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持久肺静脉隔离:心房颤动消融的圣杯。

Durable Pulmonary Vein Isolation: The Holy Grail of Atrial Fibrillation Ablation.

作者信息

Nguyen Duy Thai, Sauer William H

机构信息

Section of Cardiac Electrophysiology, University of Colorado, Aurora.

出版信息

J Atr Fibrillation. 2013 Oct 31;6(3):927. doi: 10.4022/jafib.927. eCollection 2013 Oct-Nov.

DOI:10.4022/jafib.927
PMID:28496898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5153040/
Abstract

The inability to achieve durable pulmonary vein isolation remains a major limitation to catheter ablation for the treatment of atrial fibrillation (AF). In this review, we discuss the research performed over the past decade investigating methods to improve lesion permanence for the goal of durable pulmonary vein isolation (PVI). Investigations evaluating procedural techniques, adjunctive pharmacologic therapy, and newer energy sources designed to improve ablation lesion permanence are discussed.

摘要

无法实现持久的肺静脉隔离仍然是导管消融治疗心房颤动(AF)的主要限制。在本综述中,我们讨论了过去十年中为实现持久肺静脉隔离(PVI)这一目标而进行的关于改进消融灶持久性方法的研究。文中讨论了评估手术技术、辅助药物治疗以及旨在提高消融灶持久性的新型能量源的研究。

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Durable Pulmonary Vein Isolation: The Holy Grail of Atrial Fibrillation Ablation.持久肺静脉隔离:心房颤动消融的圣杯。
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2
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3
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本文引用的文献

1
Corticosteroid use during pulmonary vein isolation is associated with a higher prevalence of dormant pulmonary vein conduction.肺静脉隔离过程中使用皮质类固醇与休眠肺静脉传导的更高发生率相关。
Heart Rhythm. 2013 Oct;10(10):1569-75. doi: 10.1016/j.hrthm.2013.07.037. Epub 2013 Jul 26.
2
Visualizing intramyocardial steam formation with a radiofrequency ablation catheter incorporating near-field ultrasound.利用内置近场超声的射频消融导管可视化心肌内蒸汽形成。
J Cardiovasc Electrophysiol. 2013 Dec;24(12):1403-9. doi: 10.1111/jce.12218. Epub 2013 Jul 25.
3
Balloon warming time is the strongest predictor of late pulmonary vein electrical reconnection following cryoballoon ablation for atrial fibrillation.球囊加温时间是房颤冷冻球囊消融术后晚期肺静脉电重连的最强预测因子。
Heart Rhythm. 2013 Sep;10(9):1311-7. doi: 10.1016/j.hrthm.2013.06.014. Epub 2013 Jun 19.
4
Benefit of pulmonary vein isolation guided by loss of pace capture on the ablation line: results from a prospective 2-center randomized trial.基于消融线上起搏捕获损失指导肺静脉隔离的获益:一项前瞻性的 2 中心随机试验结果。
J Am Coll Cardiol. 2013 Jul 2;62(1):44-50. doi: 10.1016/j.jacc.2013.03.059. Epub 2013 May 1.
5
Conduction recovery in patients with recurrent atrial fibrillation after pulmonary vein isolation using multi-electrode duty cycled radiofrequency ablation.使用多电极占空比射频消融术进行肺静脉隔离后复发性心房颤动患者的传导恢复情况
J Interv Card Electrophysiol. 2013 Aug;37(2):197-204. doi: 10.1007/s10840-013-9787-5. Epub 2013 May 1.
6
Cryoballoon ablation of pulmonary veins for paroxysmal atrial fibrillation: first results of the North American Arctic Front (STOP AF) pivotal trial.冷冻球囊消融肺静脉治疗阵发性心房颤动:北美北极阵线(STOP AF)关键试验的初步结果。
J Am Coll Cardiol. 2013 Apr 23;61(16):1713-23. doi: 10.1016/j.jacc.2012.11.064. Epub 2013 Mar 21.
7
The role of adenosine following pulmonary vein isolation in patients undergoing catheter ablation for atrial fibrillation: a systematic review.肺静脉隔离术后腺苷在房颤导管消融患者中的作用:系统评价。
J Cardiovasc Electrophysiol. 2013 Jul;24(7):742-51. doi: 10.1111/jce.12121. Epub 2013 Mar 14.
8
Cryoballoon ablation of paroxysmal atrial fibrillation: 5-year outcome after single procedure and predictors of success.冷冻球囊消融治疗阵发性心房颤动:单次手术 5 年结果及疗效预测因素。
Europace. 2013 Aug;15(8):1143-9. doi: 10.1093/europace/eut021. Epub 2013 Feb 17.
9
Effect of eplerenone on maintenance of sinus rhythm after catheter ablation in patients with long-standing persistent atrial fibrillation.依普利酮对长程持续性心房颤动患者导管消融后窦性心律维持的影响。
Am J Cardiol. 2013 Apr 1;111(7):1012-8. doi: 10.1016/j.amjcard.2012.12.020. Epub 2013 Jan 19.
10
Cryoballoon versus radiofrequency for pulmonary vein re-isolation after a failed initial ablation procedure in patients with paroxysmal atrial fibrillation.冷冻球囊与射频消融用于阵发性心房颤动患者初始消融失败后的肺静脉再隔离。
J Cardiovasc Electrophysiol. 2013 Mar;24(3):274-9. doi: 10.1111/jce.12038. Epub 2012 Dec 4.