Journal of Clinical PracticeJournal of Clinical PracticeКлиническая практика2220-30952618-8627Eco-Vector806810.17816/clinpract8178-82ArticlesСтатьиResearch ArticleTHE FIRST EXPERIENCE OF PULMONARY VEINS CRYOABLATION IN THE TREATMENT OF ATRIAL FIBRILLATIONПЕРВЫЙ ОПЫТ КРИОАБЛАЦИИ УСТЬЕВ ЛЕГОЧНЫХ ВЕН В ЛЕЧЕНИИ ФИБРИЛЛЯЦИИ ПРЕДСЕРДИЙSklyarovF VСкляровФедор Викторович

зав. отделением РХМДиЛ

sklyarov1974@mail.ruZholkovskyA VЖолковскийАлександр Владимирович

зав. отделением сосудистой хирургии

alexangio13@gmail.comSumskyM AСумскийМаксим АлександровичKornienkoA AКорниенкоАлексей АлександровичPleskachevA SПлескачевСергей АлександровичBorondgiyanT SБоронджиянТигран Сергеевич

заведующий отделением лучевой диагностики, к.м.н.

ChudinovG VЧудиновГеоргий Викторович

доцент кафедры хирургических болезней ФПК ППС, д.м.н.

chudinovgeorgy@gmail.comФГБУЗ Южный окружной медицинский центр ФМБА РоссииФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава РФ1503201781NO1 (2017)№1 (2017)788205032018Copyright ©; 2017, Sklyarov F.V., Zholkovsky A.V., Sumsky M.A., Kornienko A.A., Pleskachev A.S., Borondgiyan T.S., Chudinov G.V.Copyright ©; 2017, Скляров Ф.В., Жолковский А.В., Сумский М.А., Корниенко А.А., Плескачев С.А., Боронджиян Т.С., Чудинов Г.В.2017Sklyarov F.V., Zholkovsky A.V., Sumsky M.A., Kornienko A.A., Pleskachev A.S., Borondgiyan T.S., Chudinov G.V.Скляров Ф.В., Жолковский А.В., Сумский М.А., Корниенко А.А., Плескачев С.А., Боронджиян Т.С., Чудинов Г.В.https://creativecommons.org/licenses/by-nc-nd/4.0https://clinpractice.ru/clinpractice/article/view/8068

The review of domestic and foreign literary sources and own experience of cryoballon ablation, the modern method of treatment of patients with AF is presented. The indications are detailed, the data on the effectiveness and safety of the technique are given. Particular attention is paid to comparing the cryoballoon and radiofrequency isolation of the pulmonary veins.

Представлен обзор отечественных и зарубежных литературных источников, и собственный опыт применения криобаллонной аблации - современного метода лечения пациентов с ФП. Подробно описаны показания, приведены данные об эффективности и безопасности методики. Особое внимание уделено сравнению криобаллонной и радиочастотной изоляции легочных вен

