Nakahara Shiro, Hori Yuichi, Fukuda Reiko, Sato Hirotsugu, Aoki Hideyuki, Kondo Yuki, Kimura Yuta, Itabashi Yuji, Ishikawa Tetsuya, Kobayashi Sayuki, Taguchi Isao
Department of Cardiology, Dokkyo Medical University Saitama Medical Center, 343-8555 Koshigaya, Japan.
Rev Cardiovasc Med. 2024 Jan 22;25(1):34. doi: 10.31083/j.rcm2501034. eCollection 2024 Jan.
Balloon-based catheter ablation is a valuable option for the treatment of atrial fibrillation (AF) because contiguous lesions can be created to achieve pulmonary vein isolation (PVI), and the method is less dependent than traditional ablation methods on the operator's skill and experience. Cryoballoon ablation is used universally worldwide, with its efficacy and safety being comparable to the efficacy and safety of standard radiofrequency ablation, and the procedure can be completed in a relatively short time. Hot balloon ablation was developed in Japan. The balloon maintains its compliance even during the energy delivery, and a large areal ablation lesion is created. Furthermore, the hot balloon system is the only system for which oesophageal cooling is a standard feature. Laser balloon ablation, which is performed under direct endoscopic vision, has proven to be effective and safe for achieving a PVI. The laser balloon system provides an improved field of view and automated circumferential ablation for a rapid and effective PVI. The authors have reviewed the currently available balloon systems as used for AF ablation, i.e., PVI, and have provided detailed insight and perspectives on the currently available cryoballoon and hot balloon technologies, plus laser balloon technology.
基于球囊的导管消融术是治疗心房颤动（AF）的一种有价值的选择，因为可以形成连续的病变以实现肺静脉隔离（PVI），并且该方法比传统消融方法对操作者的技能和经验依赖性更小。冷冻球囊消融术在全球范围内广泛应用，其疗效和安全性与标准射频消融的疗效和安全性相当，并且该手术可以在相对较短的时间内完成。热球囊消融术是在日本研发的。即使在能量输送期间，球囊仍能保持其顺应性，并能形成大面积的消融病变。此外，热球囊系统是唯一具有食管冷却标准功能的系统。在内镜直视下进行的激光球囊消融术已被证明对实现PVI有效且安全。激光球囊系统提供了更好的视野和自动圆周消融，以实现快速有效的PVI。作者回顾了目前用于AF消融（即PVI）的球囊系统，并对目前可用的冷冻球囊和热球囊技术以及激光球囊技术提供了详细的见解和观点。
