心房颤动的外科治疗
The surgical treatment of atrial fibrillation.
作者信息
Lee Anson M, Melby Spencer J, Damiano Ralph J
机构信息
Division of Cardiothoracic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, 660 South Euclid, Campus Box 8234, St. Louis, MO 63110, USA.
出版信息
Surg Clin North Am. 2009 Aug;89(4):1001-20, x-xi. doi: 10.1016/j.suc.2009.06.001.
Abstract
Atrial fibrillation is a complex disease affecting a significant portion of the general population. Although medical therapy is the mainstay of treatment, intervention plays an important role in selected patients. The Cox-Maze procedure is the gold standard for the surgical treatment of atrial fibrillation and has more than 90% success in eliminating atrial fibrillation. Ablation technologies have played a key role in simplifying this technically demanding procedure and making it available to more patients. A myriad of new lesion sets and approaches were introduced over the last decade which has made the operative treatment of atrial fibrillation less invasive and more confusing.
摘要
心房颤动是一种影响相当一部分普通人群的复杂疾病。尽管药物治疗是主要的治疗方法，但干预在特定患者中起着重要作用。Cox迷宫手术是心房颤动外科治疗的金标准，消除心房颤动的成功率超过90%。消融技术在简化这一技术要求高的手术并使其能应用于更多患者方面发挥了关键作用。在过去十年中引入了大量新的损伤组和方法，这使得心房颤动的手术治疗侵入性更小但也更复杂。
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