心房颤动消融术中的计算机断层扫描成像
Computed Tomography Imaging in Atrial Fibrillation Ablation.
作者信息
Sharma Kavita, Brinker Jeffrey A, Henrikson Charles A
机构信息
Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
出版信息
J Atr Fibrillation. 2011 May 4;4(1):319. doi: 10.4022/jafib.319. eCollection 2011 May-Jun.
Abstract
Atrial fibrillation (AF) is the most common supraventricular arrhythmia in adults and catheter ablation has increasingly become the therapy of choice for symptomatic, recurrent, drug refractory AF. The purpose of this review is to evaluate the utility of computed tomography (CT) imaging in guiding radiofrequency catheter ablation (RFCA), as well as highlight the additional radiographic and functional anatomic data provided by CT in comparison to alternative radiographic modalities.
摘要
心房颤动（AF）是成人中最常见的室上性心律失常，导管消融术越来越成为有症状的、复发性、药物难治性AF的首选治疗方法。本综述的目的是评估计算机断层扫描（CT）成像在指导射频导管消融（RFCA）中的作用，并强调与其他放射学检查方法相比，CT所提供的额外的影像学和功能解剖学数据。
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5
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6
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7
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8
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9
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本文引用的文献
1
Locating the right phrenic nerve by imaging the right pericardiophrenic artery with computerized tomographic angiography: implications for balloon-based procedures.
Heart Rhythm. 2010 Jul;7(7):937-41. doi: 10.1016/j.hrthm.2010.03.027. Epub 2010 Mar 25.
2
Left atrial appendage filling defects on 64-slice multidetector computed tomography in patients undergoing pulmonary vein isolation: predictors and comparison to transesophageal echocardiography.
J Comput Assist Tomogr. 2009 Nov-Dec;33(6):946-51. doi: 10.1097/RCT.0b013e31819cabc3.
3
Exposure to low-dose ionizing radiation from medical imaging procedures.
N Engl J Med. 2009 Aug 27;361(9):849-57. doi: 10.1056/NEJMoa0901249.
4
Catheter ablation of atrial fibrillation using the Navx-/Ensite-system and a CT-/MRI-guided approach.
Clin Res Cardiol. 2009 May;98(5):285-96. doi: 10.1007/s00392-009-0001-9. Epub 2009 Mar 13.
5
Image integration-guided catheter ablation of atrial fibrillation: a prospective randomized study.
J Cardiovasc Electrophysiol. 2009 Mar;20(3):258-65. doi: 10.1111/j.1540-8167.2008.01311.x.
6
Balloon catheters for pulmonary vein isolation.
Herz. 2008 Dec;33(8):580-4. doi: 10.1007/s00059-008-3176-3.
7
Imaging of pulmonary veins during catheter ablation for atrial fibrillation: the role of multi-slice computed tomography.
Europace. 2008 Nov;10 Suppl 3:iii14-21. doi: 10.1093/europace/eun230.
8
The impact of image integration on catheter ablation of atrial fibrillation using electroanatomic mapping: a prospective randomized study.
Eur Heart J. 2008 Dec;29(24):3029-36. doi: 10.1093/eurheartj/ehn453. Epub 2008 Oct 17.
9
Circumferential pulmonary vein isolation with the cryoballoon technique results from a prospective 3-center study.
J Am Coll Cardiol. 2008 Jul 22;52(4):273-8. doi: 10.1016/j.jacc.2008.04.021.
10
Computed tomography model-based treatment of atrial fibrillation and atrial macro-re-entrant tachycardia.
Europace. 2008 Aug;10(8):939-48. doi: 10.1093/europace/eun147. Epub 2008 Jun 23.
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