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心房颤动导管消融术的成本效益

Cost-effectiveness of atrial fibrillation catheter ablation.

作者信息

Andrikopoulos George, Tzeis Stylianos, Maniadakis Nikos, Mavrakis Hercules E, Vardas Panos E

机构信息

First Cardiac Department, Evangelismos Hospital, Athens, Greece.

出版信息

Europace. 2009 Feb;11(2):147-51. doi: 10.1093/europace/eun342. Epub 2008 Dec 20.

Abstract

Radiofrequency catheter ablation has become an established treatment option for the management of patients with atrial fibrillation (AF). Although the concept of a rhythm control strategy devoid of the adverse events related to antiarrhythmic treatment seems highly attractive, further steps are needed in order to improve our understanding of the underlying pathophysiology, refine our ablative techniques, and increase our therapeutic efficacy. Furthermore, the increased cost of AF catheter ablation combined with the substantial number of potential candidates also mandates the evaluation of this invasive treatment through a cost-effectiveness prism. In the present review, we recapitulate the existing evidence pertaining to cost-effectiveness of AF catheter ablation as well as the shortcomings, peculiarities, and distinctive aspects of such a cost-to-benefit analysis.

摘要

射频导管消融术已成为心房颤动(AF)患者管理的既定治疗选择。尽管一种没有抗心律失常治疗相关不良事件的节律控制策略的概念似乎极具吸引力,但仍需要进一步采取措施,以增进我们对潜在病理生理学的理解,完善我们的消融技术,并提高我们的治疗效果。此外,房颤导管消融成本的增加,再加上大量潜在候选患者,也要求通过成本效益视角对这种侵入性治疗进行评估。在本综述中,我们总结了有关房颤导管消融成本效益的现有证据,以及这种成本效益分析的缺点、特点和独特方面。

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