TREATMENT OF ATRIAL FIBRILLO-FLUTTER .
E. Halilović, T. Meinertz, D. Brockhof, M. Merić and I. Terzic.
of Physiology, Medical Faculty, University of Tuzla, Department
of Cardiology Eppendorf, University of Hamburg, Department
of Cardiology, Tuzla, Bosnia and Herzegovina, Germany
when medicament cardioversion is not successful, the following
procedures can be started: cardioversion with electric shock,
catheter ablation, electrostimulation or introduction of atrial
cardioverter defibrilator. Catheter ablation has been increasingly
applied due to new electronic system and more reliable ECG mapping.
We treated 16 patients who had atrial fibrillo-flutter (12 men
and 4 women), mean age of 62,5 years. Electrodes were placed into
the right appendage, coronary sinus and right ventricle via femoral
vein and we placed them via femoral artery into the left atrium
and ventricle. After electrophysiologic research and ECG endocardial
mapping, a successful ablation was achieved in 16 patients. Pacemaker
AV modulation was done too. Ablation was unseccessful in 5 patients
so 2 were converted into the sinus rhythm by intracardial cardioversion
and 3 patients remained on conservative therapy.