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非侵入性心脏消融术

Noninvasive Cardioablation.

作者信息

Refaat Marwan M, Zakka Patrick, Youssef Bassem, Zeidan Youssef H, Geara Fadi, Al-Ahmad Amin

机构信息

Cardiovascular Fellowship Program, Department of Internal Medicine, Cardiology Division, Cardiac Electrophysiology Section, American University of Beirut Faculty of Medicine and Medical Center (AUBMC), PO Box 11-0236, Riad El-Solh, Beirut 1107 2020, Lebanon.

Department of Internal Medicine, Emory University Hospital, 550 Peachtree Street Northeast, Atlanta, GA 30308, USA.

出版信息

Card Electrophysiol Clin. 2019 Sep;11(3):481-485. doi: 10.1016/j.ccep.2019.05.008.

DOI:10.1016/j.ccep.2019.05.008
PMID:31400872
Abstract

Stereotactic body radiotherapy uses the principle of 3-dimensional localization of a target to deliver a high dose of radiation to a precise location. The aim of this technique is to ablate tissue noninvasively. Because of its high precision and target conformity, it can deliver a high dose of radiation to a specific area in a tissue without significantly affecting nearby tissues. It is being actively studied and even used in therapy for atrial fibrillation and ventricular tachycardia.

摘要

立体定向体部放射治疗利用靶点三维定位原理,将高剂量辐射精准投送至特定位置。该技术旨在无创消融组织。因其高精度和靶区适形性,它能在不显著影响附近组织的情况下,向组织内特定区域输送高剂量辐射。目前正在积极研究该技术,甚至已用于心房颤动和室性心动过速的治疗。

相似文献

1
Noninvasive Cardioablation.非侵入性心脏消融术
Card Electrophysiol Clin. 2019 Sep;11(3):481-485. doi: 10.1016/j.ccep.2019.05.008.
2
Ablative Radiotherapy as a Noninvasive Alternative to Catheter Ablation for Cardiac Arrhythmias.消融放疗作为心律失常导管消融的非侵入性替代方法
Curr Cardiol Rep. 2017 Sep;19(9):79. doi: 10.1007/s11886-017-0886-2.
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Stereotactic arrhythmia radioablation: A novel therapy for cardiac arrhythmia.立体定向心律失常放射性消融术:一种治疗心律失常的新方法。
Heart Rhythm. 2023 Sep;20(9):1327-1336. doi: 10.1016/j.hrthm.2023.04.052. Epub 2023 May 5.
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Swine Atrioventricular Node Ablation Using Stereotactic Radiosurgery: Methods and In Vivo Feasibility Investigation for Catheter-Free Ablation of Cardiac Arrhythmias.立体定向放射外科消融猪房室结:无导管消融心律失常的方法和体内可行性研究。
J Am Heart Assoc. 2017 Oct 27;6(11):e007193. doi: 10.1161/JAHA.117.007193.
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Cardiac stereotactic body radiation therapy for ventricular tachycardia: Current experience and technical gaps.心脏立体定向体部放射治疗室性心动过速:当前经验和技术差距。
J Cardiovasc Electrophysiol. 2021 Nov;32(11):2901-2914. doi: 10.1111/jce.15259. Epub 2021 Oct 5.
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Focus on stereotactic radiotherapy: A new way to treat severe ventricular arrhythmias?聚焦立体定向放射治疗:治疗严重室性心律失常的新方法?
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Stereotactic body radiation therapy for refractory ventricular tachycardia secondary to cardiac lipoma: A case report.立体定向体部放射治疗难治性心脏脂肪瘤继发室性心动过速:一例报告
Pacing Clin Electrophysiol. 2019 Sep;42(9):1276-1279. doi: 10.1111/pace.13731. Epub 2019 Jun 4.
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Stereotactic Arrhythmia Radioablation as a Novel Treatment Approach for Cardiac Arrhythmias: Facts and Limitations.立体定向心律失常射频消融术作为心律失常的一种新型治疗方法:事实与局限
Biomedicines. 2021 Oct 13;9(10):1461. doi: 10.3390/biomedicines9101461.
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Noninvasive Cardiac Radiation for Ablation of Ventricular Tachycardia.用于室性心动过速消融的非侵入性心脏放射治疗。
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Noninvasive stereotactic radiosurgery (CyberHeart) for creation of ablation lesions in the atrium.非侵入性立体定向放射外科手术(CyberHeart)在心房中创建消融损伤。
Heart Rhythm. 2010 Jun;7(6):802-10. doi: 10.1016/j.hrthm.2010.02.010. Epub 2010 Feb 13.

引用本文的文献

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An open-source deep learning framework for respiratory motion monitoring and volumetric imaging during radiation therapy.一种用于放射治疗期间呼吸运动监测和容积成像的开源深度学习框架。
Med Phys. 2025 Jul;52(7):e18015. doi: 10.1002/mp.18015.
2
Stereotactic Arrhythmia Radioablation (STAR): A Multidisciplinary Narrative Minireview of Preclinical Studies.立体定向心律失常放射消融术(STAR):临床前研究的多学科叙事性迷你综述。
In Vivo. 2023 May-Jun;37(3):963-971. doi: 10.21873/invivo.13170.
3
Stereotactic Radiosurgery for Atrioventricular Node Ablation in Swine: A Study on Efficacy and Dosimetric Evaluation of Organs at Risk.
猪房室结消融的立体定向放射外科治疗:一项关于危险器官疗效和剂量学评估的研究
Cureus. 2021 Oct 14;13(10):e18785. doi: 10.7759/cureus.18785. eCollection 2021 Oct.
4
Use of Stereotactic Radioablation Therapy as a Bailout Therapy for Refractory Ventricular Tachycardia in a Patient with a No-entry Left Ventricle.立体定向放射消融疗法作为无进入左心室患者难治性室性心动过速的补救疗法的应用。
J Innov Card Rhythm Manag. 2021 Sep 15;12(9):4671-4675. doi: 10.19102/icrm.2021.120902. eCollection 2021 Sep.
5
STRA-MI-VT (STereotactic RadioAblation by Multimodal Imaging for Ventricular Tachycardia): rationale and design of an Italian experimental prospective study.STRA-MI-VT(多模态影像引导下心室性心动过速的立体定向放射消融术):意大利一项实验性前瞻性研究的原理和设计。
J Interv Card Electrophysiol. 2021 Sep;61(3):583-593. doi: 10.1007/s10840-020-00855-2. Epub 2020 Aug 27.
6
Radiosurgery for ventricular tachycardia: preclinical and clinical evidence and study design for a German multi-center multi-platform feasibility trial (RAVENTA).立体定向放射手术治疗室性心动过速:临床前和临床证据以及德国多中心多平台可行性试验(RAVENTA)的研究设计。
Clin Res Cardiol. 2020 Nov;109(11):1319-1332. doi: 10.1007/s00392-020-01650-9. Epub 2020 Apr 18.