Catheter Ablation of Cardiac Arrhythmias A Practical Approach
Catheter ablation of cardiac arrhythmias is an important field of interventional cardiology. This comprehensive overview is a practical guide for - exact diagnosis of cardiac arrhythmias - mapping of cardiac arrhythmias with newest 3D technology - cathete
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Catheter Ablation of Cardiac Arrhythmias
C. Schmitt I. Deisenhofer B. Zrenner (Eds.)
Catheter Ablation of Cardiac Arrhythmias A Practical Approach
With 201 Figures in 400 Separate Illustrations, Most in Color and 16 Tables
12
Prof. Dr. med. Claus Schmitt Dr. med. Isabel Deisenhofer Dr. med. Bernhard Zrenner Deutsches Herzzentrum Mçnchen Lazarettstraûe 36 80636 Mçnchen Germany
ISBN 3-7985-1575-1 Steinkopff Verlag Darmstadt Cataloging-in-Publication Data applied for A catalog record for this book is available from the Library of Congress. Bibliographic information published by Die Deutsche Bibliothek. Die Deutsche Bibliothek lists this publication in the Deutsche Nationalbibliografie; detailed bibliographic data is available in the Internet at . This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Steinkopff Verlag. Violations are liable for prosecution under the German Copyright Law. Steinkopff Verlag Darmstadt a member of Springer Science+Business Media www.steinkopff.springer.de ° Steinkopff Verlag Darmstadt 2006 Printed in Germany The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about the application of operative techniques and medications contained in this book. In every individual case the user must check such information by consulting the relevant literature. Medical Editor: Dr. Annette Gasser Production: Klemens Schwind Cover Designer: Erich Kirchner, Heidelberg Typesetter: K+V Fotosatz GmbH, Beerfelden Printing and binding: Universitåtsdruckerei Stçrtz, Wçrzburg SPIN 11557340
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Preface
Catheter ablation has revolutionized the treatment of cardiac arrhythmias. Having started with AV node ablation with direct current for refractory atrial tachyarrhythmias at the beginning of the 1980s, the breakthrough for catheter ablation came with the use of radiofrequency current for ablation of accessory pathways in WPW syndrome. Modification of AV node conduction (instead of AV node ablation) in AV nodal tachycardias and ablation of cavotricuspid isthmus-dependent atrial flutter followed. With the advent of 3D mapping systems, more complex cardiac arrhythmias could be approached such as right and left atrial and ventricular tachycardias. A further milestone was ablation of atrial fibrillation by pulmonary vein isolation in
