脉冲场切除用于治疗心房的八分生子
Hiroshi Miyama1, Sean McCoy1, Matthew C Lam1
1Department of Medicine, Division of Cardiology, Weill Cornell Medicine, New York, New York, USA.
Journal of cardiovascular electrophysiology
|January 13, 2026
概括
脉冲场切除 (PFA) 是安全和有效的八十岁的人与心房动 (AF). 这项研究发现,老年患者的复发率与复发率相似,并没有并发症,突出了PFA.
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:
- 心房动 (AF) 在老年人群中越来越普遍,并患有并发症.
- 在老年患者中评估导管切除的安全性和有效性至关重要.
- 脉冲场切除 (PFA) 是一种新兴的AF治疗技术.
研究的目的:
- 为了评估使用PFA对AF进行导管切除的八十岁人群的结果.
- 为了比较PFA的安全性和有效性,八十多岁的患者与年轻的患者.
主要方法:
- 对接受PFA的698名AF患者的回顾性分析.
- 分为两组:八十岁以上 (≥80岁) 和更年轻 (<80岁).
- 基线特征,手术数据,并发症率和心律失常复发率的比较.
主要成果:
- 124名八十岁 (18%) 患者的并发病率更高,并接受了更广泛的切除.
- 手术时间,导管停留时间和光镜时间在各组之间是相似的.
- 八十多岁的人没有并发症,而年轻人则有9例 (p=0.16);心房律乱复发率相似 (p=0.80).
结论:
- 在八十岁的年轻人中,PFA表现出高度安全的特征.
- 在老年患者的AF治疗中,PFA是有效的,即使基线风险更高.
- 这项研究支持PFA作为老年AF患者的可行选择.
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