用于心房颤动消融的射频球囊装置
Radiofrequency Balloon Devices for Atrial Fibrillation Ablation.
作者信息
Gianni Carola, Chen Qiong, Della Rocca Domenico, Canpolat Uğur, Ayhan Hüseyin, MacDonald Bryan, Mohanty Sanghamitra, Trivedi Chintan, Natale Andrea, Al-Ahmad Amin
机构信息
Texas Cardiac Arrhythmia Institute, St. David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA.
Texas Cardiac Arrhythmia Institute, St. David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA; Department of Cardiopulmonary Function Test, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, China.
出版信息
Card Electrophysiol Clin. 2019 Sep;11(3):487-493. doi: 10.1016/j.ccep.2019.05.009.
Despite technological advancements, radiofrequency catheter ablation for pulmonary vein isolation remains a challenging procedure, as maneuvering the catheter to obtain effective lesions is technically complex and time consuming. For this reason, balloon-based ablation systems have been developed, which can quickly and easily isolate the pulmonary veins (single-shot), with outcomes comparable with point-by-point catheter ablation in the paroxysmal atrial fibrillation population. In this review, we discuss 3 balloon-based devices that use radiofrequency to obtain permanent lesions, a relatively emerging technology that may pose as an alternative option to cryoenergy or laser for single-shot pulmonary vein isolation.
尽管技术不断进步，但用于肺静脉隔离的射频导管消融术仍然是一项具有挑战性的操作，因为将导管操作以获得有效的消融灶在技术上复杂且耗时。因此，已经开发出基于球囊的消融系统，其可以快速且容易地隔离肺静脉（单次操作），在阵发性房颤人群中的效果与逐点导管消融相当。在本综述中，我们讨论了3种使用射频来获得永久性消融灶的基于球囊的设备，这是一种相对新兴的技术，可能成为冷冻能量或激光用于单次肺静脉隔离的替代选择。
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