心房颤动导管消融术的创新和策略转变

Innovations and Paradigm Shifts in Atrial Fibrillation Ablation

心房颤动的治疗在过去几十年中发生了巨大的变化,尤其是在非药物治疗方面取得了重要进展,导管消融术正逐步成为心房颤动患者的一线治疗方案。肺静脉隔离是导管消融的基石,但由于肺静脉隔离不完全和其他非肺静脉触发灶等因素,通常需再次行导管消融术,因此还需进一步开发消融设备,改进消融策略。现概述心房颤动导管消融术的发展,介绍最新技术以及临床研究和未来发展方向。

Treatment of atrial fibrillation has seen dramatic breakthroughs in the past decades,especially in the field of non-pharmacological treatment.In order to have a better rhythm control,catheter ablation has gradually become the first-line therapy for patients with atrial fibrillation.Pulmonary vein isolation is the cornerstone of catheter ablation.However,re-do procedures are often necessary due to incomplete pulmonary vein isolation and non-pulmonary vein triggers.Therefore,there is further need for developing ablation tools and strategies that reproducibly isolate the pulmonary vein transmurally.In this review,we will summarize the development of catheter ablation in atrial fibrillation,and introduce the latest technologies,clinical researches and future endeavours.