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[导管消融术的历史]

[History of catheter ablation].

作者信息

Pfeiffer Dietrich, Tebbenjohanns Jürgen, Klein Norbert, Metze Michael, Neef Martin

机构信息

Medizinische Klinik IV - Kardiologie, Dept. Innere Medizin, Neurologie und Dermatologie, Universität Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland.

Klinik für Kardiologie und Angiologie, Senator-Braun-Allee 33, 31135, Hildesheim, Deutschland.

出版信息

Herzschrittmacherther Elektrophysiol. 2019 Dec;30(4):325-329. doi: 10.1007/s00399-019-00661-y. Epub 2019 Nov 22.

Abstract

After His bundle electrography was established in 1967, the step from invasive electrophysiologic diagnosis of arrhythmias to interventional treatment by catheter ablation was imminent. The time interval of 15 years between the diagnosis and treatment of arrhythmias was even shorter than the 19 years between the first selective coronary angiography in 1958 at the Cleveland Clinic in the USA and the first percutaneous coronary intervention in 1977 in Zurich. During each time period, a great amount of knowledge was gained in cardiac surgery, which proved to be very helpful for the development of the interventional treatment. The history of endovascular treatment is an impressive reminder that the preparation and support of cardiovascular surgeons and their handling of complications played a decisive role in the further development of cardiovascular internal medicine. The history of catheter ablation teaches us that the joint work of cardiologists and cardiovascular surgeons is of great importance for the choice and further development of the best possible treatment as for future development of the techniques of therapy.

摘要

1967年希氏束电图技术确立后,心律失常从侵入性电生理诊断迈向导管消融介入治疗的步伐已近在眼前。心律失常诊断与治疗之间间隔的15年时间,甚至比1958年美国克利夫兰诊所首次进行选择性冠状动脉造影与1977年苏黎世首次进行经皮冠状动脉介入治疗之间的19年还要短。在每个时间段内,心脏外科都积累了大量知识,这对介入治疗的发展起到了极大的推动作用。血管内治疗的历史有力地证明,心血管外科医生的准备工作、支持措施以及对并发症的处理,在心血管内科的进一步发展中起到了决定性作用。导管消融的历史告诉我们,心脏病学家与心血管外科医生的共同协作,对于选择最佳治疗方案及其未来技术发展而言,在治疗方法的选择和进一步发展方面至关重要。

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