心房颤动射频消融的术式演变

Evolution of Radiofrequency Ablation of Atrial Fibrillation

心房颤动的治疗目前主要有抗栓、控制心室率、电复律以及导管射频消融等,仅有导管射频消融为治愈心房颤动提供了可能,从最初的法国波尔多中心尝试性运用点消融至今已有数十个年头,随着对心房颤动机制的深入研究,消融术式得到了极大的发展,期间提出了多种心房颤动的产生及维持机制,但临床上对心房颤动,尤其是持续性的消融仍远未达到满意的疗效,通过对不同术式的研究并取长补短,一定程度上可提高消融成功率。

The main treatment of atrial fibrillation is muhi-faceted. It involves antithrombotic, ventrieular rate control, electrical car- dio-version, radiofrequency catheter ablation and much more. Only radiofrequency catheter ablation offers the possibility to cure atrial fibrillation. The Bordeaux, France, initial center point ablation has been used for many years, and coincided with the in-depth study of the mech- anism of atrial fibrillation. As such ablation style, proposed mechanisms to produce and how to maintain a variety of atrial fibrillation during atrial fibrillation has been greatly developed. However clinically, especially sustained atrial fibrillation ablation is still far from providing sat- isfactory results. Through the study of different surgical procedures that can learn from each other, the success rate of ablation can be improved to a certain extent.