脉冲场消融作为一线治疗方法，通过起搏器记录减少房颤负担。
Pulsed field ablation as first-line treatment to reduce atrial fibrillation burden documented by pacemaker.
机构信息
Cardioangiologisches Centrum Bethanien (CCB), Frankfurt, Academy For Arrhythmias (FAFA), Kardiologie, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe-Universität Frankfurt am Main, Frankfurt am Main, Germany.
Die Sektion Medizin, Universität zu Lübeck, Lübeck, Germany.
出版信息
Pacing Clin Electrophysiol. 2023 May;46(5):414-418. doi: 10.1111/pace.14629. Epub 2022 Dec 5.
Pulsed field ablation (PFA) using high-voltage electrical energy is a novel and powerful ablation modality. However, PFA as a first-line rhythm control in atrial fibrillation (AF) has been rarely described; whether PFA interacts with the pacemaker (PM) has been seldom reported. We reported PFA of AF in a patient with PM who needed effective rhythm control. Pulmonary vein isolation (PVI) was successfully performed without complication, and the procedure was extremely fast (skin-to-skin 25 min.) with short fluoroscopic time (3.9 min). PFA had no influence on the PM function. Six months' follow-up showed good clinical outcome and significantly decreased AF burden.
脉冲场消融（PFA）使用高压电能，是一种新颖且强大的消融方式。然而，PFA 作为心房颤动（AF）的一线节律控制手段很少被描述；PFA 是否与起搏器（PM）相互作用也很少被报道。我们报告了一例 PM 患者的 AF 的 PFA 治疗，该患者需要有效的节律控制。PVI 成功完成，无并发症，手术过程非常迅速（皮肤到皮肤 25 分钟），透视时间短（3.9 分钟）。PFA 对 PM 功能没有影响。6 个月的随访显示出良好的临床结果，并显著降低了 AF 负担。
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