心房颤动消融术中的无症状性脑栓塞：病理生理学、预防与管理
Silent Cerebral Embolism during Atrial Fibrillation Ablation:Pathophysiology, Prevention and Management.
作者信息
Anselmino Matteo, Matta Mario, Toso Elisabetta, Ferraris Federico, Castagno Davide, Scaglione Marco, Cesarani Federico, Faletti Riccardo, Gaita Fiorenzo
机构信息
Division of Cardiology, Department of Medical Sciences, University of Turin, Italy.
Division of Cardiology,Cardinal Guglielmo Massaia Hospital, Asti, Italy.
出版信息
J Atr Fibrillation. 2013 Aug 31;6(2):796. doi: 10.4022/jafib.796. eCollection 2013 Aug-Sep.
Abstract
Although many efforts have been directed to improve atrial fibrillation transcatheter ablation safety, thromboembolism to the brain remains one of the major complications. In fact several studies have confirmed occurrence of silent cerebral embolic lesions by post-procedure magnetic resonance imaging. The present review will focus on the possible mechanisms leading to silent cerebral embolism in an attempt to provide recommendations holding the potential to reduce the incidence of this clinically relevant complication.
摘要
尽管人们已经做出了许多努力来提高心房颤动经导管消融的安全性，但脑栓塞仍然是主要并发症之一。事实上，多项研究已通过术后磁共振成像证实了无症状性脑栓塞病变的发生。本综述将聚焦于导致无症状性脑栓塞的可能机制，以期提出有可能降低这一临床相关并发症发生率的建议。
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