使用单导管方法进行心房颤动的射频消融：摒弃环状电极的时候到了。 - Suppr

Radiofrequency ablation of atrial fibrillation using a single catheter approach: time to lose the halo.

作者信息

Gupta Dhiraj, Calvert Peter

机构信息

Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, UK.

Department of Cardiology, Liverpool Heart & Chest Hospital, Thomas Drive, Liverpool, L14 3PE, UK.

出版信息

J Interv Card Electrophysiol. 2023 Mar;66(2):249-252. doi: 10.1007/s10840-022-01353-3. Epub 2022 Sep 7.

DOI:10.1007/s10840-022-01353-3

PMID:36070030

Abstract

摘要

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Radiofrequency ablation of atrial fibrillation using a single catheter approach: time to lose the halo.使用单导管方法进行心房颤动的射频消融：摒弃环状电极的时候到了。

J Interv Card Electrophysiol. 2023 Mar;66(2):249-252. doi: 10.1007/s10840-022-01353-3. Epub 2022 Sep 7.

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Circ Arrhythm Electrophysiol. 2022 Apr;15(4):e010722. doi: 10.1161/CIRCEP.121.010722. Epub 2022 Mar 25.

Multi-catheter cryotherapy compared with radiofrequency ablation in long-standing persistent atrial fibrillation: a randomized clinical trial.多导管冷冻疗法与射频消融治疗长期持续性心房颤动的比较：一项随机临床试验。

Europace. 2021 Mar 8;23(3):370-379. doi: 10.1093/europace/euaa289.

Comparative effectiveness of catheter ablation devices in the treatment of atrial fibrillation: a network meta-analysis.导管消融设备治疗心房颤动的疗效比较：网状荟萃分析。

J Comp Eff Res. 2020 Jan;9(2):115-126. doi: 10.2217/cer-2019-0165. Epub 2020 Jan 8.

Lattice-Tip Focal Ablation Catheter That Toggles Between Radiofrequency and Pulsed Field Energy to Treat Atrial Fibrillation: A First-in-Human Trial.点阵尖端聚焦消融导管在射频和脉冲电场能量之间切换以治疗心房颤动：首例人体试验。

Circ Arrhythm Electrophysiol. 2020 Jun;13(6):e008718. doi: 10.1161/CIRCEP.120.008718. Epub 2020 May 8.

[Research advances in high-power and short-duration radiofrequency ablation for atrial fibrillation].[高功率短程射频消融治疗心房颤动的研究进展]

Zhonghua Xin Xue Guan Bing Za Zhi. 2021 Jun 24;49(6):628-631. doi: 10.3760/cma.j.cn112148-20210312-00219.

[Catheter ablation of atrial flutter and paroxysmal atrial fibrillation].[心房扑动与阵发性心房颤动的导管消融术]

Arch Cardiol Mex. 2003 Apr-Jun;73 Suppl 1:S88-92.

Radiofrequency Balloon Devices for Atrial Fibrillation Ablation.用于心房颤动消融的射频球囊装置

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[A case of treatment of sudden cerebral embolism during radiofrequency ablation in patients with atrial fibrillation].

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Intramural left atrial hematoma after transcatheter radiofrequency ablation of atrial fibrillation.

Kardiol Pol. 2022;80(11):1148-1149. doi: 10.33963/KP.a2022.0195. Epub 2022 Sep 10.

本文引用的文献

Interlesion distance for radiofrequency pulmonary vein isolation: the quandary between targets and limits.射频肺静脉隔离的病灶间距离：目标与限制之间的困境

Europace. 2021 May 21;23(5):815. doi: 10.1093/europace/euaa352.

A circular mapping catheter is not mandatory for isolating pulmonary veins during paroxysmal atrial fibrillation ablation with radiofrequency.在阵发性心房颤动的射频消融术中，环状标测导管并非必需，即可隔离肺静脉。

J Interv Card Electrophysiol. 2021 Nov;62(2):285-292. doi: 10.1007/s10840-020-00895-8. Epub 2020 Oct 19.

The feasibility and effectiveness of a streamlined single-catheter approach for radiofrequency atrial fibrillation ablation.

J Arrhythm. 2020 Jun 26;36(4):685-691. doi: 10.1002/joa3.12390. eCollection 2020 Aug.

Less Pulmonary Vein Reconnection at Redo Procedures Following Radiofrequency Point-by-Point Antral Pulmonary Vein Isolation With the Use of Contemporary Catheter Ablation Technologies.与使用当代导管消融技术的射频逐点环肺静脉电隔离相比，在 redo 手术中肺静脉再连接更少。

JACC Clin Electrophysiol. 2018 Dec;4(12):1556-1565. doi: 10.1016/j.jacep.2018.09.020. Epub 2018 Nov 28.

Evaluation of a Strategy Aiming to Enclose the Pulmonary Veins With Contiguous and Optimized Radiofrequency Lesions in Paroxysmal Atrial Fibrillation: A Pilot Study.评价一种旨在通过连续和优化的射频消融线来隔离肺静脉的策略在阵发性心房颤动中的应用：一项初步研究。

JACC Clin Electrophysiol. 2018 Jan;4(1):99-108. doi: 10.1016/j.jacep.2017.06.023. Epub 2017 Sep 27.

Atrial fibrillation recurrence after pulmonary vein isolation in patients with paroxysmal atrial fibrillation and the use of a pacemaker by single catheter vs. multiple catheter approach - Clinical and economic evaluation.

Hipertens Riesgo Vasc. 2018 Apr-Jun;35(2):88-92. doi: 10.1016/j.hipert.2017.05.003. Epub 2017 Jun 20.

Contact-force guided single-catheter approach for pulmonary vein isolation: Feasibility, outcomes, and cost-effectiveness.接触力引导下单导管肺静脉隔离术：可行性、结果及成本效益

Heart Rhythm. 2017 Mar;14(3):331-338. doi: 10.1016/j.hrthm.2016.12.008. Epub 2016 Dec 7.

Can sustainable hospitals help bend the health care cost curve?可持续发展的医院能否有助于控制医疗成本？

Issue Brief (Commonw Fund). 2012 Nov;29:1-14.

Circumferential pulmonary vein isolation and linear left atrial ablation as a single-catheter technique to achieve bidirectional conduction block: the pace-and-ablate approach.环形肺静脉隔离和线性左心房消融作为一种单导管技术实现双向传导阻滞：起搏-消融法。

Heart Rhythm. 2010;7(2):157-64. doi: 10.1016/j.hrthm.2009.10.003. Epub 2009 Oct 12.

Single-catheter technique for pulmonary vein antrum isolation: is it sufficient to identify and close the residual gaps without a circular mapping catheter?肺静脉前庭隔离的单导管技术：不使用环状标测导管，识别并封闭残余间隙是否足够？

J Cardiovasc Electrophysiol. 2009 Mar;20(3):273-9. doi: 10.1111/j.1540-8167.2008.01324.x. Epub 2008 Oct 13.

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Radiofrequency ablation of atrial fibrillation using a single catheter approach: time to lose the halo.

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