超高功率短持续时间90W/4秒（vHPSD）与vHPSD联合消融指数引导的50W消融（混合）方法用于肺静脉隔离治疗心房颤动：我们找到了最佳的射频方案吗？ - Suppr

Very high-power short duration 90 W/4 s (vHPSD) vs. vHPSD-combined ablation index-guided 50W ablation (hybrid) approach for pulmonary vein isolation in treating atrial fibrillation: have we found the best radiofrequency recipe?

作者信息

Chen Shaojie

机构信息

Rhythmology/Electrophysiology, Department of Internal Medicine B (Cardiology, Angiology, Pneumology and Internal Intensive Care Medicine), University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.

出版信息

J Interv Card Electrophysiol. 2024 Oct;67(7):1483-1485. doi: 10.1007/s10840-024-01880-1. Epub 2024 Aug 2.

DOI:10.1007/s10840-024-01880-1

PMID:39093489

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11522035/

Abstract

摘要

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e7/11522035/9160f4e0c31b/10840_2024_1880_Fig1_HTML.jpg

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Very high-power short duration 90 W/4 s (vHPSD) vs. vHPSD-combined ablation index-guided 50W ablation (hybrid) approach for pulmonary vein isolation in treating atrial fibrillation: have we found the best radiofrequency recipe?超高功率短持续时间90W/4秒（vHPSD）与vHPSD联合消融指数引导的50W消融（混合）方法用于肺静脉隔离治疗心房颤动：我们找到了最佳的射频方案吗？

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本文引用的文献

Comparison of very-high power short duration radiofrequency ablation strategies for pulmonary vein isolation in paroxysmal atrial fibrillation.阵发性心房颤动肺静脉隔离中超高功率短程射频消融策略的比较

J Interv Card Electrophysiol. 2024 Oct;67(7):1675-1677. doi: 10.1007/s10840-024-01856-1. Epub 2024 Jul 2.

Very High-Power Ablation for Contiguous Pulmonary Vein Isolation: Results From the Randomized POWER PLUS Trial.连续性肺静脉隔离的超高功率消融：随机POWER PLUS试验结果

JACC Clin Electrophysiol. 2023 Apr;9(4):511-522. doi: 10.1016/j.jacep.2022.10.039. Epub 2023 Jan 18.

Low-energy (360 J) radiofrequency catheter ablation using moderate power - short duration: proof of concept based on in silico modeling.采用中低功率（360J）短时间射频导管消融术：基于计算机模拟的概念验证。

J Interv Card Electrophysiol. 2023 Aug;66(5):1085-1093. doi: 10.1007/s10840-022-01292-z. Epub 2022 Jul 7.

Temperature-controlled high-power short-duration ablation with 90 W for 4 s: outcome, safety, biophysical characteristics and cranial MRI findings in patients undergoing pulmonary vein isolation.温度控制的大功率短时间消融术，功率 90W，时间 4s：肺静脉隔离术患者的治疗效果、安全性、生物物理特性和头颅 MRI 结果。

J Interv Card Electrophysiol. 2022 Nov;65(2):491-497. doi: 10.1007/s10840-022-01146-8. Epub 2022 Jun 24.

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Europace. 2021 Dec 7;23(12):1950-1960. doi: 10.1093/europace/euab185.

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Circ Arrhythm Electrophysiol. 2021 Jul;14(7):e009899. doi: 10.1161/CIRCEP.121.009899. Epub 2021 Jun 17.

Cryoballoon or Radiofrequency Ablation for Atrial Fibrillation Assessed by Continuous Monitoring: A Randomized Clinical Trial.连续监测评估的冷冻球囊或射频消融治疗心房颤动：一项随机临床试验。

Circulation. 2019 Nov 26;140(22):1779-1788. doi: 10.1161/CIRCULATIONAHA.119.042622. Epub 2019 Oct 21.

Ablation index-guided 50 W ablation for pulmonary vein isolation in patients with atrial fibrillation: Procedural data, lesion analysis, and initial results from the FAFA AI High Power Study.消融指数指导下 50W 消融治疗心房颤动患者肺静脉隔离: 来自 FAFA AI 高功率研究的程序数据、病变分析和初步结果。

J Cardiovasc Electrophysiol. 2019 Dec;30(12):2724-2731. doi: 10.1111/jce.14219. Epub 2019 Oct 13.

Rhythm control for patients with atrial fibrillation complicated with heart failure in the contemporary era of catheter ablation: a stratified pooled analysis of randomized data.当代导管消融时代房颤合并心力衰竭患者的节律控制：随机数据的分层汇总分析

Eur Heart J. 2020 Aug 7;41(30):2863-2873. doi: 10.1093/eurheartj/ehz443.

Impact of Cryoballoon Freeze Duration on Long-Term Durability of Pulmonary Vein Isolation: ICE Re-Map Study.冷冻球囊消融时间对肺静脉隔离长期耐久性的影响：ICE Re-Map 研究。

JACC Clin Electrophysiol. 2019 May;5(5):551-559. doi: 10.1016/j.jacep.2019.03.012.

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Very high-power short duration 90 W/4 s (vHPSD) vs. vHPSD-combined ablation index-guided 50W ablation (hybrid) approach for pulmonary vein isolation in treating atrial fibrillation: have we found the best radiofrequency recipe?

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