Enriquez Andres, Velasco Alejandro, Diaz Juan Carlos, Sadek Mouhannad, Osorio Jose, Zei Paul, Romero Jorge
Division of Cardiology, Queen's University, Kingston, ON, Canada.
Division of Cardiology, Montefiore Medical Center, Bronx, NY, USA.
J Interv Card Electrophysiol. 2023 Aug;66(5):1291-1301. doi: 10.1007/s10840-023-01469-0. Epub 2023 Feb 2.
Catheter ablation is an important therapeutic strategy for patients with atrial fibrillation (AF). While some critical steps of the procedure have traditionally relied on fluoroscopy, advances in electroanatomic mapping and the growing use of intracardiac echocardiography have made non-fluoroscopic AF ablation a reality. This hands-on review provides an overview on how to perform radiofrequency ablation of AF without the use of fluoroscopy, focusing on technical aspects, new technologies, and troubleshooting.
导管消融是心房颤动（AF）患者的重要治疗策略。虽然该手术的一些关键步骤传统上依赖于荧光透视，但电解剖标测技术的进步以及心腔内超声心动图的日益广泛应用使得非荧光透视下的房颤消融成为现实。本实践综述概述了如何在不使用荧光透视的情况下进行房颤射频消融，重点介绍技术方面、新技术及故障排除。
