Chun Kyoung-Ryul Julian, Rolf Sascha
Medizinische Klinik III, Kardiologie, Cardioangiologisches Centrum Bethanien, CCB am Markuskrankenhaus, Wilhelm Epstein Str. 4, 60431, Frankfurt, Deutschland.
Klinik für Innere Medizin - Kardiologie, DRK Kliniken Berlin Westend, Spandauer Damm 130, 14050, Berlin, Deutschland.
Herzschrittmacherther Elektrophysiol. 2024 Dec;35(4):268-273. doi: 10.1007/s00399-024-01044-8. Epub 2024 Sep 27.
Pulmonary vein isolation (PVI) is currently the gold standard for the ablation of atrial fibrillation (AF). Although this procedure shows good success rates, the recurrence rates after PVI alone are significantly higher in advanced AF and in the presence of comorbidities. Therefore, it is important to consider additional arrhythmogenic mechanisms outside the pulmonary veins, depending on the individual case, in order to improve the patients' outcome.
肺静脉隔离（PVI）目前是房颤（AF）消融的金标准。尽管该手术成功率较高，但在晚期房颤和存在合并症的情况下，单纯肺静脉隔离后的复发率显著更高。因此，根据个体情况考虑肺静脉以外的其他致心律失常机制，对于改善患者预后很重要。
