, методики проведения и показана эффективность торакоскопических технологий в лечении фибрилляции предсердий на работающем сердце.

In the present article we describe a clinical case demonstrating our first application of thoracoscopic radiofrequency ablation with vacuum technology Estech Cobra Fusion in a patient, 46, with prolonged persistent atrial fibrillation. We discussed actual questions, performance and showed efficiency of thoracoscopic technologies for atrial fibrillation on a beating heart.

фибрилляция предсердийрадиочастотная аблацияторакоскопическая аблацияatrial fibrillationradiofrequency ablationthoracoscopic ablationReferencesWolf P.A., Benjamin E.J., Belanger A.J. et al. Secular trends in the prevalence of atrial fibrillation: the Framingham Study. Am Heart J. 1996; 131: 790 - 5.Wolf P.A., Benjamin E.J., Belanger A.J. et al. Secular trends in the prevalence of atrial fibrillation: the Framingham Study. Am Heart J. 1996; 131: 790 - 5.Kannel W.B., Wolf P.A., Benjamin E.J. et al. Prevalence, incidence, prognosis and predisposing conditions for atrial fibrillation: population-based estimates. Am J Cardiol. 1998; 82: 2N - 9N.Kannel W.B., Wolf P.A., Benjamin E.J. et al. Prevalence, incidence, prognosis and predisposing conditions for atrial fibrillation: population-based estimates. Am J Cardiol. 1998; 82: 2N - 9N.Wang T.J., Larson M.G., Levy D. et al. Temporal relations of atrial fibrillation and congestive heart failure and the irjoint influence on mortality: the Framingham Heart Study. Circulation. 2003; 107: 2920 - 5.Wang T.J., Larson M.G., Levy D. et al. Temporal relations of atrial fibrillation and congestive heart failure and the irjoint influence on mortality: the Framingham Heart Study. Circulation. 2003; 107: 2920 - 5.Krahn A.D., Manfreda J., Tate R.B. e tal.The natural history of atrial fibrillation: incidence, risk factors and prognosis in the Manitoba Follow-Up Study. Am J Med. 1995; 98: 476 - 84.Krahn A.D., Manfreda J., Tate R.B. e tal.The natural history of atrial fibrillation: incidence, risk factors and prognosis in the Manitoba Follow-Up Study. Am J Med. 1995; 98: 476 - 84.Stewart S., Hart C.L., Hole D.J. et al. Apopulation-based study of the long-term risks associated with atrial fibrillation: 20-year follow-up of the Renfrew/ Paisleystudy. Am J Med. 2002; 113: 359 - 64.Stewart S., Hart C.L., Hole D.J. et al. Apopulation-based study of the long-term risks associated with atrial fibrillation: 20-year follow-up of the Renfrew/ Paisleystudy. Am J Med. 2002; 113: 359 - 64.Ott A., Breteler M.M., de Bruyne M.C. et al. Atrial fibrillation and dementiaina population-based study. The Rotterdam Study. Stroke. 1997; 28: 316 - 21.Ott A., Breteler M.M., de Bruyne M.C. et al. Atrial fibrillation and dementiaina population-based study. The Rotterdam Study. Stroke. 1997; 28: 316 - 21.Badhwar N., Tschopp D. and Lee R. Surgical and Concomitant Epicardial-Endocardial (Hybrid) Ablation of Persisten tand Long-Standing Persistent Atria lFibrillation. Curr Probl Cardiol. 2015; 40: 245 - 267.Badhwar N., Tschopp D. and Lee R. Surgical and Concomitant Epicardial-Endocardial (Hybrid) Ablation of Persisten tand Long-Standing Persistent Atria lFibrillation. Curr Probl Cardiol. 2015; 40: 245 - 267.Damiano Ralph J. Alternative energy sources for atrial ablation: judging the new technology. Ann Thorac Surg. 2003; 75: 329 - 30.Damiano Ralph J. Alternative energy sources for atrial ablation: judging the new technology. Ann Thorac Surg. 2003; 75: 329 - 30.Wolf R., Schneeberger E., Osterday R. et al. Video-assisted bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation. J Thorac Cardiovasc Surg. 2005; 130: 797 - 802.Wolf R., Schneeberger E., Osterday R. et al. Video-assisted bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation. J Thorac Cardiovasc Surg. 2005; 130: 797 - 802.Salenger R., Lahey S.J., Saltman A.E.The completely endoscopic treatment of atrial fibrillation: report on the first 14 patients with early results. Heart Surg Forum 2004; 7: E555 - 8.Salenger R., Lahey S.J., Saltman A.E.The completely endoscopic treatment of atrial fibrillation: report on the first 14 patients with early results. Heart Surg Forum 2004; 7: E555 - 8.Klinkenberg J., Ahmed S., Ten Hagen A. et al. Feasibility and out come of epicardial pulmonary vein isolation for lone atrial fibrillation using minimal invasive surgery and high intensity focused ultrasound. Europace. 