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脉冲场废除与射频废除后的当日排放的安全性:比较分析:一项比较分析

Adele Watfa¹, Arwa Younis¹, Mohamad Mdaihly¹

¹Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio, USA.

Pacing and clinical electrophysiology : PACE

|July 31, 2025

概括

同一天排泄 (SDD) 对于接受脉冲场切除 (PFA) 和射频切除 (RFA) 对于心房动 (AF) 的患者是安全的. 与RFA相比,PFA的采用率更高,这表明SDD的使用越来越多.

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:

同日出院 (SDD) 正在获得管切除手术的吸引力,以提高患者的便利性和降低医疗保健成本.
虽然已确定用于射频切除 (RFA),但缺乏关于SDD的数据,以脉冲场切除 (PFA) 为心房动 (AF).

研究的目的:

评估在为AF接受PFA的患者中SDD的安全性和结果.
为了比较PFA和RFA程序之间的SDD实践模式和并发症率.

主要方法:

一项前性注册研究将连续接受PFA (n=955) 的患者与在2023年3月至10月期间接受AF的RFA (n=1072) 患者进行了比较.
关键结局包括大和小并发症,30天再入院和全因死亡率,特别关注血管并发症,中风,TIA和心周溢血.

主要成果:

在21%的PFA患者和11.8%的RFA患者中使用了SDD.
在SDD组中,无论是PFA还是RFA,都没有报告任何重大并发症或死亡.
在SDD组之间,再录取率相似 (1.4%的PFA与2.4%的RFA). 在PFA患者中,较低的CHA2DS2-VASc得分预测了SDD.

结论:

同一天出院是AF患者PFA和RFA手术的安全和可行的策略.
与RFA相比,SDD的采用正在增加,在PFA队列中观察到的比率更高.

关键词:

心房动是心房动的一种.发生并发症,并发症.程序安全的过程安全.脉冲场消去法是一种脉冲场消去法.无线电频率剥离方式同一天的免责令.

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