Cardiology Research Department, Barts and The London NHS Trust and QMUL, St Bartholomew's Hospital, West Smithfield, London, UK.
Heart. 2010 Aug;96(16):1259-63. doi: 10.1136/hrt.2010.194613.
Catheter ablation of atrial fibrillation (AF) continues to expand and evolve. Large registries like the worldwide survey have provided insight into methods, safety and efficacy of catheter ablation for AF in the short term, and how these are changing. Long-term follow-up data are also emerging answering important questions about safety and efficacy over subsequent years. A small number of studies have attempted to examine whether catheter ablation of AF impacts on hard end points such as stroke and death and hence improve prognosis. This article reviews the current literature providing insight into these rapidly changing areas.
房颤(AF)的导管消融术不断发展和演变。像全球调查这样的大型注册研究为导管消融术治疗房颤的方法、安全性和短期疗效提供了深入的了解,并揭示了这些方法的变化趋势。长期随访数据也在不断涌现,回答了关于后续多年安全性和疗效的重要问题。少数研究试图探讨房颤的导管消融术是否会对卒中和死亡等硬终点产生影响,从而改善预后。本文回顾了目前的文献,深入探讨了这些快速变化的领域。