Khalil Fouad, Siontis Konstantinos, Bagameri Gabor, Killu Ammar M
Department of Cardiovascular Medicine, Division of Heart Rhythm Services, Mayo Clinic, Rochester, MN, US.
Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, US.
Arrhythm Electrophysiol Rev. 2020 Aug;9(2):97-103. doi: 10.15420/aer.2020.08.
Catheter ablation is a rapidly expanding and evolving field. The advent of interventional techniques and advances in technology have allowed catheter ablation to supplant antiarrhythmic surgery for ventricular arrhythmia treatment. However, issues related to access and energy delivery limit the use of catheter ablation in some cases. Hybrid catheter-based and surgical techniques represent a novel approach to overcome these limitations. The hybrid technique combines the strengths and minimises the limitations of either catheter or surgical ablation alone. There is a growing body of evidence in the literature supporting the safety and efficacy of the hybrid surgical technique. This review aims to provide an overview of hybrid surgical-catheter ablation for ventricular arrhythmia.
导管消融是一个迅速发展且不断演变的领域。介入技术的出现和技术进步使导管消融能够取代抗心律失常手术用于治疗室性心律失常。然而,与通路和能量传递相关的问题在某些情况下限制了导管消融的应用。基于导管和手术的联合技术代表了一种克服这些局限性的新方法。联合技术结合了各自的优势,并将单独使用导管消融或手术消融的局限性降至最低。文献中越来越多的证据支持联合手术技术的安全性和有效性。本综述旨在概述用于室性心律失常的联合手术-导管消融。