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1
Computed Tomography Imaging in Atrial Fibrillation Ablation.心房颤动消融术中的计算机断层扫描成像
J Atr Fibrillation. 2011 May 4;4(1):319. doi: 10.4022/jafib.319. eCollection 2011 May-Jun.
2
Dependency on atrial electrophysiological properties of appearance of paroxysmal atrial fibrillation in patients with Wolff-Parkinson-White syndrome: evidence from atrial vulnerability before and after radiofrequency catheter ablation and surgical cryoablation.预激综合征患者阵发性心房颤动发作对心房电生理特性的依赖性：来自射频导管消融和手术冷冻消融前后心房易损性的证据
Pacing Clin Electrophysiol. 1998 Feb;21(2):438-46. doi: 10.1111/j.1540-8159.1998.tb00069.x.
3
Localization and radiofrequency catheter ablation of left-sided accessory pathways during atrial fibrillation. Feasibility and electrogram criteria for identification of appropriate target sites.心房颤动时左侧旁路的定位与射频导管消融。确定合适靶点部位的可行性及电图标准。
J Am Coll Cardiol. 1995 Feb;25(2):444-51. doi: 10.1016/0735-1097(94)00363-u.
4
Accessory atrioventricular pathways with only antegrade conduction in patients with symptomatic Wolff-Parkinson-White syndrome. Clinical features, electrophysiological characteristics and response to radiofrequency catheter ablation.有症状的预激综合征患者中仅存在前向传导的房室旁道。临床特征、电生理特性及对射频导管消融的反应
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5
Radiofrequency catheter ablation of atrioventricular accessory pathways in Wolff-Parkinson-White syndrome with drug-refractory and symptomatic supraventricular tachycardia--its high effectiveness irrespective of accessory pathway location and properties.对于药物难治性且有症状的室上性心动过速的预激综合征患者，经导管射频消融房室旁道——无论旁道位置和特性如何，其疗效均显著。
Jpn Circ J. 1994 Oct;58(10):767-77. doi: 10.1253/jcj.58.767.
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Initiation of atrial fibrillation in the Wolff-Parkinson-White syndrome: the importance of the accessory pathway.预激综合征中房颤的起始：旁路的重要性
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Frequency of recurrent atrial fibrillation after catheter ablation of overt accessory pathways.显性旁路导管消融术后复发性心房颤动的发生率
Am J Cardiol. 1992 Feb 15;69(5):493-7. doi: 10.1016/0002-9149(92)90992-8.
8
[Recurrence of atrial fibrillation after successful radiofrequency catheter ablation of accessory pathway in patients with Wolff-Parkinson-White syndrome].[预激综合征患者经导管射频消融旁路成功后房颤的复发]
Srp Arh Celok Lek. 2010 Mar-Apr;138(3-4):170-6. doi: 10.2298/sarh1004170m.
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[Single-catheter approach to radiofrequency current ablation of accessory pathway in Wolff-Parkinson-White syndrome with recurrent rapid atrial fibrillation].[单导管法对伴复发性快速心房颤动的预激综合征旁道进行射频电流消融]
Hunan Yi Ke Da Xue Xue Bao. 1999;24(4):369-70.
10
Risk factors of atrial fibrillation recurrence despite successful radiofrequency ablation of accessory pathway: At 11 years of follow-up.尽管成功进行了旁路射频消融术，但心房颤动复发的危险因素：11年随访结果
Cardiol J. 2017;24(6):597-603. doi: 10.5603/CJ.a2017.0055. Epub 2017 May 12.

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2025 THRS Expert Consensus of Imaging Assessment in Atrial Fibrillation. .2025年心房颤动影像评估的经导管射频消融术专家共识
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The role of CT in arrhythmia management-treatment planning and post-procedural imaging surveillance.CT 在心律失常管理中的作用——治疗计划和术后影像学监测。
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State of the art paper: Cardiac computed tomography of the left atrium in atrial fibrillation.最新研究论文：心房颤动的左心房心脏计算机断层扫描。
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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.通过计算机断层血管造影术对右心膈动脉成像定位右膈神经：对球囊为基础的手术的影响。
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.肺静脉隔离术患者64层螺旋计算机断层扫描的左心耳充盈缺损：预测因素及与经食管超声心动图的比较
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.因医学成像检查而接触低剂量电离辐射。
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.使用Navx-/Ensite-系统及CT-/MRI引导方法进行心房颤动的导管消融术。
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.图像整合引导下的心房颤动导管消融：一项前瞻性随机研究。
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.用于肺静脉隔离的球囊导管。
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.心房颤动导管消融术中肺静脉的成像：多层螺旋计算机断层扫描的作用
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.影像整合对使用电解剖标测进行心房颤动导管消融的影响：一项前瞻性随机研究。
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.冷冻球囊技术行环肺静脉隔离术：一项前瞻性三中心研究结果
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.基于计算机断层扫描模型的心房颤动和心房大折返性心动过速治疗
Europace. 2008 Aug;10(8):939-48. doi: 10.1093/europace/eun147. Epub 2008 Jun 23.

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.

DOI:10.4022/jafib.319
PMID:28496689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5152998/
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。