传统的脉冲场除与非集成的三维映射的脉冲场除对抗 Paroxysmal 和持久心房动除的脉冲场除
Roberto Rordorf1,2, Stefano Bianchi3, Antonio Dello Russo4,5
1IRCCS Fondazione Policlinico S. Matteo, Pavia, Italy. r.rordorf@smatteo.pv.it.
概括
将3D绘图系统集成到心房动 (AF) 的脉冲场切除 (PFA) 中并没有改善长期结果. 这项研究发现,在使用3D绘图与标准方法时,AF复发率没有显著差异.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗技术 医疗技术 医学技术
背景情况:
- 脉冲场移除 (PFA) 是一种新兴的心房的治疗方法.
- 关于3D绘图系统对PFA效率,有效性和安全性的影响,数据有限.
- 了解这些因素对于优化PFA程序至关重要.
研究的目的:
- 评估非集成的3D绘图系统对AF治疗的PFA结果的影响.
- 为了比较使用3D映射 (MAP) 与标准 (STD) 方法的程序.
- 评估对临床成功和程序指标的影响.
主要方法:
- 一项多中心研究包括1804名连续接受FARAPULSE系统PFA的患者.
- 患者根据使用3D绘图系统 (MAP) 与标准 (STD) 方法进行了分层.
- 分析了结果,比较了两个程序方法.
主要成果:
- 与性传播疾病相比,MAP程序与较长的皮肤与皮肤接触时间,阴道实验室利用率和光镜时间有关.
- 在MAP和STD组之间,在各种患者亚组中没有观察到MAP和STD组之间长期无AF/心房动心的显著差异.
- 在MAP组中,在持续性AF患者中,经历了额外的病变组移除 (83.7%与70.3%) 的持续性AF患者中,观察到更高的非复发性心律失常率.
- 发生了三种主要并发症,所有这些都在性病组中.
结论:
- 非集成的3D映射系统并没有显著提高PFA的长期成功率,仅用于帕洛西斯马性AF或PVI手术.
- 虽然3D绘图并不能改善整体成功,但在特定的患者子集中可能会带来好处,例如持久性AF与额外的损伤集.
- 需要进一步的研究,以充分阐明PFA治疗中3D映射的作用和最佳整合.
相关概念视频
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