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2018 심방세동 카테터 절제술 대한민국 진료지침: PART III

  • 이정명 (경희대학교 의과대학) ;
  • 정동섭 (성균관대학교 의과대학) ;
  • 유희태 (연세대학교 의과대학) ;
  • 박형섭 (계명대학교 의과대학) ;
  • 심재민 (고려대학교 의과대학) ;
  • 김주연 (가톨릭대학교 의과대학) ;
  • 김준 (울산대학교 의과대학) ;
  • 윤남식 (전남대학교 의과대학) ;
  • 오세일 (서울대학교 의과대학) ;
  • 노승영 (동국대학교 의과대학) ;
  • 조영진 (서울대학교 분당서울대병원) ;
  • 김기훈 (인제대학교 의과대학)
  • Received : 2018.12.05
  • Accepted : 2018.12.19
  • Published : 2018.09.30

Abstract

Catheter ablation of atrial fibrillation (AF) is one of the most complex interventional electrophysiological procedures. The success of AF ablation is based in large part on freedom from AF recurrence based on electrocardiography (ECG) monitoring. Arrhythmia monitoring can be performed with the use of noncontinuous or continuous ECG monitoring tools. AF ablation is an invasive procedure that entails risks, most of which are present during the acute procedural period. However, complications can also occur in the weeks or months following ablation. Recognizing common symptoms after AF ablation and distinguishing those that require urgent evaluation and referral to an electrophysiologist is an important part of follow-up after AF ablation. This section reviews the complications associated with catheter ablation procedures performed to treat AF. The types and incidence of complications are presented, their mechanisms are explored, and the optimal approach to prevention and treatment is discussed. Finally, surgical and hybrid AF ablation technology and the indications for concomitant open or closed surgical ablation of AF, stand-alone and hybrid surgical ablation of AF are covered in this section.

Keywords

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