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在植入WATCHMAN左心耳封堵装置的患者中使用FARAPULSE脉冲场消融进行肺静脉隔离的初步经验和技术见解:日本的首例报告。

Initial experiences and technical insights of pulmonary vein isolation with FARAPULSE pulsed field ablation in patients implanted with WATCHMAN left atrial appendage closure devices: The first report in Japan.

作者信息

Chatani Ryuki, Tasaka Hiroshi, Kubo Shunsuke, Yoshino Mitsuru, Kadota Kazushige

机构信息

Department of Cardiovascular Medicine Kurashiki Central Hospital Kurashiki Japan.

出版信息

J Arrhythm. 2025 Apr 15;41(2):e70065. doi: 10.1002/joa3.70065. eCollection 2025 Apr.

DOI:10.1002/joa3.70065
PMID:40237017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11997702/
Abstract

We performed pulsed field ablation using FARAPULSE after left atrial appendage closure (LAAC). We should confirm flower configurations did not overlap with the LAAC device using intracardiac echocardiography and 3-D mapping system and without LAAC device artifacts by real-time electrograms. If overlapping, push the flower configuration deeper and tilt posteriorly to resolve.

摘要

我们在左心耳封堵术(LAAC)后使用FARAPULSE进行脉冲场消融。我们应使用心内超声心动图和三维标测系统确认花状结构未与LAAC装置重叠,并且通过实时心电图确认没有LAAC装置伪影。如果重叠,将花状结构进一步推送并向后倾斜以解决问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0731/11997702/99c89b045a4b/JOA3-41-e70065-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0731/11997702/0068e82d15f6/JOA3-41-e70065-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0731/11997702/56b86c824d64/JOA3-41-e70065-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0731/11997702/99c89b045a4b/JOA3-41-e70065-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0731/11997702/0068e82d15f6/JOA3-41-e70065-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0731/11997702/56b86c824d64/JOA3-41-e70065-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0731/11997702/99c89b045a4b/JOA3-41-e70065-g002.jpg

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1
Initial experiences and technical insights of pulmonary vein isolation with FARAPULSE pulsed field ablation in patients implanted with WATCHMAN left atrial appendage closure devices: The first report in Japan.在植入WATCHMAN左心耳封堵装置的患者中使用FARAPULSE脉冲场消融进行肺静脉隔离的初步经验和技术见解:日本的首例报告。
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本文引用的文献

1
Percutaneous left atrial appendage occluders can impair pulmonary vein isolation by pulsed field ablation.经皮左心耳封堵器可能会通过脉冲场消融损害肺静脉隔离。
Heart Rhythm. 2025 Feb 25. doi: 10.1016/j.hrthm.2025.01.047.
2
Left Atrial Appendage Closure after Ablation for Atrial Fibrillation.心房颤动消融术后左心耳封堵
N Engl J Med. 2025 Apr 3;392(13):1277-1287. doi: 10.1056/NEJMoa2408308. Epub 2024 Nov 16.
3
Safety and feasibility of atrial fibrillation ablation after left atrial appendage closure: A single-center experience of the left atrial appendage closure first strategy.
左心耳封堵术后房颤消融的安全性和可行性:左心耳封堵优先策略的单中心经验
J Arrhythm. 2024 May 23;40(4):879-890. doi: 10.1002/joa3.13073. eCollection 2024 Aug.
4
Interference from lobe-and-disk left atrial appendage occluder affecting left superior pulmonary vein pulsed field ablation.叶状和盘状左心耳封堵器产生的干扰影响左上肺静脉脉冲场消融。
Heart Rhythm. 2024 Aug;21(8):1240-1241. doi: 10.1016/j.hrthm.2024.03.1808. Epub 2024 Apr 2.
5
Catheter Ablation for Atrial Fibrillation in Patients With Watchman Left Atrial Appendage Occlusion Device: Results from a Multicenter Registry.使用Watchman左心耳封堵装置的房颤患者的导管消融:多中心注册研究结果
J Cardiovasc Electrophysiol. 2017 Feb;28(2):139-146. doi: 10.1111/jce.13148. Epub 2017 Jan 19.