Huang Weijian, Su Lan, Wu Shengjie
Department of Cardiology, The First Affiliated Hospital of Wenzhou Medical University, Nanbaixiang, Wenzhou 325000, China; Key Lab of Cardiovascular Disease of Wenzhou, Nanbaixiang, Wenzhou 325000, China.
Department of Cardiology, The First Affiliated Hospital of Wenzhou Medical University, Nanbaixiang, Wenzhou 325000, China; Key Lab of Cardiovascular Disease of Wenzhou, Nanbaixiang, Wenzhou 325000, China.
Card Electrophysiol Clin. 2018 Sep;10(3):519-535. doi: 10.1016/j.ccep.2018.05.016.
As an alternative to antiarrhythmic drugs and catheter ablation of atrial fibrillation (AF) for rate and rhythm control, pacing combined with atrioventricular node (AVN) ablation is suitable for many AF patients with heart failure (HF) who suffer from symptoms despite optimal medical therapy or have failed AF ablation. Studies have demonstrated His bundle pacing in conjunction with AVN ablation to treat refractory AF patients with HF provide long-term clinical benefits. Here we introduce the clinical application and procedures of His bundle pacing and AVN ablation.
作为用于控制房颤（AF）心率和节律的抗心律失常药物及导管消融的替代方法，起搏联合房室结（AVN）消融适用于许多尽管接受了最佳药物治疗仍有症状或房颤消融失败的心力衰竭（HF）房颤患者。研究表明，希氏束起搏联合AVN消融治疗难治性HF房颤患者可带来长期临床益处。在此我们介绍希氏束起搏及AVN消融的临床应用和操作步骤。
