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• W2079462297 abstract "Tras varios años de desarrollo, la eficacia de la ablación por radiofrecuencia del flúter (aleteo) auricular común está claramente establecida. Una vez definida la localización del istmo crítico del circuito, se han desarrollado métodos eficaces para su abordaje y ablación, que han mejorado los resultados iniciales. El problema de las recurrencias se ha reducido muy significativamente, de modo que sólo un 10–15% de los casos recidivan en la actualidad, siendo además la mayoría tratables en una segunda intervención. Sin embargo, la ablación del circuito de flúter no es un procedimiento curativo, ya que no afecta a las anomalías electrofisiológicas y/o anatómicas auriculares. Esto se refleja claramente en una incidencia de fibrilación auricular de un 25–30% durante el seguimiento posterior. Por otro lado, hay datos que sugieren una baja incidencia de recurrencias del flúter tras cardioversión de un primer episodio. Por todos estos motivos, la ablación de un circuito de flúter no debe considerarse como el tratamiento de elección en todo episodio de flúter auricular, sino sólo en casos recurrentes y/o mal tolerados. After years of development, radiofrequency ablation of common flutter circuits is a well established procedure. Once the structure of the circuit, and its critical isthmus, were defined, effective approaches to ablation have been developed, improving initial results. The problem of recurrence has been largely controlled, and the present recurrence rate is 10–15%. The large majority of recurrences can be treated successfully by a new ablation, with a very low incidence of second recurrence. Nevertheless, isthmus ablation is not a curative procedure, because it does not address the cause of flutter, only a necessary link in the circuit. The electrophysiologic and/or anatomic abnormalities of the atrium or atria persist after ablation. Perhaps for this reason there is an incidence of atrial fibrillation in 25–30% of cases after successful flutter ablation. On the other hand, some clinical data suggest that a first episode of flutter has a low incidence of recurrence after cardioversion. For all these reasons flutter ablation should not be considered as first line treatment in all episodes of atrial flutter, but of those with recurrences and/or poor tolerance." @default.
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• W2079462297 title "La ablación con radiofrecuencia como primer tratamiento de elección en pacientes con aleteo auricular común. Argumentos en contra" @default.
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• W2079462297 doi "https://doi.org/10.1016/s0300-8932(99)74904-3" @default.
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