Hesselson Aaron B
Electrophysiologic Services, Division of Cardiovascular Medicine, University of Kentucky, Lexington, Kentucky.
Int J Angiol. 2020 Jun;29(2):108-112. doi: 10.1055/s-0040-1708476. Epub 2020 Apr 28.
Catheter ablation (CA) of the pulmonary veins for atrial fibrillation (AF) is growing exponentially and is the most commonly performed electrophysiologic procedure. Initial descriptions focused on CA for paroxysmal AF, and now more recently expanded in application to persistent AF and those with comorbid heart failure. Efforts to improve success have and continue to address issues such as pulmonary vein "reconnection" following ablation through different ablative energy modalities, and the use of a "hybrid" surgical/endocardial combined approach in persistent forms of AF. Technologic advances as well are concurrently seeking to improve safety, particularly regarding the incidence of atrio-esophageal fistula in this seemingly ever-growing ablation population.
用于治疗心房颤动（AF）的肺静脉导管消融术（CA）正在呈指数级增长，并且是最常进行的电生理手术。最初的描述集中在阵发性AF的CA上，现在其应用最近已扩展到持续性AF和合并心力衰竭的患者。为提高成功率所做的努力已经并将继续解决一些问题，例如通过不同的消融能量模式解决消融后肺静脉的“重新连接”问题，以及在持续性AF中使用“杂交”手术/心内膜联合方法。技术进步也在同时寻求提高安全性，特别是在这个看似不断增长的消融人群中关于心房食管瘘的发生率。
