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神经节丛消融:生理学与临床应用

Ganglionated Plexi Ablation: Physiology and Clinical Applications.

作者信息

Stavrakis Stavros, Po Sunny

机构信息

University of Oklahoma Health Sciences Center,Oklahoma City, Oklahoma, USA.

出版信息

Arrhythm Electrophysiol Rev. 2017 Dec;6(4):186-190. doi: 10.15420/aer2017.26.1.

DOI:10.15420/aer2017.26.1
PMID:29326833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5739885/
Abstract

Ganglionated plexi (GP), consisting of conglomerations of autonomic ganglia on the epicardial surface of the heart, have been shown to play a significant role in different arrhythmias, including atrial fibrillation. GP ablation has become an adjunctive procedure in the treatment of atrial fibrillation, while it has been used successfully in preliminary studies in vasovagal syncope. This review will present the current data on the physiology and clinical applications of GP ablation in the treatment of atrial fibrillation and other diseases.

摘要

神经节丛(GP)由心脏心外膜表面的自主神经节集合组成,已被证明在包括心房颤动在内的不同心律失常中起重要作用。GP消融已成为心房颤动治疗中的一种辅助手段,同时在血管迷走性晕厥的初步研究中也已成功应用。本综述将介绍GP消融在心房颤动及其他疾病治疗中的生理学和临床应用的当前数据。

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Ganglionated Plexi Ablation: Physiology and Clinical Applications.神经节丛消融:生理学与临床应用
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Efficacy of cardioneuroablation for vasodepressor vasovagal syncope.心脏神经消融术治疗血管抑制性血管迷走性晕厥的疗效
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本文引用的文献

1
I-123-Metaiodobenzylguanidine imaging in patients with atrial fibrillation undergoing cardiac mapping and ablation of autonomic ganglia.I-123-间碘苄胍显像在接受心脏标测和自主神经节消融的心房颤动患者中的应用
Heart Rhythm. 2017 Jan;14(1):128-132. doi: 10.1016/j.hrthm.2016.08.038.
2
Ganglion Plexus Ablation in Advanced Atrial Fibrillation: The AFACT Study.高级心房颤动中的神经丛消融:AFACT 研究。
J Am Coll Cardiol. 2016 Sep 13;68(11):1155-1165. doi: 10.1016/j.jacc.2016.06.036.
3
Catheter Ablation as a Treatment for Vasovagal Syncope: Long-Term Outcome of Endocardial Autonomic Modification of the Left Atrium.导管消融术治疗血管迷走性晕厥:左心房心内膜自主神经调节的长期疗效
J Am Heart Assoc. 2016 Jul 8;5(7):e003471. doi: 10.1161/JAHA.116.003471.
4
Temporary Suppression of Cardiac Ganglionated Plexi Leads to Long-Term Suppression of Atrial Fibrillation: Evidence of Early Autonomic Intervention to Break the Vicious Cycle of "AF Begets AF".心脏神经节丛的临时抑制导致心房颤动的长期抑制:早期自主神经干预以打破“房颤导致房颤”恶性循环的证据
J Am Heart Assoc. 2016 Jul 5;5(7):e003309. doi: 10.1161/JAHA.116.003309.
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Clinical neurocardiology defining the value of neuroscience-based cardiovascular therapeutics.临床神经心脏病学:界定基于神经科学的心血管治疗方法的价值。
J Physiol. 2016 Jul 15;594(14):3911-54. doi: 10.1113/JP271870. Epub 2016 Jun 14.
6
Impact of Complete Versus Incomplete Circumferential Lines Around the Pulmonary Veins During Catheter Ablation of Paroxysmal Atrial Fibrillation: Results From the Gap-Atrial Fibrillation-German Atrial Fibrillation Competence Network 1 Trial.肺静脉周围完全环与不完全环在阵发性心房颤动导管消融中的影响:来自间隙性心房颤动-德国心房颤动能力网络 1 试验的结果。
Circ Arrhythm Electrophysiol. 2016 Jan;9(1):e003337. doi: 10.1161/CIRCEP.115.003337.
7
Long-Term Suppression of Atrial Fibrillation by Botulinum Toxin Injection Into Epicardial Fat Pads in Patients Undergoing Cardiac Surgery: One-Year Follow-Up of a Randomized Pilot Study.心脏手术患者经心外膜脂肪垫注射肉毒杆菌毒素对心房颤动的长期抑制作用:一项随机试验性研究的一年随访
Circ Arrhythm Electrophysiol. 2015 Dec;8(6):1334-41. doi: 10.1161/CIRCEP.115.003199. Epub 2015 Oct 20.
8
The role of the autonomic ganglia in atrial fibrillation.自主神经节在心房颤动中的作用。
JACC Clin Electrophysiol. 2015 Mar-Apr;1(1-2):1-13. doi: 10.1016/j.jacep.2015.01.005.
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Is There Still a Role for Complex Fractionated Atrial Electrogram Ablation in Addition to Pulmonary Vein Isolation in Patients With Paroxysmal and Persistent Atrial Fibrillation? Meta-Analysis of 1415 Patients.对于阵发性和持续性心房颤动患者,除肺静脉隔离外,碎裂心房电图消融是否仍有作用?对1415例患者的荟萃分析。
Circ Arrhythm Electrophysiol. 2015 Oct;8(5):1017-29. doi: 10.1161/CIRCEP.115.003019. Epub 2015 Jun 16.
10
Approaches to catheter ablation for persistent atrial fibrillation.持续性心房颤动的导管消融治疗方法。
N Engl J Med. 2015 May 7;372(19):1812-22. doi: 10.1056/NEJMoa1408288.