Verberkmoes Niels, Olsthoorn Jules, Dekker Lukas
Department of Cardiothoracic Surgery Maastricht University Medical Center Maastricht, The Netherlands.
Department of Cardiology, Catharina Hospital, Eindhoven, the Netherlands.
Multimed Man Cardiothorac Surg. 2020 Apr 21;2020. doi: 10.1510/mmcts.2020.011.
Surgical ablation is a safe and effective treatment for atrial fibrillation. In the procedure demonstrated in this video tutorial, surgery was performed under general anesthesia with a double-lumen tube. After opening of the pericardium and blunt dissection of the oblique and transverse sinuses, surgical ablation was performed. Two guidance catheters were introduced through the oblique and transverse sinus from the left side. A bipolar radiofrequency clamp was attached to the guidance catheters and positioned to encircle the pulmonary veins and posterior left atrium. Complete electrical isolation was confirmed by measurement of bidirectional block. The left atrial appendage was excluded using an Atriclip PRO II device.
外科消融是治疗心房颤动的一种安全有效的方法。在本视频教程演示的手术过程中，手术在全身麻醉下使用双腔管进行。打开心包并钝性分离斜窦和横窦后，进行外科消融。从左侧通过斜窦和横窦插入两根引导导管。将双极射频钳连接到引导导管上，并定位以环绕肺静脉和左心房后壁。通过测量双向阻滞来确认完全电隔离。使用Atriclip PRO II装置切除左心耳。
