当今实践中的冷冻球囊消融术：左总开口能否被消融且能否避免右膈神经损伤？
Cryoballoon Ablation in Today's Practice: Can the Left Common Ostium Be Ablated and Injury to the Right Phrenic Nerve Avoided?
作者信息
Chierchia Gian-Battista, Iacopino Saverio, de Asmundis Carlo
机构信息
Heart Rhythm Management Centre, University of Brussels,Brussels, Belgium.
Electrophysiology Unit, Villa Maria Cecilia Hospital,Ravenna, Italy.
出版信息
Arrhythm Electrophysiol Rev. 2017 Dec;6(4):156-158. doi: 10.15420/aer.2017.6.4EO2.
Abstract
Cryoballoon ablation is rapidly gaining popularity among electrophysiologists in the setting of pulmonary vein isolation for the treatment of AF. The first part of the following review focuses on the feasibility and clinical outcome of this technique in patients exhibiting a left common ostium. In the second part, we discuss how to predict and prevent the most common complication related to cryoballoon ablation: right phrenic nerve palsy.
摘要
在用于治疗房颤的肺静脉隔离术中，冷冻球囊消融术在电生理学家中迅速受到欢迎。以下综述的第一部分重点关注该技术在存在左共同肺静脉口的患者中的可行性和临床结果。在第二部分中，我们讨论如何预测和预防与冷冻球囊消融相关的最常见并发症：右侧膈神经麻痹。
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本文引用的文献
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Second-generation cryoballoon ablation in the setting of left common pulmonary veins: Procedural findings and clinical outcome.第二代冷冻球囊消融治疗左肺静脉共干：手术发现和临床结果。
Heart Rhythm. 2017 Sep;14(9):1311-1318. doi: 10.1016/j.hrthm.2017.06.019. Epub 2017 Jun 16.
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Clinical assessment of cryoballoon ablation in cases with atrial fibrillation and a left common pulmonary vein.房颤合并左肺静脉病例中冷冻球囊消融的临床评估
J Cardiovasc Electrophysiol. 2017 Sep;28(9):1021-1027. doi: 10.1111/jce.13267. Epub 2017 Jul 3.
3
Acute efficacy, safety, and long-term clinical outcomes using the second-generation cryoballoon for pulmonary vein isolation in patients with a left common pulmonary vein: A multicenter study.第二代冷冻球囊用于左总干肺静脉隔离的急性疗效、安全性和长期临床结果：一项多中心研究。
Heart Rhythm. 2017 Aug;14(8):1111-1118. doi: 10.1016/j.hrthm.2017.05.003. Epub 2017 May 8.
4
Femoral venous pressure waveform as indicator of phrenic nerve injury in the setting of second-generation cryoballoon ablation.在第二代冷冻球囊消融术中，股静脉压力波形作为膈神经损伤的指标
J Cardiovasc Med (Hagerstown). 2017 Jul;18(7):510-517. doi: 10.2459/JCM.0000000000000418.
5
Cryoballoon or Radiofrequency Ablation for Paroxysmal Atrial Fibrillation.冷冻球囊或射频消融治疗阵发性心房颤动。
N Engl J Med. 2016 Jun 9;374(23):2235-45. doi: 10.1056/NEJMoa1602014. Epub 2016 Apr 4.
6
Fluoroscopic position of the second-generation cryoballoon during ablation in the right superior pulmonary vein as a predictor of phrenic nerve injury.第二代冷冻球囊在右肺上静脉消融时的透视位置可预测膈神经损伤。
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