在脉冲场切除过程中食道是否被遗留?
Antonio Di Monaco1, Antonio Fasano2, Angiolo Farina3
1Department of Cardiology, Ecclesiastical Entity Regional Generale Hospital "F. Miulli", Bari, Italy.
Pacing and clinical electrophysiology : PACE
|March 17, 2026
概括
对心房动 (AF) 的脉冲场切除 (PFA) 可能导致食道升温,挑战其组织选择性机制. 由于程序和新设备的增加,需要持续保持警.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 医疗器械 医疗器械
背景情况:
- 脉冲场移除 (PFA) 是一种用于移除心房动 (AF) 的新能源.
- PFA使用不可逆的电穿孔,理论上比传统方法提供了组织选择性.
- 人们担心潜在的热效应和附带损伤,特别是食道.
研究的目的:
- 检查PFA程序期间食道变暖的现有证据.
- 评估与PFA相关的热效应的临床相关性.
主要方法:
- 对PFA程序积累的证据的审查.
- 分析报告的食道热效应和并发症.
- 考虑程序趋势和新的导管技术.
主要成果:
- 虽然PFA具有组织选择性,但热效应是可能的,并且可能具有临床相关性.
- 到目前为止,还没有报告有重大食道并发症.
- 在PFA保证持续监测期间食道变暖.
结论:
- 关于食道安全的PFA的理论优势正在重新评估.
- 由于PFA程序数量不断增加和技术不断发展,需要提高警.
- 需要进一步的研究,以充分理解和减轻在PFA期间食道热效应的风险.
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