Catheter Ablation of Atrial Fibrillation:Where Are We?

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摘要 Atrialfibrillation(AF)isthecommonestcardiacarrhythmia,withsignificantmorbidityandmortality.MorethanhalfofpatientswithAFarestillsymptomaticdespiteadequateanticoagulationandratecontrol.Ifantiarrhythmicdrugsareineffectiveorpoorlytolerated,AFpatientsarethentypicallytreatedwithcatheterablationtorestoresinusrhythm.Inthepast20years,AFablationhasdevelopedfromaspecialized,experimentalprocedureintoacommontreatmentinthecardiovascularfield.Variousablationtechniquesandmappingtechnologieshavebeendescribedandarecontinuingtoevolveforincreasedsafetyandefficacy.Anincompletelistofsuchtechniquesandtechnologieswouldincludefocalandsegmental,circumferentialandlinear,complexfractionatedatrialelectrogram,ganglionatedplexus,focalimpulseandrotormodulation,bodysurfacepotentialmapping–guided,real-timeMRI–guided,cryoballoon,visuallyguidedlaserballoon,radiofrequencyhotballoon,contactforcesensingcatheter,multielectrodecatheter,andhybridablations.ThisreviewexaminesthehistoryofinvasiveAFtreatmentanditsevolutionintocatheterablationbutmainlyfocusesonthediscussionofvariousablationtechniquesandtechnologiesleadingtoourcurrentunderstandingoftheablationtherapyofthismostcommonarrhythmia.
机构地区 不详
出处 《心血管创新与应用》 2017年B02期
出版日期 2017年06月25日(中国期刊网平台首次上网日期,不代表论文的发表时间)
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