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心律失常治疗中的脉冲电场:现状与未来方向。

Pulsed electrical field in arrhythmia treatment: Current status and future directions.

作者信息

Qiu Jie, Lan Lan, Wang Yan

机构信息

Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China.

出版信息

Pacing Clin Electrophysiol. 2022 Oct;45(10):1255-1262. doi: 10.1111/pace.14586. Epub 2022 Sep 8.

DOI:10.1111/pace.14586
PMID:36029174
Abstract

Pulsed electrical field (PEF) ablation is a promising novel ablation modality for the treatment of arrhythmia, especially for atrial fibrillation (AF). There have been several important advances in PEF ablation over the past several years, such as the parameters of PEF delivery and electrode Design. And the results in almost all clinical studies of PEF for AF ablation are optimistic, both in terms of effectiveness and safety. This article provides a brief overview of the mechanism and technical progress of PEF ablation in cardiac arrhythmia treatment, and discuss it's potential applications and the future development.

摘要

脉冲电场(PEF)消融是一种很有前景的新型心律失常治疗消融方式,尤其适用于心房颤动(AF)。在过去几年中,PEF消融取得了几项重要进展,如PEF施加参数和电极设计。几乎所有关于PEF用于AF消融的临床研究结果在有效性和安全性方面都很很乐观。本文简要概述了PEF消融在心律失常治疗中的机制和技术进展,并探讨了其潜在应用和未来发展。

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1
Pulsed electrical field in arrhythmia treatment: Current status and future directions.心律失常治疗中的脉冲电场:现状与未来方向。
Pacing Clin Electrophysiol. 2022 Oct;45(10):1255-1262. doi: 10.1111/pace.14586. Epub 2022 Sep 8.
2
Primer on Pulsed Electrical Field Ablation: Understanding the Benefits and Limitations.脉冲电场消融入门:了解其益处与局限性
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Pulsed Field Ablation: a Novel Therapeutic Tool for Catheter-Based Treatment of Atrial Fibrillation.脉冲场消融:一种用于导管消融治疗心房颤动的新型治疗工具。
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引用本文的文献

1
Efficacy and safety of a novel hexaspline pulsed field ablation system in patients with paroxysmal atrial fibrillation: the PLEASE-AF study.新型六线脉冲场消融系统治疗阵发性心房颤动的有效性和安全性:PLEASE-AF 研究。
Europace. 2024 Jul 2;26(7). doi: 10.1093/europace/euae174.
2
Application of a circular-shaped pulsed field ablation catheter with magnetic sensors for pulmonary vein isolation: a multi-centre clinical study report.圆形脉冲场消融导管联合磁传感器在肺静脉隔离中的应用:多中心临床研究报告。
Europace. 2024 Mar 30;26(4). doi: 10.1093/europace/euae068.
3
Respiratory control minimizes diaphragmatic contraction and dry cough during pulsed-field ablation of atrial fibrillation.
呼吸控制可最大限度减少脉冲场消融治疗心房颤动期间的膈神经收缩和干性咳嗽。
Europace. 2023 Dec 28;26(1). doi: 10.1093/europace/euad374.