Zhang Yufeng, Zhu Li
Department of Cardiothoracic Surgery, Changzheng Hospital, Second Military Medical University, 800 Xiang Yin Road, Shanghai 200433, China.
Jiangsu Institute of Planned Parenthood Research, 277 Feng Huang Xi Street, Nanjing, Jiangsu 210036, China.
Int J Cardiol Heart Vessel. 2014 Jul 5;4:7-11. doi: 10.1016/j.ijchv.2014.06.005. eCollection 2014 Sep.
Surgical ablation of atrial fibrillation (AF) is currently performed in many major hospitals throughout the world. This paper reviews the development of surgical procedures for AF ablation. It is hoped that the paper can provide a foundation for those involved with ablation of AF to improve patient care. AF is triggered by a rapidly firing focus and could be treated with a localized ablation procedure. A large body of literature has confirmed the safety and efficacy of surgical ablation of AF. New ablation technologies have simplified the surgical treatment of AF and expanded the indications. Generally, more extensive lesion sets have had better long-term outcomes. Despite the tremendous progress that has been made in the development of surgical ablation of AF, many questions remain unanswered. It is anticipated that well designed clinical trials will continue to provide solid evidence to help formulate practice guidelines in the future.
目前，全球许多大型医院都在开展心房颤动（AF）的外科消融术。本文回顾了AF消融手术方法的发展历程。希望本文能为参与AF消融治疗的人员提供改善患者护理的基础。AF由快速发放冲动的病灶触发，可通过局部消融手术进行治疗。大量文献证实了AF外科消融的安全性和有效性。新的消融技术简化了AF的外科治疗并扩大了适应证。一般来说，更广泛的消融范围能带来更好的长期疗效。尽管AF外科消融术的发展取得了巨大进展，但仍有许多问题未得到解答。预计精心设计的临床试验将继续提供确凿证据，以帮助在未来制定实践指南。
