相关实验视频

Updated: May 12, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

前庭动导管切除与手术切除治疗 (FAST):一个双中心随机临床试验

Lucas V A Boersma¹, Manuel Castella, Wimjan van Boven

¹Cardiology Department, St. Antonius Hospital, PO 2500, Nieuwegein, Netherlands. l.boersma@antoniusziekenhuis.nl

|November 16, 2011

概括

外科切除 (SA) 比导管切除 (CA) 更有效治疗抗药性心房动,实现更好的心律失常. 然而,SA与CA相比,具有更高的程序并发症风险.

科学领域:

心脏病学心脏病学
电子生理学电子生理学
最少侵入性的手术

背景情况:

导管切除 (CA) 和微创手术切除 (SA) 是药物耐药心房的已知疗法.
这项研究提出了第一个随机临床试验,比较CA和SA的疗效和安全性.

研究的目的:

为了比较导管切除 (CA) 与最小侵入性手术切除 (SA) 的疗效和安全性,在患有抗药性心房的患者中.
为了评估没有左心房律乱的速度和12个月后不良事件的发生率.

主要方法:

一项随机临床试验,涉及124名患有抗心律失常药物耐药性心房的患者.
患者被随机分配到CA (n=63) 或SA (n=61).
随访包括6个月和12个月的ECG和7天的霍尔特记录.

主要成果:

手术切除 (SA) 在12个月后 (P=0.0022) 与导管切除 (CA) (36.5%) 相比,实现了显著更高的左心房失常率 (65.6%).
显著不良事件的发生率在SA组 (34.4%) 高于CA组 (15.9%) (P=0.027).
在SA中出现的不良事件包括肺胸,严重出血和起器需求.

结论:

在特定患者群体中,微创性外科切除 (SA) 优于导管切除 (CA) 在实现长期摆脱心房动方面.
尽管SA的疗效优越,但与CA相比,SA与程序并发症的发生率明显高.

更多相关视频

Robotic Ablation of Atrial Fibrillation

Robotic Ablation of Atrial Fibrillation

Published on: May 29, 2015

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Published on: May 26, 2015

相关概念视频

Cardiac Catheterization II: Right Heart Catheterization

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...

Dysrhythmias VI: Management of Dysrhythmias

Dysrhythmias VI: Management of Dysrhythmias

Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...

ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias

ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias

Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...