Umbrain Vincent, Verborgh Christian, Chierchia Gian-Battista, de Asmundis Carlo, Brugada Pedro, Meir Mark La
Department of Anaesthesiology and Perioperative Medicine, University Hospital Brussels,Free University of Brussels, Belgium.
Heart Rhythm Management Centre, University Hospital Brussels,Free University of Brussels, Belgium.
Arrhythm Electrophysiol Rev. 2017 Dec;6(4):210-216. doi: 10.15420/2017.36.2.
The one-stage approach for hybrid atrial fibrillation involves the simultaneous and close cooperation of different medical specialties. This review attempts to describe its challenging issues, exposing a plan to balance thrombotic risk and bleeding risk. It describes the combined surgical-electrophysiological procedure. Specific topics, involving hemodynamic, fluid and respiratory management during surgery are considered, and problems related to postoperative pain are surveyed.
混合性心房颤动的一期治疗方法需要不同医学专科的同时密切合作。本综述试图描述其具有挑战性的问题,提出一个平衡血栓形成风险和出血风险的方案。它描述了外科手术与电生理联合操作。考虑了手术期间涉及血流动力学、液体和呼吸管理的具体主题,并调查了与术后疼痛相关的问题。