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[使用射频消融术进行肺静脉隔离]

[Pulmonary vein isolation using radiofrequency ablation].

作者信息

Iden Leon, Busch Sonia, Steven Daniel, Tilz Roland R, Shin Dong-In, Chun K R Julian, Estner Heidi, Bourier Felix, Duncker David, Sommer Philipp, Metzner Andreas, Maurer Tilman, Ewertsen Nils-Christian, Jansen Henning, Rillig Andreas, Johnson Victoria, Althoff Till

机构信息

Klinik für Kardiologie, Herz- und Gefäßzentrum Bad Segeberg, Bad Segeberg, Deutschland.

Medizinische Klinik II, Klinikum Coburg GmbH, Coburg, Deutschland.

出版信息

Herzschrittmacherther Elektrophysiol. 2021 Sep;32(3):395-405. doi: 10.1007/s00399-021-00794-z. Epub 2021 Jul 26.

Abstract

Catheter ablation represents the primary treatment for most arrhythmias. The effectiveness of catheter ablation for the treatment of atrial fibrillation is superior to drug therapy. Therefore, catheter ablation has been established as an increasingly common procedure in clinical routine. In this context, the electrical isolation of the pulmonary veins (PVI) constitutes the cornerstone of the interventional therapy of paroxysmal and persistent atrial fibrillation. This article describes the procedure of pulmonary vein isolation utilizing radiofrequency point-by-point ablation. It shall be a practical guide for the staff in the electrophysiological laboratory. This article continues a series of manuscripts focusing on interventional electrophysiology topics in the course of EP (electrophysiology) training.This article describes the procedure of pulmonary vein isolation utilizing radiofrequency point-by-point ablation. It shall be a practical guide for the staff in the electrophysiological laboratory. This article continues a series of manuscripts dealing with topics of interventional electrophysiology in the course of EP training.

摘要

导管消融是大多数心律失常的主要治疗方法。导管消融治疗心房颤动的有效性优于药物治疗。因此,导管消融已成为临床常规中越来越常见的手术。在此背景下,肺静脉电隔离(PVI)构成阵发性和持续性心房颤动介入治疗的基石。本文介绍了利用射频逐点消融进行肺静脉隔离的手术过程。它将为电生理实验室的工作人员提供一份实用指南。本文延续了一系列专注于电生理(EP)培训过程中介入电生理主题的手稿。本文介绍了利用射频逐点消融进行肺静脉隔离的手术过程。它将为电生理实验室的工作人员提供一份实用指南。本文延续了一系列在EP培训过程中涉及介入电生理主题的手稿。

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