没有足够的废除与在结合废除和左心室附属物关闭后,心房的复发有关
Xueyan Ding1, Yao Zhao2, Shaohua Dong2
1Department of Cardiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 310016 Hangzhou, Zhejiang, China.
Reviews in cardiovascular medicine
|July 30, 2024
概括
在联合导管切除和左心房附属体关闭过程中缺少切除会增加心房的复发率. 纠正切除间隙显著减少了复发,突出显示了足够的肺静脉 antrum 切除的重要性.
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 医疗器械
背景情况:
- 结合导管切除 (CA) 和左心房尾关闭 (LAAC) 是对心房的治疗方法.
- 人们担心LAAC可能会增加AF复发风险.
- 这项研究探讨了废除质量对AF复发后混合程序的影响.
研究的目的:
- 研究CA和LAAC结合后,缺少废除对AF复发的影响.
- 为了确定纠正切除差距是否会影响AF复发率.
主要方法:
- 对107名接受联合CA和LAAC (组合组) 的患者进行了回顾性审查.
- 倾向性得分匹配与仅接受CA治疗的107名患者 (切除组) 相比.
- 预计107名患者在纠正废除不足后被招募,并使用监测设备和心声回声仪进行随访.
主要成果:
- 结合组在540天内显示出较高的AF复发率 (29.9%) 与去除组 (15.9%) 相比.
- 在CA之后添加LAAC时,程序的持续时间没有显著增加.
- 纠正不充分的切除导致AF复发在420天内显著减少.
结论:
- 在混合CA和LAAC手术后,缺少切除是AF复发的一个重要因素.
- 蓄意纠正切除间隙,特别是在肺静脉中,至关重要.
- 优化除技术可以改善接受联合AF治疗的患者的结果.
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