提高肺静脉隔离的单次手术成功率。
Increasing the Single-Procedure Success Rate of Pulmonary Vein Isolation.
作者信息
Duytschaever Mattias, O'Neill Mark, Martinek Martin
机构信息
St Jan Hospital,Bruges, Belgium.
St. Thomas' Hospital,London, UK.
出版信息
Arrhythm Electrophysiol Rev. 2017 Dec;6(4):217-221. doi: 10.15420/aer.2017.38/1.
Abstract
To improve the single-procedural success and long-term outcomes of catheter ablation techniques for AF, there is a need for durable, contiguous and transmural lesions encircling the pulmonary veins (PV). Measurement of contact force (CF) between the catheter tip and the target tissue can optimise ablation procedures. A new approach to obtain single-procedure durable PV isolation (PVI) using the latest CF technology combined with the CARTO VISITAG™ Module with Ablation Index (Biosense Webster) has been shown in small studies to almost eliminate recurrence of paroxysmal AF at 1-year follow up and to make PVI procedures more reproducible. The use of a standardised workflow is expected to increase the reproducibility of results and to increase the efficiency of PVI procedures.
摘要
为提高房颤导管消融技术的单次手术成功率和长期疗效，需要在肺静脉（PV）周围形成持久、连续且透壁的损伤。测量导管尖端与目标组织之间的接触力（CF）可优化消融手术。在小型研究中已表明，采用最新的CF技术结合带有消融指数的CARTO VISITAG™模块（Biosense Webster公司）的新方法来实现单次手术持久的肺静脉隔离（PVI），在1年随访时几乎可消除阵发性房颤的复发，并使PVI手术更具可重复性。使用标准化工作流程有望提高结果的可重复性，并提高PVI手术的效率。
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