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[心房颤动的循证治疗]

[Evidence-based treatment of atrial fibrillation].

作者信息

Máquez Manlio F, Gómez Flores Jorge

机构信息

Departamento de Electrocardiografía y Electrofisiología, Instituto Nacional de Cardiología Ignacio Chávez, Tlalpan, DF México.

出版信息

Arch Cardiol Mex. 2006 Apr-Jun;76 Suppl 2:S204-8.

PMID:17017102
Abstract

Radiofrequency catheter ablation has emerged as a curative therapy for paroxysmal atrial fibrillation based on studies demonstrating the role of triggering foci in the pulmonary veins for the initiation of atrial fibrillation. Catheter ablation is performed by a trans-septal approach using radiofrequency energy at the ostium of each pulmonary vein. Mapping is guided by special catheters. Sequential radiofrequency applications eliminates or dissociates pulmonary vein muscle activity. Although complications exists, this procedure can be curative for these patients.

摘要

基于多项研究表明肺静脉触发灶在房颤起始中的作用,射频导管消融已成为阵发性房颤的一种治愈性疗法。通过经房间隔途径在每条肺静脉开口处使用射频能量进行导管消融。使用特殊导管进行标测。连续的射频应用可消除或分离肺静脉肌肉活动。尽管存在并发症,但该手术对这些患者可能具有治愈效果。

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