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持续性AF的导管切除 - 我们现在在哪里?

Louisa O'Neill^1,2, Benjamin De Becker¹, Maarten A J De Smet¹

¹Department of Cardiology, AZ Sint-Jan Hospital, 8000 Bruges, Belgium.

Reviews in cardiovascular medicine

|July 30, 2024

概括

对于持续性心房动 (AF) 的导管切除显示了适度的成功. 新的脉冲场切除提供了安全性和效率,有可能改善复杂的AF病例的结果.

科学领域:

心脏病学心脏病学
电子生理学电子生理学
医疗器械技术医疗器械技术

背景情况:

持续性心房动 (AF) 仍然具有挑战性,需要通过导管切除来有效治疗.
虽然切除耐久性有所改善,但持续性AF的整体成功率很低.
了解AF机制和纤维化重塑是改善治疗的关键.

研究的目的:

审查当前的战略和新兴的技术,持续AF消去.
评估先进的成像和绘图技术对临床结果的影响.
为了评估脉冲场切除在持续的AF治疗中的潜力.

主要方法:

对持续性AF的导管切除最近研究的综述.
分析心脏磁共振 (CMR) 图像和电压映射的数据.
评估新兴技术,如脉冲场剥离.

主要成果:

目前的切除映射技术仅与肺静脉隔离 (PVI) 相比,具有有限的优势.
纤维瘤区域的辅助切除在随机试验中显示了相互矛盾的结果.
脉冲场切除证明了有利的安全性和程序效率.

结论:

需要进一步的研究,以优化基质剥离,超出肺静脉脉冲场剥离的肺静脉.
了解AF机制和导管技术的进步对于更好的患者结果至关重要.
脉冲场切除有望改善持久性AF治疗,等待长期疗效数据.

关键词:

导管切除导管切除导管切除导管切除临床结果的临床结果.新的技术新的技术持续的心房动持续的心房动

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