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[心房颤动安全高效冷冻球囊消融实用指南:实用操作步骤、技巧与窍门]

[Practical guide for safe and efficient cryoballoon ablation for atrial fibrillation : Practical procedure, tips and tricks].

作者信息

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

机构信息

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.

出版信息

Herzschrittmacherther Elektrophysiol. 2021 Dec;32(4):550-562. doi: 10.1007/s00399-021-00820-0. Epub 2021 Nov 4.

Abstract

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.

摘要

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。

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