[1]代丽媛 杜文娟 于波.冷冻球囊消融在持续性心房颤动治疗中的研究进展[J].心血管病学进展,2019,(7):1024-1027.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.015]
 DAI Liyuan,DU Wenjuan,YU Bo.Cryoballoon Ablation in the Treatment of Persistent Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2019,(7):1024-1027.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.015]
点击复制

冷冻球囊消融在持续性心房颤动治疗中的研究进展()
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2019年7期
页码:
1024-1027
栏目:
综述
出版日期:
2019-10-25

文章信息/Info

Title:
Cryoballoon Ablation in the Treatment of Persistent Atrial Fibrillation
作者:
代丽媛 杜文娟 于波
杜文娟 于波(哈尔滨医科大学附属第二医院心血管内科,黑龙江 哈尔滨 150000 )
Author(s):
DAI LiyuanDU WenjuanYU Bo
(Department of Cardiology, The Second Affiliated Hospital of Harbin Medical UniversityHarbin 150000, Heilongjiang, China)
关键词:
冷冻球囊消融持续性心房颤动有效性安全性复发因素
Keywords:
Cryoballoon ablationPersistent atrial fibrillationEffectiveness
DOI:
10.16806/j.cnki.issn.1004-3934.2019.07.015
摘要:
心房颤动指心房的不规则颤动,不仅引起心悸不适,还导致血栓栓塞事件、心肌梗死、心功能恶化、认知功能下降及肾功能损伤。心房颤动治疗是目前临床研究热点,特别是持续性心房颤动的消融面临众多挑战与困境。冷冻球囊消融是近年来研究较多的肺静脉隔离方案,其在阵发性心房颤动治疗中的有效性及安全性已得到了肯定。现综述最近关于冷冻球囊消融治疗持续性心房颤动的研究,对临床医师选择治疗策略有一定帮助。
Abstract:
Atrial fibrillation refers to the irregular atrial vibration, which not only causes palpitations, but also leads to thromboembolic events, myocardial infarction, deterioration of cardiac function, cognitive function decline, and renal function injury. The treatment of atrial fibrillation is a hot spot of clinical research at present and faces many challenges and difficulties, especially the ablation of persistent atrial fibrillation. Cryoballoon ablation is an extensively studied pulmonary vein isolation scheme in recent years, and its effectiveness and safety in the treatment of paroxysmal atrial fibrillation have been affirmed. Recent studies on cryoballoon ablation in the treatment of persistent atrial fibrillation are summarized in this article,which will help the clinician to select treatment options

参考文献/References:


[1]Saksena S,Slee A,Waldo AL,et al.Cardiovascular outcomes in the AFFIRM Trial (Atrial Fibrillation Follow-Up Investigation of Rhythm Management).An assessment of individual antiarrhythmic drug therapies compared with rate control with propensity score-matched analyses[J].J Am Coll Cardiol,2011,58(19): 1975-1985.

[2]Perez A,Touchette DR,Didomenico RJ,et al.Comparison of rate control versus rhythm control for management of atrial fibrillation in patients with coexisting heart failure: a cost-effectiveness analysis[J].Pharmacotherapy,2011,31(6): 552-565.

[3]Andrade JG,Dubuc M,Guerra PG,et al.The biophysics and biomechanics of cryoballoon ablation[J]. Pacing Clin Electrophysiol,2012,35(9):1162-1168.

[4]Khairy P,Dubuc M. Transcatheter cryoablation part I: preclinical experience[J]. Pacing Clin Electrophysiol,2008,31(1):112-120.

[5]Kuck KH,Brugada J,Furnkranz A,et al.Cryoballoon or radiofre-quency ablation for paroxysmal atrial fibrillation[J].N Engl J Med,2016, 374(23):2235-2245.

[6]Dubuc M,Roy D,Thibault B,et al. Transvenous catheter ice mapping and cryoablation of the atrioventricular node in dogs[J]. Pacing Clin Electrophysiol 1999,22(10):1488-1498.

[7]Khairy P,Chauvet P,Lehmann J,et al. Lower incidence of thrombus formation with cryoenergy versus radiofrequency catheter ablation[J]. Circulation,2003,107(15):2045-2050.

[8]Furnkranz A,Bordignon S,Schmidt,et al. Improved procedural efficacy of pulmonary vein isolation using the novel second-generation cryoballoon[J]. J Cardiovasc Electrophysiol,2013,24(5):492-497.

[9]刘俊,方丕华.从循证医学证据看冷冻球囊消融治疗心房颤动的临床应用[J].中国介入心脏病学杂志,2017,25(2):111-113.

