慢性心房颤动的导管射频消融:路在何方?
被引量:1
摘要
心房颤动(简称房颤)是临床最常见的心律失常之一,其中尤以慢性房颤多见,且其并发症发生率高,预后差。而对于慢性房颤的导管射频消融治疗,以往采取的单纯隔离肺静脉却始终无法达到与阵发性房颤相近的成功率,新的针对慢性房颤的消融术式有解剖消融和电位指导的分步消融法,虽可提高消融的成功率,但却带来了风险、成本的增高以及相应并发症的增多。消融治疗慢性房颤的方法还有待探讨。
出处
《中国心脏起搏与心电生理杂志》
2007年第2期105-107,共3页
Chinese Journal of Cardiac Pacing and Electrophysiology
参考文献28
-
1Levy S, Maarek M, Coumel P, et al. Characterization of different subsets of atrial fibrillation in general practice in France: the ALFA study [J]. Circulation, 1999, 99:3 028.
-
2Al-Khatib SM, Wilkinson WE, Sanders LL, et al. Observations on the transition from intermittent to permanent atrial fibrillation [ J ]. Am Heart J, 2000, 140:142.
-
3Humphries KH, Kerr CR, Connolly SJ, et al. New-onset atrial fibrillation: sex differences in presentation, treatment, and outcome [J]. Circulation, 2001, 103:2 365.
-
4Haissaguerre M, Shah DC, Jais P, et al. Electrophysiological breakthroughs from the left atrium to the pulmonary veins [ J ]. Circulation, 2000, 102:2 463.
-
5Oral H, Knight BP, Tada H, et al. Pulmonary vein isolation for paroxysmal and persistent atrial fibrillation [ J ]. Circulation, 2002, 105:1 077.
-
6Haissaguerre M, Jais P, Shah DC, et al. Right and left atrial radiofrequency catheter therapy of paroxysmal atrial fibrillation [ J ]. J Cardiovasc Electrophysiol, 1996, 7:1 132.
-
7Jais P, Haissaguerre M, Shah DC, et al. A focal source of atrial fibrillation treated by discrete radiofrequency ablation [ J ]. Circulation, 1997, 95:572.
-
8Haissaguerre M, Jais P, Shah DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins [J]. N Engl J Med, 1998, 339:659.
-
9Pappone C, Santinelli V. The who, what, why, and how-to guide for circumferential pulmonary vein ablation [J]. J Cardiovasc Electrophysiol, 2004, 15:1 226.
-
10Morrilo CA, Klein GJ, Jones DL, et al. Chronic rapid atrial pacin. Structural, functional, and electrophysiology characteristics of a new model of sustained atrial fibrillation [J]. Circulation, 1995,91:1 588.
同被引文献9
-
1Pappone C,Oreto G,Rosanio S,et al.Atrial electroanatomic remodeling after circumferential radiofrequency pulmonary vein ablation:efficacy of an anatomic approach in a large cohort of patients with atrial fibrillation[J] Circulation, 2001,104(21):2539 N 2544.
-
2Pappone C,Santinelli V.Atrial fibrillation ablation:state of the art[J].Am J Cardiol,2005,96(12A):59L - 64L.
-
3Pappone C,Augello G,Sala S,et al.A randomized trial of circumferential pulmonary vein ablation versus antiarrhythmic drug therapy in paroxysmal atrial fibrillation:the APAF Study[J].J Am Coil Cardiol,2006, 48(11):2340 - 2347.
-
4Kottkamp H,Tanner H,Kobza R,et al.Time courses and quantitative analysis of atrial fibrillation episode number and duration after circular plus linear left atrial lesions: trigger elimination or substrate modification:early or delayed cure?[J].J Am Coll Cardiol,2004,44(4):869 - 877.
-
5Hafssaguerre M,Hocini M,Sanders P, et al.Catheter ablation of long-lasting persistent atrial fibrillation:clinical outcome and mechanisms of subsequent arrhythmias[J].J Cardiovasc Electrophysiol,2005,16(11):1138- 1147.
-
6Ouyang F, Ernst S,Chun J,et al.Electrophysiological findings during ablation of persistent atrial fibrillation with electroanatomic mapping and double Lasso catheter technique[J].Circulation,2005,112(20):3038 - 3048.
-
7Ouyang F,B-nsch D,Ernst S,et al.Complete isolation of left atrium surrounding the pulmonary veins:new insights from the double-Lasso technique in paroxysmal atrial fibrillation[J].Circulation,2004,110(15):2090 - 2096.
-
8Pappone C, Santinelli V.The who,what,why, and how-to guide for circumferential pulmonary vein ablation[J].J Cardiovasc Electrophysiol,2004,15 (10): 1226 - 1230.
-
9Pappone C,Oreto G,Lamberti F, et al.Catheter ablation of paroxysmal atrial fibrillation using a 3D mapping system[J]. Circulation,1999,100(11):1203 - 1208.
-
1非典防治诊断 路在何方[J].山东卫生,2003(5):38-39.
-
2凌茜雯,章丹,胡延斌,宋莉萍.三问心脏支架[J].名医,2012(12):21-22.
-
3吉梅,王伟立.糖尿病足病患者,路在何方[J].糖尿病之友,2015,0(5):14-20.
-
4罗惠兰,卢才义,毛树林.试消融法与消融法治疗室上速效果对比[J].人民军医,1999,42(6):334-335.
-
5陈群连,罗萍.导管射频消融治疗心房颤动的护理及并发症的处理[J].实用临床医学(江西),2011,12(5):108-109.
-
6汪国华,江丽.导管射频消融治疗室性早搏的临床护理[J].世界中医药,2015,10(A01):247-248.
-
7洪昭光.面对一亿患者, 敢问路在何方?[J].药物与人,2001,14(7):18-19.
-
8蒋雄京,董徽.SYMPLICITY HTN-3后时代,经皮导管消融去肾交感神经术治疗顽固性高血压路在何方?[J].中国介入心脏病学杂志,2014,22(11):727-728. 被引量:3
-
9程群,孙娟,娄崇丽,程宇.导管射频消融治疗室性早搏的临床护理[J].中国医药指南,2010,8(24):155-156. 被引量:1
-
10蒋晨阳.心房颤动射频导管消融后的房性心动过速[J].心电学杂志,2009(3):208-210.