{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T23:11:13Z","timestamp":1649200273894},"reference-count":16,"publisher":"Akademiai Kiado Zrt.","issue":"38","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,9,1]]},"abstract":"<jats:p>A pitvarfibrill\u00e1ci\u00f3 a leggyakoribb tart\u00f3s sz\u00edvritmuszavar, amelynek prevalenci\u00e1ja az ut\u00f3bbi \u00e9vtizedekben egyre n\u0151tt \u00e9s \u00edgy n\u00e9peg\u00e9szs\u00e9g\u00fcgyi probl\u00e9m\u00e1v\u00e1 v\u00e1lt. Az antiaritmi\u00e1sgy\u00f3gyszer-v\u00e1laszt\u00e9k b\u0151v\u00fcl\u00e9se ellen\u00e9re a pitvarfibrill\u00e1ci\u00f3 farmakoter\u00e1pi\u00e1j\u00e1nak tov\u00e1bbra is jelent\u0151s korl\u00e1tai vannak. Mindezek miatt egyre nagyobb hangs\u00falyt kaptak a nem gy\u00f3gyszeres megsz\u00fcntet\u00e9st \u00e9s ritmusmeg\u0151rz\u00e9st c\u00e9lz\u00f3 technikai fejleszt\u00e9sek, k\u00f6zt\u00fck a legnagyobb fejl\u0151d\u00e9st \u00e9s perspekt\u00edv\u00e1t mutat\u00f3 transzkat\u00e9teres ablati\u00f3s technik\u00e1k, amelyekhez energiaforr\u00e1sk\u00e9nt jellemz\u0151en r\u00e1di\u00f3frekvenci\u00e1s energi\u00e1t haszn\u00e1lunk. Az ablati\u00f3s technik\u00e1t\u00f3l \u00e9s a nem elhanyagolhat\u00f3 interperszon\u00e1lis k\u00fcl\u00f6nbs\u00e9gekt\u0151l f\u00fcgg\u0151en (mind az operat\u0151r, mind a beteg oldal\u00e1r\u00f3l) a r\u00e1di\u00f3frekvenci\u00e1s ablatio alkalmaz\u00e1sa eset\u00e9n olyan, potenci\u00e1lisan \u00e9letvesz\u00e9lyes sz\u00f6v\u0151dm\u00e9nyekt\u0151l is kell tartani, mint a t\u00fcd\u0151v\u00e9n\u00e1k stenosisa, illetve atriooesophagealis fisztula kialakul\u00e1sa. A cryoablatio a transzkat\u00e9teres ablatio olyan speci\u00e1lis form\u00e1ja, amely nem \u00e9get\u00e9ssel, hanem fagyaszt\u00e1ssal sz\u00fcnteti meg az aritmiaszubsztr\u00e1tot. A cryoballonos ablatio sor\u00e1n a t\u00fcd\u0151v\u00e9n\u00e1kat \u00e1tmenetileg ballonnal okklud\u00e1ljuk, majd a v\u00e9nasz\u00e1jad\u00e9k k\u00f6rk\u00f6r\u00f6s fagyaszt\u00e1sa r\u00e9v\u00e9n \u00e9rhet\u0151 el a t\u00fcd\u0151v\u00e9na komplett izol\u00e1ci\u00f3ja, amely a paroxizm\u00e1lis pitvarfibrill\u00e1ci\u00f3 ablati\u00f3s kezel\u00e9s\u00e9nek sarokk\u00f6ve. A cryoballonos ablati\u00f3val a r\u00e1di\u00f3frekvenci\u00e1s ablati\u00f3val megegyez\u0151 tart\u00f3s aritmiamentess\u00e9g \u00e9rhet\u0151 el megn\u00f6vekedett biztons\u00e1goss\u00e1g mellett. Int\u00e9zet\u00fcnkben haz\u00e1nkban els\u0151k\u00e9nt v\u00e9gezt\u00fcnk cryoballonos ablati\u00f3t paroxizm\u00e1lis pitvarfibrill\u00e1ci\u00f3ban szenved\u0151 betegeken. Az ennek kapcs\u00e1n k\u00f6z\u00f6lt jelen \u00f6sszefoglal\u00f3val szeretn\u00e9nk felh\u00edvni a figyelmet e m\u00f3dszer el\u0151nyeire, amely viszonylagos egyszer\u0171s\u00e9g\u00e9vel lehet\u0151v\u00e9 teheti, hogy a j\u00f6v\u0151ben e beavatkoz\u00e1s gyorsan \u00e9s sz\u00e9les k\u00f6rben elterjedjen.<\/jats:p>","DOI":"10.1556\/oh.2008.28454","type":"journal-article","created":{"date-parts":[[2008,9,22]],"date-time":"2008-09-22T01:01:05Z","timestamp":1222045265000},"page":"1779-1784","source":"Crossref","is-referenced-by-count":2,"title":["New therapy for atrial fibrillation: pulmonary vein isolation by cryoballoon ablation"],"prefix":"10.1556","volume":"149","author":[{"given":"Csaba","family":"F\u00f6ldesi","sequence":"first","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Kardos","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Mih\u00e1lcz","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"Som","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriella","family":"H\u00f3di","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Andr\u00e9ka","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Szili-T\u00f6r\u00f6k","sequence":"additional","affiliation":[{"name":"2 Thoraxcentrum Erasmus MC Rotterdam"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1111\/j.1540-8159.2004.00385.x","volume":"27","year":"2004","journal-title":"Pacing Clin. 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