Interventional approaches in atrial fibrillation

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One of the most common heart rhythm disorders today is atrial fibrillation (AF). Worldwide, there are about 33 million people suffering from AF. In Europe, this number is more than 6 million, in Russia — about 2.5 million people. Initially, the main method of treatment was drug therapy. However, with the development of modern technologies, possible mechanisms for the development and maintenance of AF have a crucial importance. In connection with the emergence of new theories, there are also new methods of surgical and/or interventional treatment of AF. The article provides a comprehensive analysis of the current state of interventional treatment of patients with various forms of atrial fibrillation.

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About the authors

Andrey G. Filatov

A.N. Bakulev National Medical Research Center of Cardiovascular Surgery

Author for correspondence.
ORCID iD: 0000-0002-7026-7814
SPIN-code: 4187-8717


Russian Federation, Moscow

Elena Z. Golukhova

A.N. Bakulev National Medical Research Center of Cardiovascular Surgery

ORCID iD: 0000-0002-6252-0322
SPIN-code: 9334-5672

MD, PhD, Professor, Academician of the RAS


Russian Federation, Moscow


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Supplementary files

Supplementary Files
1. Figure 1. Mechanisms for the development of AF maintenance

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2. Figure 2. RFA of the pulmonary veins

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3. Figure 3. Biophysics of myocardial heating in RFA

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4. Figure 4. Cryoballoon isolation of pulmonary vein ostia

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5. Figure 5. Multi-electrode pulsed field ablation catheter deployed in the shape of a flower

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6. Figure 6. High-density electroanatomical activation mapping of the left atrium in a patient after cryoballoon ablation (A) and after posterior wall isolation (B)

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