Stöllberger C, Schneider B, Winkler-Dworak M, Finsterer J
II. Medizinische Abteilung, Rudolfstiftung, Wien, Austria.
Eur J Neurol. 2008 Dec;15(12):1419-20. doi: 10.1111/j.1468-1331.2008.02341.x.
Radiofrequency-catheter-ablation of atrial fibrillation is now commonly performed. Aim of this short review is to summarize questions and uncertainties concerning radiofrequency ablation of atrial fibrillation with respect to therapeutic mechanisms, long-term efficacy and stroke-prevention.
The majority of atrial fibrillation patients is too old for radiofrequency ablation. Candidates for radiofrequency ablation belong to a subgroup with a low embolic risk. The radiofrequency ablation procedure itself may increase the embolic risk, and at present it is uncertain how long this embolic risk persists after the procedure.
We doubt if radiofrequency ablation prevents embolism in atrial fibrillation.
目前，心房颤动的射频导管消融术已普遍开展。本简短综述的目的是总结关于心房颤动射频消融在治疗机制、长期疗效及预防卒中方面的问题与不确定性。
大多数心房颤动患者年龄过大，不适合进行射频消融。射频消融的候选者属于栓塞风险较低的亚组。射频消融手术本身可能会增加栓塞风险，目前尚不确定术后这种栓塞风险会持续多久。
我们怀疑射频消融能否预防心房颤动中的栓塞。
