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基于导管与手术相结合的心室心律失常消融技术

Hybrid Catheter-Based and Surgical Techniques for Ablation of Ventricular Arrhythmias.

作者信息

Khalil Fouad, Siontis Konstantinos, Bagameri Gabor, Killu Ammar M

机构信息

Department of Cardiovascular Medicine, Division of Heart Rhythm Services, Mayo Clinic, Rochester, MN, US.

Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, US.

出版信息

Arrhythm Electrophysiol Rev. 2020 Aug;9(2):97-103. doi: 10.15420/aer.2020.08.

DOI:10.15420/aer.2020.08
PMID:32983531
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7491053/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42df/7491053/020c74573b46/aer-09-97-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42df/7491053/1974d23c7266/aer-09-97-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42df/7491053/3fbad5543ea8/aer-09-97-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42df/7491053/50e15e5f8137/aer-09-97-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42df/7491053/e04af9d8236f/aer-09-97-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42df/7491053/020c74573b46/aer-09-97-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42df/7491053/1974d23c7266/aer-09-97-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42df/7491053/3fbad5543ea8/aer-09-97-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42df/7491053/50e15e5f8137/aer-09-97-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42df/7491053/e04af9d8236f/aer-09-97-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42df/7491053/020c74573b46/aer-09-97-g005.jpg

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本文引用的文献

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Ventricular Arrhythmias in Patients With Left Ventricular Assist Device (LVAD).左心室辅助装置（LVAD）患者的室性心律失常
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Hybrid Ablation of Ventricular Tachycardia: a Single-Centre Experience.室性心动过速的杂交消融：单中心经验
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Left ventricular function after noninvasive cardiac ablation using proton beam therapy in a porcine model.
质子束治疗猪模型中非侵入性心脏消融术后左心室功能。
Heart Rhythm. 2019 Nov;16(11):1710-1719. doi: 10.1016/j.hrthm.2019.04.030. Epub 2019 Apr 18.
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Mechanical Circulatory Support Devices for Cardiogenic Shock: State of the Art.机械循环支持设备在心源性休克中的应用：现状。
Crit Care. 2019 Mar 9;23(1):76. doi: 10.1186/s13054-019-2368-y.
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Percutaneous pericardial access for electrophysiological studies in patients with prior cardiac surgery: approach and understanding the risks.既往有心脏手术史患者经皮心包穿刺用于电生理研究：方法及风险认识
Expert Rev Cardiovasc Ther. 2019 Feb;17(2):143-150. doi: 10.1080/14779072.2019.1561276. Epub 2018 Dec 29.
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Continuous intravenous perioperative lidocaine infusion for postoperative pain and recovery in adults.成人围手术期持续静脉输注利多卡因用于术后疼痛及恢复
Cochrane Database Syst Rev. 2018 Jun 4;6(6):CD009642. doi: 10.1002/14651858.CD009642.pub3.
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Hybrid ablation of haemodynamically unstable ventricular tachycardia using a transabdominal minimally-invasive approach and percutaneous left ventricular assist device.采用经腹微创方法和经皮左心室辅助装置对血流动力学不稳定的室性心动过速进行杂交消融。
Kardiol Pol. 2017;75(11):1210. doi: 10.5603/KP.2017.0219.
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Noninvasive Cardiac Radiation for Ablation of Ventricular Tachycardia.用于室性心动过速消融的非侵入性心脏放射治疗。
N Engl J Med. 2017 Dec 14;377(24):2325-2336. doi: 10.1056/NEJMoa1613773.
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Hybrid surgical vs percutaneous access epicardial ventricular tachycardia ablation.杂交手术与经皮心外膜室性心动过速消融的比较。
Heart Rhythm. 2018 Apr;15(4):512-519. doi: 10.1016/j.hrthm.2017.11.009. Epub 2017 Nov 11.
10
Ablative Radiotherapy as a Noninvasive Alternative to Catheter Ablation for Cardiac Arrhythmias.消融放疗作为心律失常导管消融的非侵入性替代方法
Curr Cardiol Rep. 2017 Sep;19(9):79. doi: 10.1007/s11886-017-0886-2.