应用三维心腔内超声减少心房颤动经导管射频消融术围术期并发症的研究进展

Progress on Three-dimensional Intracardiac Echocardiography in Reducing Perioperative Complications during Radio-frequency Catheter Ablation for Atrial Fibrillation

经导管射频消融术是心房颤动治疗过程中转复和维持窦性心律的有效手段,而围术期并发症的控制始终是心房颤动经导管射频消融领域的研究重点之一。心腔内超声(ICE)尤其是三维ICE可引导心房颤动经导管射频消融术中房间隔穿刺、分辨左心房相关解剖结构、明确左心房有无血栓形成、早期发现心包积液等并发症。本文主要综述了应用三维ICE减少心房颤动经导管射频消融围术期并发症的研究进展。

Radio-frequency catheter ablation is one of effective measures for cardioversion and maintenance of sinus rhythm in treating atrial fibrillation,while perioperative complications control is one of research focuses during radio-frequency catheter ablation for atrial fibrillation. Intracardiac echocardiography（ ICE） especially three-dimensional ICE,can effectively guide the transseptal puncture, discriminate the left atrial structures, pinpoint the left atrial thrombosis, early detect the pericardial effusion and so on. This paper reviewed the progress on three-dimensional ICE in reducing perioperative complications during radio-frequency catheter ablation for atrial fibrillation.