Nölker Georg, Brachmann Johannes
Medizinische Klinik II, Klinikum Coburg, Ketschendorfer Strasse 33, Coburg, Germany.
Herzschrittmacherther Elektrophysiol. 2008 Jun;19(2):73-8. doi: 10.1007/s00399-008-0002-9. Epub 2008 Jul 13.
Atrial fibrillation is a relevant challenge for health care systems in Europe and North America. Interventional treatment of atrial fibrillation in terms of ablation of atrial structures including isolation of the pulmonary veins is nowadays established as an alternative to drug therapy, especially if treatment with antiarrhythmic drugs has been ineffective. Recently published European and North American guidelines support this strategy. This article describes different techniques of atrial fibrillation ablation including intracardiac echo-guided pulmonary vein isolation. Potential complications, success rates and different follow-up strategies are specified. Furthermore interventional treatment of atrial fibrillation of heart failure patients is discussed.
心房颤动对欧洲和北美的医疗保健系统而言是一项重大挑战。如今，通过消融心房结构（包括肺静脉隔离）来进行心房颤动的介入治疗已成为药物治疗的替代方案，尤其是在抗心律失常药物治疗无效的情况下。最近发布的欧洲和北美指南支持这一策略。本文介绍了心房颤动消融的不同技术，包括心内超声引导下的肺静脉隔离。明确了潜在并发症、成功率及不同的随访策略。此外，还讨论了心力衰竭患者心房颤动的介入治疗。
