心房颤动导管消融术式的进展

Cathether ablation of atrial fibrillation:recent progress

心房颤动(房颤)的主要治疗手段有抗栓法、控制心室率法、电复律法和导管消融术等,其中导管消融术的应用为房颤的治疗提供了新的方式。随着对房颤产生机制及维持机制的深入探讨,导管消融术不断完善,发展出心房内线性消融、针对肺静脉触发灶的导管消融、心房复杂碎裂电位消融、房颤转子消融等多种术式。本文综述了目前房颤导管消融术不同术式的研究进展,为临床房颤的治疗提供参考。

Antithrombotic method,ventricular rate control,electrical cardioversion and catheter ablation are the main methods for atrial fibrillation treatment.The use of catheter ablation provides a new method for atrial fibrillation treatment.With the deeper understanding of the mechanism for atrial fibrillation generation and maintaining,catheter ablation also achieved continuous developments,including atrial ablation,pulmonary vein trigger ablation,complex fractionated atrial electrogram ablation,and rotor ablation,etc.This paper reviewed the progress on different operation methods of cathether ablation for atrial fibrillation,hoping to provide new theoretical basis for treatment of atrial fibrillation.