Moser Fabian, Schreiber Doreen, Rieger Andreas, Trofin Monica, Pönisch Christian, Kottkamp Hans
Hirslanden Hospital, Department of Electrophysiology, Zurich, Switzerland.
Hirslanden Hospital, Department of Electrophysiology, Zurich, Switzerland.
Rev Port Cardiol. 2017 Nov;36 Suppl 1:25-27. doi: 10.1016/j.repc.2017.09.010. Epub 2017 Nov 1.
In the last years, atrial fibrosis was shown to be an independent predictor of procedural failure in patients with paroxysmal and persistent atrial fibrillation. Ablation strategies have been developed to improve the outcome of catheter ablation by targeting detected areas of fibrosis, based either on endocardial voltage mapping or cardiac magnetic resonance. Box isolation of fibrotic areas (BIFA) is a new and promising patient-tailored ablation strategy for atrial fibrillation patients targeting substantial fibrotic areas by circumferential isolation of left atrial fibrosis.
在过去几年中，心房纤维化已被证明是阵发性和持续性心房颤动患者手术失败的独立预测因素。基于心内膜电压标测或心脏磁共振成像，已开发出消融策略，通过针对检测到的纤维化区域来改善导管消融的效果。纤维化区域盒状隔离（BIFA）是一种针对心房颤动患者的新的且有前景的个体化消融策略，通过对左心房纤维化进行环周隔离来靶向实质性纤维化区域。
