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心脏病学中射频消融的全球研究进展

Global Research Progress on Radiofrequency Ablation in Cardiology.

作者信息

Elendu Chukwuka, Ogwu Nkechi P, Okatta Alexander U, Omeludike Eunice K, Ogelle Emmanuel C, Obidigbo Babajide T, Joseph Mary C, Osamuyi Emmanuella I, Ogidan Afeez O, Jingwa Klein A, Ottun Abdul-Rahaman A, Eldorghamy Mariam M F, Gurbanova Tuvakbibi, Soltan Fathy E A E, Bhadana Umesh, Nasre Vaibhav S, Yadav Cyrus P, Jaiswal Rishabh

机构信息

Federal University Teaching Hospital, Owerri, Nigeria.

Odessa National Medical University, Odessa, Ukraine.

出版信息

Ann Med Surg (Lond). 2025 Jan 31;87(2):725-747. doi: 10.1097/MS9.0000000000002858. eCollection 2025 Feb.

DOI:10.1097/MS9.0000000000002858
PMID:40110263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11918750/
Abstract

Radiofrequency ablation (RFA) has become a cornerstone in treating cardiac arrhythmias, offering a minimally invasive approach to managing conditions such as atrial fibrillation, ventricular tachycardia, and other rhythm disorders. The historical evolution of RFA, from its early inception to its current state, underscores the technological advancements that have significantly enhanced its efficacy and safety. Global trends indicate a steady increase in the adoption of RFA, with notable research contributions from North America, Europe, and Asia. Comparative studies reveal outcome variability driven by differences in patient populations, procedural techniques, and healthcare infrastructures. Despite its success, RFA faces challenges, including complications related to the procedure, patient selection, and long-term efficacy. Emerging technologies, such as integrating artificial intelligence and enhanced imaging modalities, hold promise for overcoming these barriers and further refining the procedure. Gaps in current research are identified, particularly in understanding the long-term outcomes of RFA and its application in complex arrhythmias. The critical role of RFA in modern cardiology is emphasized, along with the potential for future innovations that could expand its therapeutic utility. This synthesis of the latest evidence provides valuable insights for optimizing the use of RFA in managing cardiac arrhythmias.

摘要

射频消融术(RFA)已成为治疗心律失常的基石,为房颤、室性心动过速和其他节律紊乱等病症提供了一种微创治疗方法。从其早期诞生到当前状态,RFA的历史演进凸显了技术进步,这些进步显著提高了其疗效和安全性。全球趋势表明RFA的应用稳步增加,北美、欧洲和亚洲都有显著的研究贡献。比较研究显示,患者群体、手术技术和医疗保健基础设施的差异导致了结果的变异性。尽管取得了成功,但RFA仍面临挑战,包括与手术相关的并发症、患者选择和长期疗效。人工智能整合和增强成像模式等新兴技术有望克服这些障碍并进一步完善该手术。目前的研究存在差距,特别是在了解RFA的长期结果及其在复杂心律失常中的应用方面。强调了RFA在现代心脏病学中的关键作用,以及未来创新可能扩大其治疗效用的潜力。对最新证据的综合分析为优化RFA在心律失常管理中的应用提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/543f/11918750/cca78be2f5d9/ms9-87-0725-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/543f/11918750/968f241fefd5/ms9-87-0725-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/543f/11918750/cca78be2f5d9/ms9-87-0725-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/543f/11918750/968f241fefd5/ms9-87-0725-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/543f/11918750/cca78be2f5d9/ms9-87-0725-g002.jpg

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Int J Cardiovasc Imaging. 2024 Nov;40(11):2271-2281. doi: 10.1007/s10554-024-03218-4. Epub 2024 Aug 16.
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A meta-analysis and cost-minimization analysis of cryoballoon ablation versus radiofrequency ablation for paroxysmal atrial fibrillation.冷冻球囊消融术与射频消融术治疗阵发性心房颤动的荟萃分析及成本最小化分析
J Arrhythm. 2024 Jun 9;40(4):802-814. doi: 10.1002/joa3.13055. eCollection 2024 Aug.
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Global research progress on radiofrequency ablation in cardiology: A bibliometric analysis (2004-2023).
全球心脏病学射频消融研究进展:文献计量分析(2004-2023)。
Medicine (Baltimore). 2024 Jun 7;103(23):e38498. doi: 10.1097/MD.0000000000038498.
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Subclinical Dysfunction of Left Atrial Compliance after Cryoballoon versus Radiofrequency Ablation for Paroxysmal Atrial Fibrillation.冷冻球囊与射频消融治疗阵发性心房颤动后左心房顺应性的亚临床功能障碍
J Clin Med. 2023 Jul 28;12(15):4974. doi: 10.3390/jcm12154974.
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Value of Left Atrial Strain in Predicting Recurrence after Atrial Fibrillation Ablation.左心房应变在预测心房颤动消融术后复发中的价值。
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