A among the most advanced and promising technologies in the treatment of atrial fibrillation was recently introduced at the Papardo di Messina Activated in the UOC of Cardiology directed by Dr. Giuseppe Paleologist, the method today represents the most modern and minimally invasive frontier for the ablative approach to one of the most common and complex arrhythmias, atrial fibrillation.
Principle and advantages of technique
The electroporation is based on the application of high intensity electrical impulses and very short duration, capable of inducing a transitory modification of the cell membrane of myocardial cells, causing their selective death. This mechanism allows:
-a extreme selectivity of action on the target cells only; • the preservation of adjacent structures, such as nerves, esophagus and blood vessels;
-A significant reduction in the risk of complications, compared to traditional thermal ablative techniques.
Clinical application
The intervention, successfully performed by the electrophysiology team made up of Dr. A. Taormina, Dr. G. De Blasi and Dr. R. Bitto, is intended for patients with:
-paroxysmal atrial fibrillation, characterized by short -lived episodes (
-persistent atrial phibrillation, with prolonged episodes (> 7 days), in which the success rate reaches 60–70% to the first treatment, with the possibility of improvement in case of further interventions.
Post-proceduraes and care path
As with the other ablation methods, electroporation provides for a rapid post-operative course: the patient can already be discharged the day following the procedure, compatibly with the general clinical picture. The selection of patients candidable for the technique is carried out exclusively by the electrophysiologist cardiologist, on the basis of an in -depth and personalized evaluation, in compliance with international indications. With the introduction of electroposing, the Papardo hospital consolidates its role as a center of excellence in interventional cardiology, placing itself at the forefront of the adoption of high innovation technologies, oriented towards maximum safety and the quality of care.