Di Biase Luigi, Santoro Francesco, Santangeli Pasquale, Natale Andrea
G Ital Cardiol (Rome). 2013 Nov;14(11):726-35. doi: 10.1714/1360.15085.
The treatment of atrial fibrillation has greatly changed over the past decade. Following the pivotal observation by Haissaguerre et al. who showed the relevance of ectopic beats in the initiation of atrial fibrillation, percutaneous catheter ablation of atrial fibrillation has evolved as the most effective therapeutic option for the treatment of paroxysmal atrial fibrillation. The aim of this review is to analyze the role of catheter ablation in the management of atrial fibrillation on the basis of the most important trials published so far. A brief mention to complications and strategies for their early detection is also made.
在过去十年中，心房颤动的治疗发生了巨大变化。在海萨吉尔等人进行了具有关键意义的观察，显示了异位搏动在心房颤动起始中的相关性之后，经皮导管消融心房颤动已发展成为治疗阵发性心房颤动最有效的治疗选择。本综述的目的是根据迄今为止发表的最重要试验，分析导管消融在心房颤动管理中的作用。还简要提及了并发症及其早期检测策略。