atrial fibrillationendocardial catheter ablationcryoablationradiofrequency ablationpulmonary vein isolationфибрилляция предсердийэндокардиальная катетерная абляциякриоабля-циярадиочастотная абляцияизоляция легочных венRahman F., Kwan G.F., Benjamin E.J. Global epidemiology of atrial fibrillation. Nat Rev Cardiol 2014; 11: 639-654.Krijthe B.P., Kunst A., Benjamin E.J. et al. Projections on the number of individuals with atrial fibrillation in the European Union, from 2000 to 2060. Eur Heart J 2013; 34 (35): 2746-2751.Колбин А.С., Татарский Б.А., Бисерова И.Н. с соавт. Социально-экономическое бремя мерцательной аритмии в Российской Федерации. Клиническая фармакология и терапия, 2010; 19 (4): 17-22.Клинические рекомендации по проведению электрофизиологических исследований, катетерной абляции и применению имплантируемых антиаритмических устройств, 2013Calkins H et al. News from the Heart Rhythm Society: 2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design. A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Developed in partnership with the European Heart Rhythm Association (EHRA), a registered branch of the European Society of Cardiology (ESC) and the European Cardiac Arrhythmia Society (ECAS); and in collaboration with the American College of Cardiology (ACC), American Heart Association (AHA), the Asia Pacific Heart Rhythm Society (APHRS), and the Society of Thoracic Surgeons (STS). Endorsed by the governing bodies of the American College of Cardiology Foundation, the American Heart Association, the European Cardiac Arrhythmia Society, the European Heart Rhythm Association, the Society of Thoracic Surgeons, the Asia Pacific Heart Rhythm Society, and the Heart Rhythm Society. Heart Rhythm 2012; 9 (4): 632-696.Saliba W., Schliamser J.E., Lavi I. et al. Catheter ablation of atrial fibrillation is associated with reduced risk of stroke and mortality: A propensity score-matched analysis. Heart Rhythm 2017; Epub 2017 Feb 9.Hohnloser S.H., Vamos M. Not all types of atrial fibrillation carry the same stroke risk, but most benefit from oral anticoagulation. Circ Arrhythm Electrophysiol. 2017;10: 1-3.Hindricks J., Camm J., Merkely B. et al. The EHRA White book 2016. The current status of cardiac electrophysiology in ESC members countries.Velagic V., de Asmundis C., Mugnai G. et al. Learning curve using the second-generation cryoballoon ablation. J Cardiovasc Med (Hagerstown). 2016 Dec 22 [Epub ahead of printing].Mikhaylov E.N., Lebedev D.S., Pokushalov E.A. et al. Outcomes of Cryoballoon Ablation in High- and Low-Volume Atrial Fibrillation Ablation Centres: A Russian Pilot Survey. Volume 2015 (2015), Article ID 591603, 8 pages.Furnkranz A., Brugada J., Albenque J.P. et al. Rationale and Design of FIRE AND ICE: A multicenter randomized trial comparing efficacy and safety of pulmonary vein isolation using a cryoballoon versus radio frequency ablation with 3D-reconstruction. J Cardiovasc Electrophysiol 2014;25(12):1314-1320.Kuck K.H. et al. Cryoballoon or radiofrequency ablation for symptomatic paroxysmal atrial fibrillation: reintervention, rehospitalization and quality-of-life outcomes in the FIRE AND ICE trial. Eur Heart J 2016. Published online.John R.M., Kapur S., Ellenbogen K.A. et al. Atrioesophageal fistula formation with cryoballoon ablation is most commonly related to the left inferior pulmonary vein. Heart Rhythm 2017; 14(2): 184-189.Chun K.R.J., Perrota L., Bordignon S. et al. Complications in Catheter Ablation of Atrial Fibrillation in 3,000 Consecutive Procedures: Balloon Versus Radiofrequency Current Ablation. JACC: Clin Electrophysiol 2017; 3(2): 154-161.Koektuerk B., Yorgun H., Hengeoez O. et al. Cryoballoon Ablation for Pulmonary Vein Isolation in Patients With Persistent Atrial Fibrillation. One-Year Outcome Using Second Generation Cryoballoon. Circ Arrhythm Electrophysiol 2015; 8:1073-1079.Miyazaki S., Hachiya H., Nakamura H. et al. Pulmonary Vein Isolation Using a Second-Generation Cryoballoon in Patients With Paroxysmal Atrial Fibrillation: One-Year Outcome Using a Single Big-Balloon 3-Minute Freeze Technique. J Cardiovasc Electrophysiol 2016; 27(12): 1375-1380.Straube F., Dorwarth U., Hartl S. et al. Outcome of paroxysmal atrial fibrillation ablation with the cryoballoon using two different application times: the 4-versus 3-min protocol. J Interv Card Electrophysiol 2015 Dec 23 [Epub ahead of print].Wissner E., Heeger C.H., Grahn H. et al. One- year clinical success of a ‘no-bonus’ freezeprotocol using the second-generation 28 mm cryoballoon for pulmonary vein isolation. Europace 2015; 17: 1236-1240.