迈向阵发性、持续性和永久性心房颤动的统一消融方案

Toward a Uniform Ablation Protocol for Paroxysmal, Persistent, and Permanent Atrial Fibrillation.

作者信息

Della Rocca Domenico Giovanni, Lavalle Carlo, Gianni Carola, Mariani Marco Valerio, Mohanty Sanghamitra, Trivedi Chintan, Canpolat Ugur, MacDonald Bryan, Ayhan Huseyin, Piro Agostino, Bassiouny Mohamed, Al-Ahmad Amin, Burkhardt John David, Gallinghouse Joseph G, Horton Rodney P, Sanchez Javier, Tarantino Nicola, Di Biase Luigi, Natale Andrea

机构信息

Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.

Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatric Sciences, "Sapienza" University of Rome, Policlinico Umberto I, Rome, Italy.

出版信息

Card Electrophysiol Clin. 2019 Dec;11(4):731-738. doi: 10.1016/j.ccep.2019.08.014.

DOI:10.1016/j.ccep.2019.08.014

PMID:31706479

Abstract

Atrial fibrillation catheter ablation has emerged as the most effective strategy to restore and maintain sinus rhythm. The cornerstone of atrial fibrillation ablation is elimination of triggers from the pulmonary veins by pulmonary vein isolation. Nevertheless, some patients may experience atrial tachyarrhythmia recurrences even with permanent pulmonary vein antral isolation. Whether and in which patients pulmonary vein antral isolation should be considered as the only ablation strategy remains a matter of debate. This review aims to summarize the rationale and effectiveness of different ablation approaches and identify key points for a uniform atrial fibrillation ablation strategy.

摘要

心房颤动导管消融已成为恢复和维持窦性心律的最有效策略。心房颤动消融的基石是通过肺静脉隔离消除肺静脉触发灶。然而，即使进行了永久性肺静脉前庭隔离，一些患者仍可能出现房性快速性心律失常复发。肺静脉前庭隔离是否应被视为唯一的消融策略以及哪些患者适用，仍是一个有争议的问题。本综述旨在总结不同消融方法的原理和有效性，并确定统一的心房颤动消融策略的关键点。