Chun Julian, Maurer Tilman, Rillig Andreas, Bordignon Stefano, Iden Leon, Busch Sonia, Steven Daniel, Tilz Roland R, Shin Dong-In, Estner Heidi, Bourier Felix, Duncker David, Sommer Philipp, Ewertsen Nils-Christian, Jansen Henning, Johnson Victoria, Bertagnolli Livio, Althoff Till, Metzner Andreas
Med. Klinik III, Markuskrankenhaus, Cardioangiologisches Centrum Bethanien - CCB, Wilhelm-Epstein-Str. 4, 60431, Frankfurt, Deutschland.
Sektion für Elektrophysiologie, Medizinische Klinik II, Universitäres Herzzentrum Lübeck, Universitätsklinikum Schleswig-Holstein (UKSH), Lübeck, Deutschland.
Herzschrittmacherther Elektrophysiol. 2021 Dec;32(4):550-562. doi: 10.1007/s00399-021-00820-0. Epub 2021 Nov 4.
In the current guidelines on treatment of atrial fibrillation, cryoballoon-based catheter ablation of atrial fibrillation is recommended in addition to radiofrequency ablation and has become established as a standard procedure in the clinical routine of many centers for index pulmonary vein isolation. A safe, simplified and often durable pulmonary vein isolation can be achieved by a systematic approach. This review article provides a practical guide for all steps of cryoballoon-based pulmonary vein isolation, including preprocedural preparation and postinterventional follow-up. Both cryoballoon systems currently available on the market are considered.
在当前的心房颤动治疗指南中，除了射频消融外，还推荐基于冷冻球囊的心房颤动导管消融术，并且在许多中心的临床常规中，该技术已成为用于首次肺静脉隔离的标准程序。通过系统的方法可以实现安全、简化且通常持久的肺静脉隔离。本文综述为基于冷冻球囊的肺静脉隔离的所有步骤提供了实用指南，包括术前准备和介入后的随访。文中考虑了目前市场上现有的两种冷冻球囊系统。
