全球首例外科途径脉冲电场消融技术治疗心房颤动

Pulsed field surgical ablation treatment for atrial fibrillation:The first case report

心房颤动(房颤)是临床常见的心律失常,目前临床上成熟的房颤消融能源主要包括射频消融和冷冻消融。近年来,具有组织特异性的新型消融方式—脉冲电场消融逐渐应用于临床。本文介绍了全球首例房颤患者接受经外科途径脉冲电场消融治疗的诊治经过,患者同期接受瓣膜与冠状动脉的外科干预,术中复律后呈窦性心律。1、3个月后复查24 h动态心电图均未见房颤,患者症状、心功能及生活质量明显改善。

Atrial fibrillation is a common clinical arrhythmia with a high incidence.The main clinical treatment methods for atrial fibrillation at present include radiofrequency catheter ablation and cryoablation.In recent years,pulsed field ablation,a new energy source with tissue specificity,is gradually being used in clinical practice.This article presents the world's first case of atrial fibrillation treated with pulsed field surgical ablation,in which the patient underwent surgical intervention of the valves and coronary arteries at the same time and recovered to sinus rhythm intraoperatively.24 hour-Holter electrocardiogram after 1 month and 3 months showed no atrial fibrillation.The patient’s symptoms,cardiac function,and quality of life improved significantly.