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Γεώργιος Ανδρικόπουλος, MD, Phd, FESC Διευθυντής Α Καρδιολογικής Κλινικής /
Τμήματος Ηλεκτροφυσιολογίας/Βηματοδότησης«Ερρίκος Ντυνάν» Hospital Center
Presenter Disclosure Information
The presenter has received honoraria for participation in lectures and advisoryboards from the following pharmaceutical and biotechnology companies:
o AstraZeneca,
o Bard,
o Bayer Healthcare,
o Boehringer Ingelheim,
o Boston Scientific,
o Bristol-Myers Squibb,
o ELPEN,
o Galenica,
o Lilly,
o Medtronic,
o Menarini,
o MSD,
o Pfizer,
o Sanofi,
o Servier,
o StJude,
o Unifarma,
o Vianex.
Mixed treatment comparison of dronedarone, amiodarone, sotalol, flecainide, and propafenone, for the management of atrial fibrillation
Freemantle et al. Europace 2011;13:329–345
Effect of anti-arrhythmic drugs on all-cause mortality in studies involving >100 patients in either arm
Incidence of proarrhythmics events
Marrouche H, et al. New Eng J Med 2018:378(5);417-427
«Άπιστος Θωμάς»Michelangelo Merisi da Caravaggio
(1571–1610)
Marrouche H, et al. New Eng J Med 2018:378(5);417-427
Marrouche H, et al. New Eng J Med 2018:378(5);417-427
“9.2% of ablation patients did not get the procedure and 27.5% of the drug group crossed over to ablation”
The role of imaging before AF ablation
TEE: For all or only for persistent AF?
The role of imaging in facilitating transeptal puncture
TEE: Necessity or Luxury?
Intracardiac EchoNecessity or Luxury?
Mild Symptoms but SBP drops to 80mmHg within minutes
G.Andrikopoulos, Henry Dunant Hospital, 2011
LA – Esophageal fistula after Intraoperative AF Ablation
Courtesy of Dr Dagres and Dr Hidricks
1. Esophagus
2. Air in madiastinum due toperforation of esophagus
3. Dye in the madiastinum escaping from esophagus
LA DISSECTION
Courtesy of Dr Kriatselis, Berlin
Ablation for AF/AT in patients with complex anatomy
2 valves+intraoperative ablation CRTD, LVEF=35%, MV 3rd ablation, CABG, post Abl AT
Fallot, AT/AF
G.Andrikopoulos, 2011
CARTO
RHYTHMIA
NAVX
CRYOBALLOON
RIPV
Occlusion, freezing and PV isolation
Started 11:14 ended 11:51
Αρχείο Γ.Ανδρικόπουλου, Ερρίκος Ντυνάν, 2016
Department of Electrophysiology, Henry Dunant Hospital center, Submitted for publication 2018
Kuchynka P., et al. Biomed Res Int. 2015;2015:247865.
Right lower
Right lower
Right lower
Left upper
Left lower
MRI
LSPV and RIPV venographies
LSPV
LIPV
RIPV
69 year old patient with PAF with no structural heart disease, normotensive, reporting no other major health problems in the past (AP view)
27 Μαρτίου 2018, Αρχείο Γ.Ανδρικόπουλου
27 Μαρτίου 2018, Αρχείο Γ.Ανδρικόπουλου
69 year old patient with PAF with no structural heart disease, normotensive, reporting no other major health problems in the past (PA view)
Ευχαριστώ την ομάδα ηλεκτροφυσιολογίας του Ερρίκος Ντυνάν Hospital Center
Ηλεκτροφυσιολόγοι• Ανδρικόπουλος Γ.• Τζέης Σ.• Παστρωμάς Σ.• Συκιώτης Α.• Κουρκούτη Π.• Ταμπάκης Κ.
Νοσηλευτές• Λιβιτσάνου Γ.• Αλεξοπούλου Γ.• Γουργιώτη Ζ.• Καμμένος Σ.• Κληματσούδας Β.• Μαυροδήμου Ν.
Τεχνολόγοι• Κατσιφαράκης Σ.• Ρουμάνη Μ.• Στεφανάκη Ε.• Χάιδος Γ.
Αναισθησιολόγοι• Μπούσουλα Μ.• Ροζάκης Δ.
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