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心房颤动(第二部分)-导管消融。

Atrial Fibrillation (Part 2) - Catheter Ablation.

机构信息

Hospital Pró-Cardíaco - Serviço de Arritmias e Estimulação Cardíaca Artificial, Rio de Janeiro, RJ - Brasil.

Hospital Samaritano, Rio de Janeiro, RJ - Brasil.

出版信息

Arq Bras Cardiol. 2021 Feb;116(2):334-343. doi: 10.36660/abc.20200477.

DOI:10.36660/abc.20200477
PMID:33656085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7909976/
Abstract

More than 20 years since its initial use, catheter ablation has become a routinely performed procedure for the treatment of patients with atrial fibrillation (AF). Initially based on the electrical isolation of pulmonary veins in patients with paroxysmal AF, subsequent advances in the understanding of pathophysiology led to additional techniques not only to achieve better results, but also to treat patients with persistent forms of arrhythmia, as well as patients with structural heart disease and heart failure.

摘要

自最初应用以来,已有 20 多年,导管消融术已成为治疗心房颤动(AF)患者的常规手术。最初基于阵发性 AF 患者肺静脉的电隔离,随后对病理生理学的理解的进步导致了不仅可以获得更好的结果,而且还可以治疗持续性心律失常患者,以及结构性心脏病和心力衰竭患者的附加技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7909976/91d2e0f46798/0066-782X-abc-116-02-0334-gf02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7909976/f094c9dd981c/0066-782X-abc-116-02-0334-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7909976/24eb370488e2/0066-782X-abc-116-02-0334-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7909976/f094c9dd981c/0066-782X-abc-116-02-0334-gf01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7909976/91d2e0f46798/0066-782X-abc-116-02-0334-gf02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7909976/f094c9dd981c/0066-782X-abc-116-02-0334-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7909976/24eb370488e2/0066-782X-abc-116-02-0334-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7909976/f094c9dd981c/0066-782X-abc-116-02-0334-gf01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7909976/91d2e0f46798/0066-782X-abc-116-02-0334-gf02-en.jpg

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引用本文的文献

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本文引用的文献

1
Corrigendum to: 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC.勘误:《2020年欧洲心脏病学会(ESC)与欧洲心胸外科学会(EACTS)合作制定的心房颤动诊断和管理指南》:欧洲心脏病学会(ESC)心房颤动诊断和管理特别工作组,由ESC的欧洲心律协会(EHRA)特别贡献制定。
Eur Heart J. 2021 Oct 21;42(40):4194. doi: 10.1093/eurheartj/ehab648.
2
Early Rhythm-Control Therapy in Patients with Atrial Fibrillation.心房颤动患者的早期节律控制治疗。
N Engl J Med. 2020 Oct 1;383(14):1305-1316. doi: 10.1056/NEJMoa2019422. Epub 2020 Aug 29.
3
Catheter Ablation for Treatment of Atrial Fibrillation and Supraventricular Arrhythmias Without Fluoroscopy Use: Acute Efficacy and Safety.无透视引导下导管消融治疗心房颤动和室上性心律失常:即刻疗效和安全性。
Arq Bras Cardiol. 2020 Jun;114(6):1015-1026. doi: 10.36660/abc.20200096. Epub 2020 Jul 3.
4
Predictors of Cardiac Perforation With Catheter Ablation of Atrial Fibrillation.心房颤动导管消融术中心脏穿孔的预测因素
JACC Clin Electrophysiol. 2020 Jun;6(6):636-645. doi: 10.1016/j.jacep.2020.01.011. Epub 2020 Mar 25.
5
Management of Atrio-esophageal Fistula Induced by Radiofrequency Catheter Ablation in Atrial Fibrillation Patients: a Case Series.房颤患者射频导管消融术后并发房室食管瘘的管理:病例系列。
Sci Rep. 2020 May 18;10(1):8202. doi: 10.1038/s41598-020-65185-9.
6
Safety of Catheter Ablation of Atrial Fibrillation Under Uninterrupted Rivaroxaban Use.在持续使用利伐沙班的情况下进行房颤导管消融的安全性。
Arq Bras Cardiol. 2020 Mar;114(3):435-442. doi: 10.36660/abc.20180386.
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Pulsed Field Ablation Versus Radiofrequency Ablation: Esophageal Injury in a Novel Porcine Model.脉冲场消融与射频消融:新型猪模型中的食管损伤。
Circ Arrhythm Electrophysiol. 2020 Mar;13(3):e008303. doi: 10.1161/CIRCEP.119.008303. Epub 2020 Jan 24.
8
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