房颤消融术中的食管损伤：预防技术
Oesophageal Injury During AF Ablation: Techniques for Prevention.
作者信息
Romero Jorge, Avendano Ricardo, Grushko Michael, Diaz Juan Carlos, Du Xianfeng, Gianni Carola, Natale Andrea, Biase Luigi Di
机构信息
Montefiore Medical Center, Albert Einstein College of MedicineBronx, USA.
Department of Cardiology, Ningbo First HospitalZhejiang Sheng, China.
出版信息
Arrhythm Electrophysiol Rev. 2018 Mar;7(1):24-31. doi: 10.15420/aer.2017.46.2.
Abstract
Atrial fibrillation remains the most common arrhythmia worldwide, with pulmonary vein isolation (PVI) being an essential component in the treatment of this arrhythmia. In view of the close proximity of the oesophagus with the posterior wall of the left atrium, oesophageal injury prevention has become a major concern during PVI procedures. Oesophageal changes varying from erythema to fistulas have been reported, with atrio-oesophageal fistulas being the most feared as they are associated with major morbidity and mortality. This review article provides a detailed description of the risk factors associated with oesophageal injury during ablation, along with an overview of the currently available techniques to prevent oesophageal injury. We expect that this state of the art review will deliver the tools to help electrophysiologists prevent potential oesophageal injuries, as well as increase the focus on research areas in which evidence is lacking.
摘要
心房颤动仍然是全球最常见的心律失常，肺静脉隔离（PVI）是治疗这种心律失常的重要组成部分。鉴于食管与左心房后壁紧邻，在PVI手术期间预防食管损伤已成为主要关注点。已报道食管出现从红斑到瘘管等各种变化，其中房室食管瘘最为可怕，因为它们与严重的发病率和死亡率相关。这篇综述文章详细描述了消融过程中与食管损伤相关的危险因素，以及目前可用的预防食管损伤技术的概述。我们期望这篇前沿综述能提供工具，帮助电生理学家预防潜在的食管损伤，并增加对缺乏证据的研究领域的关注。
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