冷冻球囊消融术在持续性心房颤动中的应用——除肺静脉隔离之外。
Cryoballoon ablation beyond pulmonary vein isolation in the setting of persistent atrial fibrillation.
机构信息
Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel - Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium.
Electrophysiology Unit, Maria Cecilia Hospital, Cotignola, Italy.
出版信息
Expert Rev Med Devices. 2022 May;19(5):431-439. doi: 10.1080/17434440.2022.2096437. Epub 2022 Jul 18.
INTRODUCTION
Catheter ablation has been demonstrated to be a safe and an effective treatment for drug resistant atrial fibrillation (AF); electrical isolation of pulmonary veins (PVI) is the main strategy in paroxysmal AF, since pulmonary vein triggers have a pivotal role in its pathogenesis; non-paroxysmal AF is a complex arrhythmia that results from the interplay of a substrate, namely AF-induced electrical and structural atrial remodeling, and a trigger that can be often found outside pulmonary veins, namely non-pulmonary veins triggers.
AREAS COVERED
The aim of this review is to provide a state-of-the-art overview of non-pulmonary veins triggers with special focus on cryoballoon (CB) catheter ablation.
EXPERT OPINION
Besides PVI, CB catheter ablation of non-pulmonary veins triggers is a novel and promising strategy for non-paroxysmal AF.
简介
导管消融已被证明是治疗耐药性心房颤动（AF）的一种安全有效的方法；肺静脉（PV）电隔离是阵发性 AF 的主要策略，因为 PV 触发在其发病机制中起着关键作用；非阵发性 AF 是一种复杂的心律失常，是由基质相互作用引起的，即 AF 诱导的电和结构心房重构，以及触发因素，通常可以在肺静脉之外找到，即非肺静脉触发因素。
涵盖领域
本综述的目的是提供非肺静脉触发因素的最新概述，特别关注冷冻球囊（CB）导管消融。
专家意见
除了 PVI 之外，CB 导管消融非肺静脉触发因素是治疗非阵发性 AF 的一种新颖且有前途的策略。
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