2009; 11: 1624 - 31.Klinkenberg J., Ahmed S., Ten Hagen A. et al. Feasibility and out come of epicardial pulmonary vein isolation for lone atrial fibrillation using minimal invasive surgery and high intensity focused ultrasound. Europace. 2009; 11: 1624 - 31.Nasso G., Bonifazi R., Del Prete A. et al. Longterm results of ablation forisolated atrial fibrillation througha right minithoracotomy: towarda rational revision of treatment protocols. J Thorac Cardiovasc Surg. 2011; 142: e41 - 6.Nasso G., Bonifazi R., Del Prete A. et al. Longterm results of ablation forisolated atrial fibrillation througha right minithoracotomy: towarda rational revision of treatment protocols. J Thorac Cardiovasc Surg. 2011; 142: e41 - 6.Linda Henry, Ph.D. and Niv Ad, M.D. The Surgical Treatment for Atrial Fibrillation: Ablation Technology and Surgical Approaches. Rambam Maimonides Med J July 2013. Volume 4. Issue 3. e0021.Linda Henry, Ph.D. and Niv Ad, M.D. The Surgical Treatment for Atrial Fibrillation: Ablation Technology and Surgical Approaches. Rambam Maimonides Med J July 2013. Volume 4. Issue 3. e0021.Kevin Driver, J. Michael Mangrum. Hybrid approaches in atrial fibrillation ablation: why, where and who? J Thorac Dis 2015; 7(2): 159 - 164.Kevin Driver, J. Michael Mangrum. Hybrid approaches in atrial fibrillation ablation: why, where and who? J Thorac Dis 2015; 7(2): 159 - 164.Muneretto C., Bisleri G., Bontempi L. et al. Durable staged hybrid ablation with thoracoscopic and percutaneous approach for treatment of long-standing atrial fibrillation: a 30-month assessment with continuous monitoring. J Thorac Cardiovasc Surg. 2012; 144: 1460 - 5.Muneretto C., Bisleri G., Bontempi L. et al. Durable staged hybrid ablation with thoracoscopic and percutaneous approach for treatment of long-standing atrial fibrillation: a 30-month assessment with continuous monitoring. J Thorac Cardiovasc Surg. 2012; 144: 1460 - 5.Muneretto C., Bisleri G., Bontempi L., Cheema F. and Curnis A. Successful Treatment of Lone Persistent Atrial Fibrillation by Means of a Hybrid Thoracoscopic-Transcatheter Approach. Innovations & Volume 7, Number 4, July/August. 2012.Muneretto C., Bisleri G., Bontempi L., Cheema F. and Curnis A. Successful Treatment of Lone Persistent Atrial Fibrillation by Means of a Hybrid Thoracoscopic-Transcatheter Approach. Innovations & Volume 7, Number 4, July/August. 2012.Kiser A. C., Mounsey P., Pappas H. R. Breakthrough Advancement in Ablation Technology.Kiser A. C., Mounsey P., Pappas H. R. Breakthrough Advancement in Ablation Technology.Koyama T, Tada H, Sekiguchi Y, Yamasaki H, Kuroki K, Mchino T, et al. Prevention of atrial fibrillation recurrence with corticosteroids after radiofrequency catheter ablation: a randomized controlled trial. J Am Coll Cardiol. 2010; 56: 1463 - 72.Koyama T, Tada H, Sekiguchi Y, Yamasaki H, Kuroki K, Mchino T, et al. Prevention of atrial fibrillation recurrence with corticosteroids after radiofrequency catheter ablation: a randomized controlled trial. J Am Coll Cardiol. 2010; 56: 1463 - 72.Botto G.L., Padeletti L., Santini M., Capucci A., Gulizia M., Zolezzi F. et al. Presence and duration of atrial fibrillation detected by continuous monitoring: crucial implications for the risk of thromboembolic events. J Cardiovasc Electrophysiol. 2009; 20: 241 - 8.Botto G.L., Padeletti L., Santini M., Capucci A., Gulizia M., Zolezzi F. et al. Presence and duration of atrial fibrillation detected by continuous monitoring: crucial implications for the risk of thromboembolic events. J Cardiovasc Electrophysiol. 2009; 20: 241 - 8.

The authors declare that there are no conflicts of interest present.