Patel Neel J, Maradey Joan A, Bhave Prashant D
Department of Internal Medicine, Section on Cardiovascular Medicine, Wake Forest University Baptist Medical Center, 1 Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
Curr Treat Options Cardiovasc Med. 2019 Jul 25;21(9):43. doi: 10.1007/s11936-019-0747-y.
Atrial fibrillation (AF) predisposes to embolic strokes and reduced quality of life. Ablation (catheter-based or surgically performed) can be employed to promote the maintenance of sinus rhythm in a carefully selected subset of patients with AF. The goal of this review is to discuss the indications and techniques for AF ablation, as well as post-procedural outcomes.
Atrial fibrillation ablation improves quality of life in patients with atrial fibrillation although no clear reduction in stroke or overall mortality has been shown. Familiarity with the indications for AF ablation is important for all cardiologists, as is having a sound understanding of the efficacy of the procedure and potential complications. Furthermore, acquiring a grasp of the different modalities of AF ablation (including percutaneous endocardial techniques and surgical ablation approaches) will help to facilitate effective and appropriate referrals.
心房颤动（AF）易引发栓塞性中风并降低生活质量。对于精心挑选的一部分房颤患者，可采用消融术（基于导管或外科手术）来促进窦性心律的维持。本综述的目的是讨论房颤消融的适应证、技术以及术后结果。
房颤消融可改善房颤患者的生活质量，尽管尚未显示出中风或总体死亡率有明显降低。对于所有心脏病专家而言，熟悉房颤消融的适应证很重要，同样重要的是要充分了解该手术的疗效和潜在并发症。此外，掌握房颤消融的不同方式（包括经皮心内膜技术和外科消融方法）将有助于促进有效且恰当的转诊。
