Terricabras Maria, Verma Atul
Southlake Regional Health Centre, University of Toronto, Newmarket, Ontario, Canada.
J Cardiovasc Electrophysiol. 2020 Aug;31(8):2148-2153. doi: 10.1111/jce.14381. Epub 2020 Feb 14.
Pulmonary vein isolation (PVI) is a well-established treatment for atrial fibrillation (AF); however, studies report suboptimal outcomes in persistent AF. Adjuvant ablation targeting the substrate outside the pulmonary veins has been proposed to improve the success rates of the procedure. In this review, we summarize the current evidence regarding additional ablation over PVI in persistent AF. We describe the different approaches for adjuvant ablation, outcomes, and future perspectives.
肺静脉隔离（PVI）是一种成熟的心房颤动（AF）治疗方法；然而，研究报告称其在持续性AF中的治疗效果欠佳。有人提出针对肺静脉外基质进行辅助消融，以提高该手术的成功率。在本综述中，我们总结了关于持续性AF在PVI基础上进行额外消融的现有证据。我们描述了辅助消融的不同方法、治疗效果及未来展望。
