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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">surgonco</journal-id><journal-title-group><journal-title xml:lang="ru">Креативная хирургия и онкология</journal-title><trans-title-group xml:lang="en"><trans-title>Creative surgery and oncology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2076-3093</issn><issn pub-type="epub">2307-0501</issn><publisher><publisher-name>Башкирский государственный медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24060/2076-3093-2018-8-4-303-309</article-id><article-id custom-type="elpub" pub-id-type="custom">surgonco-351</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОПЫТ ЛЕЧЕБНЫХ УЧРЕЖДЕНИЙ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>EXPERIENCE OF HEALTHCARE FACILITIES</subject></subj-group></article-categories><title-group><article-title>Fire or ice в лечении пациентов со сложными нарушениями ритма сердца</article-title><trans-title-group xml:lang="en"><trans-title>"Fire or Ice" in the Treatment of Patients with Complex Heart Rhythm Disorders</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7509-4345</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ибрагимов</surname><given-names>Т. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Ibragimov</surname><given-names>T. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ибрагимов Теймур Рамиз оглы — врач по рентгенэндоваскулярным диагностике и лечению, ассистент кафедры хирургических болезней и новых технологий с курсом ИДПО.</p><p>450083, Уфа, ул. Шафиева, 2</p></bio><bio xml:lang="en"><p>Ibragimov Teimur Ramiz ogly - X-ray Endovascular Diagnostics and Treatment Physician, Assistant lecturer at the Department of Surgical Diseases and New Technologies with the Course of Additional Professional Education.</p><p>2 Shafiev str., Ufa, 450083</p></bio><email xlink:type="simple">vrachic88@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пушкарева</surname><given-names>А. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Pushkareva</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пушкарева Альфия Эдуардовна — кандидат медицинских наук, доцент кафедры госпитальной терапии.</p><p>450008, Уфа, ул. Ленина, 3</p></bio><bio xml:lang="en"><p>Pushkareva Alfiya Eduardovna — Candidate of Medical Sciences, Associate professor at the Department of Hospital Therapy.</p><p>3 Lenin str., Ufa, 450008</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Благодаров</surname><given-names>С. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Blagodarov</surname><given-names>S. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Благодаров Сергей Игоревич — врач по рентгенэндоваскулярным диагностике и лечению.</p><p>450083, Уфа, ул. Шафиева, 2</p></bio><bio xml:lang="en"><p>Blagodarov Sergey Igorevich — X-ray Endovascular Diagnostics and Treatment Physician.</p><p>2 Shafiev str., Ufa, 450083</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Герасименко</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Gerasimenko</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Герасименко Екатерина Николаевна — врач-кардиолог.</p><p>450083, Уфа, ул. Шафиева, 2</p></bio><bio xml:lang="en"><p>Gerasimenko Ekaterina Nikolaevna — Cardiologist.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гилемханов</surname><given-names>А. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Gilemkhanov</surname><given-names>A. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гилемханов Альберт Радикович — врач по рентгенэндоваскулярным диагностике и лечению.</p><p>450083, Уфа, ул. Шафиева, 2</p></bio><bio xml:lang="en"><p>Gilemkhanov Albert Radikovich — X-ray Endovascular Diagnostics and Treatment Physician.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Абдрахманов</surname><given-names>Р. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Abdrakhmanov</surname><given-names>R. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Абдрахманов Рустам Эрнстович — врач по рентгенэндоваскулярным диагностике и лечению.</p><p>450083, Уфа, ул. Шафиева, 2</p></bio><bio xml:lang="en"><p>Abdrakhmanov Rustam Ernstovich — X-ray Endovascular Diagnostics and Treatment Physician.</p><p>2 Shafiev str., Ufa, 450083</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Завьялов</surname><given-names>К. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Zavyalov</surname><given-names>K. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Завьялов Константин Игоревич — врач по рентгенэндоваскулярным диагностике и лечению.</p><p>450083, Уфа, ул. Шафиева, 2</p></bio><bio xml:lang="en"><p>Zavyalov Konstantin Igorevich — X-ray Endovascular Diagnostics and Treatment Physician.</p><p>2 Shafiev str., Ufa, 450083</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Султанов</surname><given-names>И. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Sultanov</surname><given-names>I. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Султанов Ильгиз Фигнерович — врач — анестезиолог-реаниматолог.</p><p>450083, Уфа, ул. Шафиева, 2</p></bio><bio xml:lang="en"><p>Sultanov Iigiz Fignerovich — Physician Anesthesiologist.</p><p>2 Shafiev str., Ufa, 450083</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Утенская</surname><given-names>И. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Utenskaya</surname><given-names>I. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Утенская Ирина Дмитриевна — врач — анестезиолог-реаниматолог.</p><p>450083, Уфа, ул. Шафиева, 2</p></bio><bio xml:lang="en"><p>Utenskaya Irina Dmitrievna — Physician Anesthesiologist.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сахапов</surname><given-names>Л. