Skeete Jamario R, Du-Fay-de-Lavallaz Jeanne M, Kenigsberg David, Macias Carlos, Winterfield Jeffrey R, Sharma Parikshit S, Trohman Richard G, Huang Henry D
Division of Cardiology, Rush University Medical Center, Chicago, IL 60612, USA.
Department of Internal Medicine, University Hospital Basel, 4031 Basel, Switzerland.
Micromachines (Basel). 2021 Feb 12;12(2):188. doi: 10.3390/mi12020188.
Catheter-based ablation techniques have a well-established role in atrial fibrillation (AF) management. The prevalence and impact of AF is increasing globally, thus mandating an emphasis on improving ablation techniques through innovation. One key area of ongoing evolution in this field is the use of laser energy to perform pulmonary vein isolation during AF catheter ablation. While laser use is not as widespread as other ablation techniques, such as radiofrequency ablation and cryoballoon ablation, advancements in product design and procedural protocols have demonstrated laser balloon ablation to be equally safe and effective compared to these other modalities. Additionally, strategies to improve procedural efficiency and decrease radiation exposure through low fluoroscopy protocols make this technology an increasingly promising and exciting option.
基于导管的消融技术在心房颤动(AF)管理中具有公认的作用。AF的患病率和影响在全球范围内不断增加,因此必须强调通过创新来改进消融技术。该领域不断发展的一个关键领域是在AF导管消融期间使用激光能量进行肺静脉隔离。虽然激光的使用不如其他消融技术(如射频消融和冷冻球囊消融)广泛,但产品设计和操作方案的进步已证明激光球囊消融与这些其他方式相比同样安全有效。此外,通过低荧光透视方案提高操作效率和减少辐射暴露的策略使这项技术成为一个越来越有前景和令人兴奋的选择。