University of Rzeszów and Clinical Electrophysiology, St. Joseph's Heart Rhythm Center, Anny Jagiellonki 17, Rzeszów 35-623, Poland.
Cardiac Arrhythmia Service, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Europace. 2024 Nov 1;26(11). doi: 10.1093/europace/euae285.
Safe and efficient radiofrequency catheter ablation depends significantly on the proper placement of dispersive patch electrodes (DPEs), on the skin. This viewpoint describes the role of DPE positioning in optimizing lesion creation and reducing the risk of complications. Incorrect DPE placement can lead to suboptimal energy delivery, prolonging the procedure and/or increasing the risk of adverse events, such as steam pops and potentially fatal atrio-oesophageal fistula. Despite its importance, there is no consensus on the optimal positioning of DPE, and current studies require further improvement in predictive modelling.
安全有效的射频导管消融术在很大程度上取决于在皮肤上正确放置弥散电极贴片（DPE）。本观点描述了 DPE 定位在优化病变形成和降低并发症风险方面的作用。不正确的 DPE 放置会导致能量传递不理想，延长手术时间和/或增加不良事件的风险，如蒸汽弹出和潜在致命的房室-食管瘘。尽管其重要性，目前对于 DPE 的最佳放置位置尚无共识，并且当前的研究需要在预测建模方面进一步改进。
