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Radiofrequency Ablation in Germany

heart

Radiofrequency ablation allows curing patients with cardiac arrhythmia, freeing them from lifelong medication. The treatment method was first used in the 80s of the last century, but in those years a high-voltage direct current discharge was used. It was only in the 90s that direct current was completely abandoned, which reduced the risk of complications.

Modern medicine uses several methods of radiofrequency ablation; in Germany, this procedure is characterized by a minimal level of risk to the health and life of patients.

Radiofrequency Cardiac Ablation (Catheter Ablation) – What It Is, Principle of Procedure

Radiofrequency cardiac ablation (RFA) – is a full-fledged medical procedure that is effective in the treatment of certain types of arrhythmias and is advisable if conservative treatment has not given positive results. It all comes down to the different effects of medications and RFA – the former only control abnormal changes in heart tissues, while ablation destroys them, which eliminates the problem.

When performing the procedure, the ablation catheter, which is a long, thin tube, is directed into the heart through the neck and groin large vessels. Through the catheter, using a generator, energy is delivered to the affected heart tissues, which destroys them by heating. Areas of the heart are modified and this helps restore a stable heart rhythm within normal limits.

Only high-frequency energy is used for ablation, because it allows treating heart arrhythmias safely and effectively. Catheter ablation in Germany is performed in a clinical setting, the patient remains under medical supervision for several days, and the procedure itself lasts 3-6 hours.

Indications for Radiofrequency Ablation

This treatment method is used when diagnosing:

  • supraventricular tachycardias;
  • atrial fibrillation;
  • ventricular tachycardias;
  • atrial tachycardia;
  • atrial flutter.

In most cases, patients with heart rhythm disorders are prescribed drug therapy and it turns out to be effective. But there is a category of patients who either do not respond to conservative treatment, or they experience pronounced side effects from the medications taken. In such cases, it is advisable to perform catheter ablation.

Preparation for Radiofrequency Catheter Ablation

Radiofrequency ablation heart

Before the procedure, the patient must undergo preparation, which involves:

  • obtaining a consultation with a doctor, during which the medical history will be studied and a physical examination of the patient will be conducted;
  • undergoing standard examination;
  • administration of specific medications.

At the consultation with a specialist, some nuances will be clarified immediately – whether the patient takes any medications on a regular basis, whether there is a confirmed pregnancy, whether there is a history of chronic internal pathologies such as diabetes mellitus, kidney and liver diseases. As for examinations, every patient who is indicated for catheter treatment of heart rhythm disorders undergoes:

  • electrocardiogram;
  • echocardiography;
  • stress testing – heart function is analyzed under physical exertion;
  • laboratory blood test.

If the RFA procedure is not cancelled, the patient will need to stop eating food and drinks until midnight the day before treatment. Immediately before cardiac ablation, the patient is given an intravenous injection with a relaxing medication.

Possible Complications of the Operation

In most cases, radiofrequency ablation in Germany is performed without complications. Extremely rarely, the following are possible:

  • thrombosis, vessel punctures, hematomas – occur against the background of venipuncture into which the catheter will be inserted;
  • coronary artery thrombosis, microembolism of cardiac vessels, damage to heart valves – possible when the catheter moves directly to the problem organ;
  • cerebrovascular accident (transient), myocardial puncture, coronary vessel spasm and impaired patency – associated with radiofrequency energy.

In Germany, doctors have sufficient experience in performing the procedure, so the risk of complications is minimized.

Specialized Clinics

Most cardiology clinics in Germany use the radiofrequency ablation method for treating cardiac arrhythmias. Specialized clinics include:

German Heart Center Munich

9.5/10
📍Lazarettstraße 36, 80636 München, Germany

German Heart Center Munich

The German Heart Center Munich has a unique concept - treatment of patients of all ages with various heart diseases is carried out in one place.

Technical University Clinic "Rechts der Isar"

9.8/10
📍Germany, Munich

Department of Hematology and Oncology

The Department of Hematology and Oncology offers a full range of diagnostic and therapeutic services in these fields. The highly qualified team of doctors provides patients with effective treatment of all oncological diseases, blood and lymph pathologies (e.g., leukemia, multiple myeloma).

Munich Municipal Clinics

📍München, Germany

5 separate clinics with common management

A network of multidisciplinary clinics located in five districts of Munich. They provide a high-class range of medical services. The municipal clinics are academic clinics of both Munich universities.
Bogenhausen Clinic
Harlaching Clinic
Neuperlach Clinic
Schwabing Clinic
Thalkirchner Clinic
These institutions perform thousands of radiofrequency catheter ablations of the heart in just one year! The procedure in German clinics is performed in several stages:

  1. Venous catheterization. Electrodes are inserted into the heart cavity using a catheter; this stage is necessarily performed under X-ray control. For the patient, everything proceeds painlessly.
  2. Electrophysiological study. It is necessary to identify the problem area of the heart, abnormal conduction pathways. Electrodes inserted directly into the heart record an internal cardiogram and display it on a common monitor.
  3. Ablation. The identified problem area of the heart is destroyed, after which incorrect impulses will no longer be generated, which prevents the development of fibrillation. The pathological focus is simply cauterized using high-frequency current.
  4. Results control. Immediately after ablation, the doctor again receives data from the internal electrocardiogram, and most often they confirm a stable sinus rhythm. The operation is complete.

Cost of Cardiac Catheter Ablation in Germany

The average price of the operation is 9,000 - 18,000 euros, which includes not only the radiofrequency ablation itself, but also the preliminary examination of the patient, subsequent stay in the clinic for 5-7 days, and a full rehabilitation period. The more accurate cost depends on the type of ablation and the services provided by the selected clinic.

Patient Monitoring After Surgery

The rehabilitation period after radiofrequency cardiac ablation is short – within 4-6 hours the patient fully recovers. Within a few days, a person fully recovers and can return to their usual life. The doctor will warn about symptoms that are complications:

  • bleeding at the catheter puncture site;
  • severe pain, swelling, redness at the site of vein entry;
  • too frequent, strong heartbeats;
  • spontaneous fainting.

The patient will need to periodically consult a doctor and come for examinations for 30 days after surgery. If any changes in well-being occur, the visit to the clinic cannot be postponed – this is life-threatening.

Cardiac catheter ablation in Germany – is the optimal solution when choosing a treatment method. A safe, effective operation with a short rehabilitation period will provide an opportunity to permanently cure cardiac arrhythmias and not take medications to maintain a normal rhythm.

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Patient Relations Specialist Svetlana Malygina Your questions will be answered by Patient Relations Specialist Svetlana Malygina