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心房颤动消融的前沿领域

The Cutting Edge of Atrial Fibrillation Ablation.

作者信息

Verma Maya S, Terricabras Maria, Verma Atul

机构信息

Southlake Regional Health Centre, University of Toronto, Newmarket, Ontario, Canada.

出版信息

Arrhythm Electrophysiol Rev. 2021 Jul;10(2):101-107. doi: 10.15420/aer.2020.40.

DOI:10.15420/aer.2020.40
PMID:34401182
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8335866/
Abstract

This article describes the advances in catheter ablation for AF that have allowed the creation of more durable and efficient lesions. It describes advances in high-power, short-duration radiofrequency ablation, radiofrequency balloon devices, ultra-low cryoablation and irreversible electroporation. It also considers the way these devices may change the way catheter ablation is performed for AF.

摘要

本文描述了房颤导管消融术取得的进展,这些进展使得能够形成更持久、更有效的损伤。文中介绍了高功率、短程射频消融、射频球囊装置、超低温度冷冻消融和不可逆电穿孔方面的进展。本文还探讨了这些装置可能改变房颤导管消融术实施方式的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d61/8335866/4d2f05a15484/aer-10-101-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d61/8335866/605b0a815abc/aer-10-101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d61/8335866/84175ace3707/aer-10-101-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d61/8335866/561bba2bb598/aer-10-101-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d61/8335866/4d2f05a15484/aer-10-101-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d61/8335866/605b0a815abc/aer-10-101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d61/8335866/84175ace3707/aer-10-101-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d61/8335866/561bba2bb598/aer-10-101-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d61/8335866/4d2f05a15484/aer-10-101-g004.jpg

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本文引用的文献

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First-in-Human Experience and Acute Procedural Outcomes Using a Novel Pulsed Field Ablation System: The PULSED AF Pilot Trial.首例人体试验和新型脉冲场消融系统的急性手术结果:PULSED AF 先导试验。
Circ Arrhythm Electrophysiol. 2022 Jan;15(1):e010168. doi: 10.1161/CIRCEP.121.010168. Epub 2021 Dec 29.
2
Esophageal Endoscopy After Catheter Ablation of Atrial Fibrillation Using Ablation-Index Guided High-Power: Frankfurt AI-HP ESO-I.使用消融指数引导的高功率导管消融心房颤动后的食管内镜检查:法兰克福AI-HP ESO-I
JACC Clin Electrophysiol. 2020 Oct;6(10):1253-1261. doi: 10.1016/j.jacep.2020.05.022. Epub 2020 Aug 12.
3
用于心房颤动高清标测与消融的球囊脉冲场系统
Heart Int. 2022 Dec 14;16(2):85-90. doi: 10.17925/HI.2022.16.2.85. eCollection 2022.
4
Cryoballoon ablation for atrial fibrillation: Effects on neuromodulation.冷冻球囊消融治疗心房颤动:对神经调节的影响。
Front Cardiovasc Med. 2022 Jul 28;9:958316. doi: 10.3389/fcvm.2022.958316. eCollection 2022.
Characteristics of Esophageal Injury in Ablation of Atrial Fibrillation Using a High-Power Short-Duration Setting.
高功率短时间设置消融治疗心房颤动时食管损伤的特点。
Circ Arrhythm Electrophysiol. 2020 Oct;13(10):e008602. doi: 10.1161/CIRCEP.120.008602. Epub 2020 Sep 11.
4
Pulsed Field Ablation in Patients With Persistent Atrial Fibrillation.脉冲场消融治疗持续性心房颤动。
J Am Coll Cardiol. 2020 Sep 1;76(9):1068-1080. doi: 10.1016/j.jacc.2020.07.007.
5
Impact of High-Power Short-Duration Radiofrequency Ablation on Long-Term Lesion Durability for Atrial Fibrillation Ablation.高能短时间射频消融对房颤消融后长期病变耐久性的影响。
JACC Clin Electrophysiol. 2020 Aug;6(8):973-985. doi: 10.1016/j.jacep.2020.04.023.
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Europace. 2020 Oct 1;22(10):1495-1501. doi: 10.1093/europace/euaa144.
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JACC Clin Electrophysiol. 2020 May;6(5):507-519. doi: 10.1016/j.jacep.2019.12.015. Epub 2020 Feb 26.
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J Cardiovasc Electrophysiol. 2020 Jun;31(6):1259-1269. doi: 10.1111/jce.14476. Epub 2020 Apr 23.