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Sakhapov</surname><given-names>L. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сахапов Линур Фидратович — клинический ординатор кафедры клинической кардиологии.</p><p>450008, Уфа, ул. Ленина, 3</p></bio><bio xml:lang="en"><p>Sakhapov Linur Fidratovich — Resident at the Department of Clinical Cardiology.</p><p>3 Lenin str., Ufa, 450008</p></bio><email xlink:type="simple">sahapov.1987@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Клиника Башкирского государственного медицинского университета</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Bashkir State Medical University Clinic</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Башкирский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Bashkir State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>22</day><month>03</month><year>2019</year></pub-date><volume>8</volume><issue>4</issue><fpage>303</fpage><lpage>309</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ибрагимов Т.Р., Пушкарева А.Э., Благодаров С.И., Герасименко Е.Н., Гилемханов А.Р., Абдрахманов Р.Э., Завьялов К.И., Султанов И.Ф., Утенская И.Д., Сахапов Л.Ф., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Ибрагимов Т.Р., Пушкарева А.Э., Благодаров С.И., Герасименко Е.Н., Гилемханов А.Р., Абдрахманов Р.Э., Завьялов К.И., Султанов И.Ф., Утенская И.Д., Сахапов Л.Ф.</copyright-holder><copyright-holder xml:lang="en">Ibragimov T.R., Pushkareva A.E., Blagodarov S.I., Gerasimenko E.N., Gilemkhanov A.R., Abdrakhmanov R.E., Zavyalov K.I., Sultanov I.F., Utenskaya I.D., Sakhapov L.F.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.surgonco.ru/jour/article/view/351">https://www.surgonco.ru/jour/article/view/351</self-uri><abstract><sec><title>Введение</title><p>Введение. При появлении патологического процесса на одном из участков проводящей системы сердца возникают различные аритмии сердца, способствующие неправильной сердечной деятельности с последующим сбоем работы всего организма и возникновению угрозы жизни.</p><p>На сегодняшний день эндоваскулярное лечение аритмий заменило многие хирургические операции на открытом сердце и стало признанной альтернативой медикаментозной терапии. Основными методами рентгенэндоваскулярного лечения аритмий являются имплантация различных устройств, транскатетерная радиочастотная абляция аритмогенных зон или криоабляция. Великолепное сравнение абляционных методик было выполнено в самом широкомасштабном рандомизированном международном клиническом исследовании «Пламя и Лед» (FIRE AND ICE).</p><p>В Клинике Башкирского государственного медицинского университета выполняют имплантацию одно- и двухкамерных электрокардиостимуляторов, электрофизиологическое исследование, радиочастотную абляцию.</p></sec><sec><title>Материал и методы</title><p>Материал и методы. В Клинике БГМУ электрофизиологическое исследование и транскатетерную радиочастотную эндокардиальную абляцию с использованием системы Carto 3 при сложных нарушениях ритма выполняют с 2013 года.</p></sec><sec><title>Результаты и обсуждение</title><p>Результаты и обсуждение. В клинике Башкирского государственного медицинского университета уже выполнено 159 электрофизиологических исследований и радиочастотных абляций.</p></sec><sec><title>Заключение</title><p>Заключение. Приоритетным выбором в лечении различных форм аритмий является рентгенэндоваскулярная хирургия.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction. When a pathological process emerges in a part of the cardiac conduction system, it results in various cardiac arrhythmias causing cardiac activity disorders affecting the entire body and posing a threat to the patient’s life.</p><p>Today, the endovascular treatment of arrhythmias has replaced many open heart surgeries becoming a widely accepted alternative to drug therapy. The key techniques of x-ray-guided endovascular treatment of arrhythmias includes the implantation of various devices, transcatheter radiofrequency ablation of arrhythmogenic zones and cryoablation. An excellent comparison of ablation techniques has been presented in the most extensive international randomized clinical trial FIRE AND ICE.</p><p>The implantation of single-and two-chamber pacemakers, electrophysiological research, radio frequency ablation are all performed at the Bashkir State Medical University Clinic.</p></sec><sec><title>Material and methods</title><p>Material and methods. The electrophysiological research and transcatheter radiofrequency endocardial ablation using the Carto 3 system for complex rhythm disorders have been carried out at the Bashkir State Medical University Clinic since 2013.</p></sec><sec><title>Results and discussion</title><p>Results and discussion. 159 EPIs and RFAs have been performed at the Bashkir State Medical University Clinic.</p></sec><sec><title>Conclusions</title><p>Conclusions. X-ray guided endovascular surgery is the method of choice in the treatment of various forms of arrhythmias.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>аритмия</kwd><kwd>радиочастотная абляция</kwd><kwd>криоабляция</kwd><kwd>рентгенэндоваскулярное лечение</kwd><kwd>криобаллоны</kwd><kwd>абляционные катетеры</kwd></kwd-group><kwd-group xml:lang="en"><kwd>arrhythmia</kwd><kwd>radiofrequency ablation</kwd><kwd>cryoablation</kwd><kwd>endovascular treatment</kwd><kwd>cryoballoons</kwd><kwd>ablation catheters</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Ревишвили А.Ш., Фетисова Е.А., Калинин В.В., Калинин А.В., Чайковская М.К., Миронович С.А. и др. Электрофизиологические механизмы прекращения фибрилляции предсердий: новое понимание, полученное на основе неинвазивного фазового картирования. 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