| 心房颤动导管消融的现状与前景 |
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| 引用本文： | 曹克将,陈新.心房颤动导管消融的现状与前景[J].中华心律失常学杂志,2003,13(1):167-169. |
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| 作者姓名： | 曹克将 陈新 |
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| 作者单位： | 南京医科大学第一附属医院心脏科,210029;中国医学科学院,心血管病研究所,北京协和医学院,阜外心血管病医院心律失常诊治中心; |
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| 摘 要： | 经过电生理工作者多年的艰辛探索与不懈努力,在Haissaguerre等1]的具有里程碑式的发现基础上,肺静脉兴奋灶触发的阵发性心房颤动(房颤)导管消融模式已逐渐趋于成熟.从最初的点状消融,到节段性肺静脉隔离,以致近年来世界多数心脏中心认可并采用的主流消融术式之一的环肺静脉口外线性消融,其治疗成功率逐步提高.
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Catheter ablation of atrial fibrillation:present and future |
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| Abstract: | Atrial fibrillation (AF) is a common arrhythmia associated with significant morbidity and mortali-ty. In 1998, Haissaguerre and his colleagues described focal firing as an important source of ectopic beats, which could lead to AF. Further studies propelled the evolution of the technique to the circumferential isolation of the pul-monary vein (CIPV), which has since become the cornerstone of curative paroxysmal AF with a higher success rate. There is a debate about the strategy of catheter ablation for long-standing persistent or permanent AF. Differ-ent catheter strategies, for example, CIPV, CIPV + additional linear ablations, and CFAE (complex fractionated at-rial eleetrograms), which have different success rate. Catheter ablation of AF is mushroom growth in China. The success rate of AF is similar with overseas centers, which was testified by the 2007 register study of AF catheter ab-lation in China. Catheter ablation of AF must have bright future with deeply ascertainment the mechanism of AF. |
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| Keywords: | Atrial fibrillationCatheter ablationPresentFuture |
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