Suenari Kazuyoshi, Nakano Takayuki, Tomomori Shunsuke, Shiode Nobuo, Higa Satoshi, Chen Shih-Ann
Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital Hiroshima Japan.
Cardiac Electrophysiology and Pacing Laboratory, Division of Cardiovascular Medicine, Makiminato Central Hospital Okinawa Japan.
Circ Rep. 2020 Jan 31;2(2):75-82. doi: 10.1253/circrep.CR-19-0125.
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in clinical practice and induces cardiac dysfunction and stroke. The development of AF requires a trigger and also an electroanatomic substrate capable of both initiating and perpetuating AF. In the past decade, ectopic beats originating from the pulmonary veins (PV) have been identified as a source of paroxysmal AF. Thus, strategies that target the PV, including the PV antrum, are the cornerstone of most AF ablation procedures. Recently, alternative technologies to radiofrequency catheter ablation for paroxysmal AF such as balloon ablation modalities have been developed. The purpose of this review is to discuss cryoballoon ablation for paroxysmal AF.
心房颤动(AF)是临床实践中最常见的持续性心律失常,可导致心脏功能障碍和中风。房颤的发生需要一个触发因素,还需要一个能够启动并维持房颤的电解剖基质。在过去十年中,源自肺静脉(PV)的异位搏动已被确定为阵发性房颤的一个来源。因此,针对肺静脉(包括肺静脉前庭)的策略是大多数房颤消融手术的基石。最近,已经开发出了用于阵发性房颤的射频导管消融的替代技术,如球囊消融方式。本综述的目的是讨论阵发性房颤的冷冻球囊消融。