Marshall韧带在心房颤动及导管消融中的作用
被引量：2
摘要
肺静脉起源的异位兴奋是触发心房颤动（房颤）的主要机制，除此之外，左心耳、左心房、冠状静脉窦、Marshall韧带（1igamentofMarshall，LOM）、右心房等非肺静脉结构也在房颤的产生和维持中起到了重要作用。自Haissaguerre采用肺静脉隔离术成功治疗房颤以来，房颤消融导管在临床得到了广泛应用。然而，单纯肺静脉隔离治疗房颤的疗效并不满意，这与非肺静脉起源病灶、传导功能恢复，心房重构以及折返环路存在等有关。采用线性消融、碎裂电位（CAFE）和／或冠状静脉窦内消融等策略能够提高房颤消融的成功率。
出处
《中华心律失常学杂志》
2012年第2期124-126,共3页
Chinese Journal of Cardiac Arrhythmias
参考文献28
-
1Lemola K, Oral H, Chugh A, et al. Pulmonary vein isolation as an end point for left atrial circumferential ablation of atrial fibrillation. J Am Coil Cardiol,2005,46 : 1060-1066.
-
2Oral H, Pappone C, Chugh A, et al. Circumferential pulmonary-vein ablation for chronic atrial fibrillation. N Engl J Med, 2006,354: 934-941.
-
3Chugh A, Oral H, Good E, et al. Catheter ablation of atypical atrial flutter and atrial tachycardia within the coronary sinus after left atri- al ablation for atrial fibrillation. J Am Coil Cardio1,2005,46:83-91.
-
4Kurotobi T, Ito H, Inoue K, et al. Marshall vein as arrhythmogenic source in patients with atrial fibrillation: correlation between its anatomy and electrophysiological findings. J Cardiovasc Electro- physio1,2006,17 : 1062-1067.
-
5Scherlag BJ, Yeh BK, Robinson MJ. Inferior interatrial pathway in the dog. Circ Res, 1972,31 : 18-35.
-
6Becker AE. Left atrial isthmus:anatomic aspects relevant for linear catheter ablation procedures in humans. J Cardiovasc Electrophysi- ol,2004,15 : 809 -812.
-
7Makino M, Inoue S, Matsuyama TA, et al. Diverse myocardial ex- tension and autonomic innervation on ligament of Marshall in hu- mans. J Cardiovasc Electrophysiol,2006 ,17 :594-599.
-
8Cabrera JA, Ho SY, Climent V, et al. The architecture of the left lateral atrial wall:a particular anatomic region with implications for ablation of atrial fibrillation. Eur Heart J ,2008,29:356-362.
-
9Ulphani JS, Arora R, Cain JH, et al. The ligament of Marshall as a parasympathetic conduit. Am J Physiol Heart Circ Physiol, 2007, 293 : 1629-1635.
-
10Doshi RN, Wu TJ, Yashima M, et al. Relation between ligament of Marshall and adrenergic atrial tachyarrhythmia. Circulation, 1999, 100:876-883.
同被引文献4
-
1刘珊,鲁志兵,余小梅,秦智亮,罗达,胡慧慧,王晓莹,马瑞松,何文博,何勃,谢菁,江洪.消融Marshall韧带远段可降低交感神经活性减轻犬急性心房电重构[J].中华心律失常学杂志,2017,21(6):509-514. 被引量：3
-
2桑才华,李梦梦,鲁志兵,龙德勇,王伟,汤日波,蒋晨曦,杜昕,董建增,马长生.持续性心房颤动2C3L联合Marshall静脉无水乙醇化学消融的初步经验[J].心肺血管病杂志,2020,39(6):650-656. 被引量：8
-
3余雯曦,熊维,何勃,桑才华,鲁志兵.无水乙醇消融Marshall韧带的方法学[J].中国心脏起搏与心电生理杂志,2021,35(1):55-57. 被引量：5
-
4罗斌,周益锋.Marshall静脉化学消融治疗持续性房颤[J].中日友好医院学报,2021,35(5):297-299. 被引量：1
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-
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-
2刘涛,刘芃,周益锋,高瑞龙,关振华,罗斌.单纯环肺静脉隔离与联合Marshall静脉化学消融对持续性心房颤动的疗效比较[J].中华心律失常学杂志,2023,27(1):15-20.
-
1金元哲,曾定尹,Stuart P Thomas,DavidL Ross.肺静脉隔离术治疗阵发性、持续性、永久性心房颤动[J].中国循环杂志,2004,19(1):71-71.
-
2金元哲,曾定尹,Stuart P Thomas,Diavid L Ross.盐水灌注消融导管与4mm温控消融导管肺静脉隔离术治疗心房颤动的比较[J].中华心律失常学杂志,2004,8(3):165-166.
-
3高振华,胡建强.阵发性心房颤动射频消融术预后的影响因素分析[J].疑难病杂志,2014,13(3):227-229. 被引量：4
-
4张景昌,钟国强.迷走神经在肺静脉起源的心房颤动中的作用研究进展[J].内科,2008,3(2):219-222.
-
5熊丹群,陈治松,徐文俊,顾剑云,胡朝晖,方宏.肺静脉隔离术对阵发性心房颤动合并慢快综合征患者窦房结功能的影响[J].国际心血管病杂志,2016,43(3):179-182. 被引量：2
-
6黄松群,蒋晨阳.心房颤动肺静脉隔离术后肺静脉狭窄的诊断和治疗[J].心电学杂志,2010(6):530-531. 被引量：4
-
7邹操,惠杰,刘明,许海侠,宋建平,陈弹,蒋彬,杨向军,蒋文平.环肺静脉隔离术对阵发性心房颤动患者左心房大小和功能的影响[J].临床心血管病杂志,2012,28(3):176-178. 被引量：1
-
8王新华,刘旭,施海峰,谭红伟,韩冰,姜伟峰,周立,杨国澍,刘玉岗,张献玲.心房颤动肺静脉电隔离术后房性早搏的三维标测和消融[J].中华心律失常学杂志,2010,14(5):388-391.
-
9胡晓亮,江竞舟,马跃东,唐安丽.P波时限预测阵发性心房颤动射频消融术后复发的价值[J].中山大学学报（医学科学版）,2016,37(2):272-276. 被引量：2
-
10张磊,刘晓健.心房颤动伴长R-R间期的临床意义[J].心电学杂志,2011,30(4):311-313. 被引量：3
