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本文引用的文献

1
Hybrid approach for the treatment of long-standing persistent atrial fibrillation: electrophysiological findings and clinical results.杂交手术治疗持续性心房颤动：电生理研究结果和临床疗效。
Eur J Cardiothorac Surg. 2013 Nov;44(5):919-23. doi: 10.1093/ejcts/ezt115. Epub 2013 Mar 8.
2
2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design.2012年心房颤动导管消融与外科消融专家共识声明：患者选择、手术技术、患者管理与随访、定义、终点及研究试验设计的建议
Europace. 2012 Apr;14(4):528-606. doi: 10.1093/europace/eus027. Epub 2012 Mar 1.
3
Mid-term results of endoscopic mitral valve repair in combination with endocardial or epicardial ablation.内镜二尖瓣修复术联合心内膜或心外膜消融的中期结果。
Eur J Cardiothorac Surg. 2011 Sep;40(3):e125-9. doi: 10.1016/j.ejcts.2011.04.037. Epub 2011 Jun 11.
4
Current results of minimally invasive surgical ablation for isolated atrial fibrillation.孤立性心房颤动的微创外科消融术的当前结果。
Heart Rhythm. 2009 Dec;6(12 Suppl):S46-9. doi: 10.1016/j.hrthm.2009.08.020.
5
A new vacuum-assisted probe for minimally invasive radiofrequency ablation.
Ann Thorac Surg. 2009 Oct;88(4):1317-21. doi: 10.1016/j.athoracsur.2009.04.066.
6
Epicardial off-pump pulmonary vein isolation and vagal denervation improve long-term outcome and quality of life in patients with atrial fibrillation.心外膜非体外循环下肺静脉隔离和迷走神经去神经支配可改善心房颤动患者的长期预后和生活质量。
J Thorac Cardiovasc Surg. 2009 May;137(5):1265-71. doi: 10.1016/j.jtcvs.2008.12.017. Epub 2009 Mar 17.
7
Point: Minimally invasive bipolar radiofrequency ablation of lone atrial fibrillation: early multicenter results.观点：孤立性心房颤动的微创双极射频消融术：早期多中心结果。
J Thorac Cardiovasc Surg. 2009 Mar;137(3):521-6. doi: 10.1016/j.jtcvs.2008.11.031.
8
Thoracoscopic microwave ablation of atrial fibrillation.胸腔镜下微波消融治疗心房颤动。
Interact Cardiovasc Thorac Surg. 2007 Dec;6(6):695-8. doi: 10.1510/icvts.2006.147942. Epub 2007 Aug 15.
9
Treatment of lone atrial fibrillation with a right thoracoscopic approach.采用右胸镜入路治疗孤立性心房颤动。
Ann Thorac Surg. 2007 Jun;83(6):2244-5. doi: 10.1016/j.athoracsur.2006.08.004.
10
Innovative monolateral approach for closed-chest atrial fibrillation surgery.用于闭式胸腔房颤手术的创新单侧入路
Ann Thorac Surg. 2005 Nov;80(5):e22-5. doi: 10.1016/j.athoracsur.2005.06.046.

完全内镜下消融中消融导管的定位

Positioning of the ablation catheter in total endoscopic ablation.

作者信息

Ahlsson Anders, Fengsrud Espen, Axelsson Birger

机构信息

Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden.

出版信息

Interact Cardiovasc Thorac Surg. 2014 Jan;18(1):125-7. doi: 10.1093/icvts/ivt433. Epub 2013 Oct 2.

DOI:10.1093/icvts/ivt433
PMID:24092464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3867043/
Abstract

Minimally invasive ablation of atrial fibrillation is an option in patients not suitable for or refractory to catheter ablation. Total endoscopic ablation can be performed via a monolateral approach, whereby a left atrial box lesion is created. If the ablation is introduced from the right side, the positioning of the ablation catheter on the partly hidden left pulmonary veins is of vital importance. Using thoracoscopy in combination with multiplane transoesophageal echocardiography, the anatomical position of the ablation catheter can be established. Our experience in over 60 procedures has confirmed this to be a safe technique of total endoscopic ablation.

摘要

对于不适合导管消融或导管消融难治的患者，微创房颤消融是一种选择。完全内镜消融可通过单侧入路进行，由此创建左心房盒状病变。如果从右侧引入消融，则消融导管在部分隐匿的左肺静脉上的定位至关重要。结合胸腔镜检查与多平面经食管超声心动图，可以确定消融导管的解剖位置。我们超过60例手术的经验证实这是一种安全的完全内镜消融技术。