[10]Thomas SP,Nunn GR,Nicholson IA,et al. Mechanism, localization

and cure of atrial arrhythmias occurring after a new intraoperativeendocardial radiofrequency ablation procedure for atrial fibrillation[J]. J Am Coll Cardiol, 2000, 35(2): 442-450.

[11]Verma A,Jiang C,Betts TR,et al. Approaches to Catheter Ablation

for Persistent Atrial Fibrillation[J]. N Engl J Med, 2015, 372(19):1812-1822.

[12]Mont L,Bisbal F,Hernández-Madrid A, et al.Catheter ablation vs. antiarrhythmic drug treatment of persistent atrial fibrillation: a multicentre, randomized, controlled trial (SARA study) [J]. Eur Heart J,2014,35(8):501-507.

[13]Omran H,Gutleben KJ,Molatta S,et al.Second generation cryoballoon ablation for persistent atrial fibrillation: an updated meta-analysis[J].Clin Res Cardiol,2018, 107(2):182-192.

[14]Shao M,Shang L,Shi J,et al.The safety and efficacy of second-generation cryoballoon ablation plus catheter ablation for persistent atrial fibrillation: A systematic review and meta-analysis[J]. PLoS One,2018,13(10):e0206362.

[15] Tondo C,Iacopino S,Pieragnoli P,et al. Pulmonary vein isolation cryoablation for patients with persistent and long-standing persistent atrial fibrillation: Clinical outcomes from the real-world multicenter observational project[J]. Heart Rhythm,2018,15(3):363-368.

[16]Yokokawa M,Chugh A,Latchamsetty R,et al.Cryoballoon antral pulmonary vein isolation vs contact force-sensing radiofrequency catheter ablation for pulmonary vein and posterior left atrial isolation in patients with persistent atrial fibrillation[J]. Heart Rhythm,2018,15(12):1835-1841.

[17] M?rtsell D,Jansson V,Malmborg H,et al.Clinical outcome of the 2nd generation cryoballoon for pulmonary vein isolation in patients with persistent atrial fibrillation - A sub-study of the randomized trial evaluating single versus dual cryoballoon applications[J]. Int J Cardiol,2019, 278(5):120-125.

[18] Akkaya E, Berkowitsch A, Zaltsberg S,et al.Second-generation cryoballoon ablation for treatment of persistent atrial fibrillation: Three-year outcome and predictors of recurrence after a single procedure[J].J Cardiovasc Electrophysiol,2018,29(1):38-34.

[19] Bhat T,Baydoun H,Asti D,et al.Major complications of cryoballoon catheter ablation for atrial fibrillation and their management[J]. Expert Rev Cardiovasc Ther,2014,12(9):1111-1118.

[20] Martins RP,Hamon D,Césari O,et al.Safety and efficacy of a second-generation cryoballoon in the ablation of paroxysmal atrial fibrillation[J]. Heart Rhythm, 2014 11(3):386-393

[21] di Giovanni G,Wauters K,Chierchia GB,et al.One-year follow-up after single procedure Cryoballoon ablation: a comparison between the first and second generation balloon[J]. J Cardiovasc Electrophysiol,2014,25(8):834-839.

[22] Andrade JG,Dubuc M,Ferreira J,et al.Histopathology of cryoballoon ablation-induced phrenic nerve injury[J].J Cardiovasc Electrophysiol,2014, 25(2):187-194.

[23] Lakhani M,Saiful F,Parikh V,et al.Recordings of diaphragmatic electromyograms during cryoballoon ablation for atrial fibrillation accurately predict phrenic nerve injury[J]. Heart Rhythm,2014,11(3):369-374.

[24] Mondésert B,Andrade JG,Khairy P,et al.Clinical experience with a novel electromyographic approach to preventing phrenic nerve injury during cryoballoon ablation in atrial fibrillation[J]. Circ Arrhythm Electrophysiol, 2014,7(4):605-611.

[25] Kenigsberg DN,Martin N,Lim HW,et al. Quantification of the cryoablation zone demarcated by pre- and postprocedural electroanatomic mapping in patients with atrial fibrillation using the 28-mm second-generation cryoballoon[J]. Heart Rhythm,2015,12(2):283-290.

[26] John RM, Kapur S, Ellenbogen KA,et al. Atrioesophageal fistula formation with cryoballoon ablation is most commonly related to the left inferior pulmonary vein[J]. Heart Rhythm,2017,14(2):184-189.

[27] Costa FM,Ferreira AM,Oliveira S,et al.P Left atrial volume is more important than the type of atrial fibrillation in predicting the long-term success of catheter ablation[J]. Int J Cardiol,2015,184(4):56-61.

[28] D’Ascenzo F,Corleto A,Biondi-Zoccai G. et al. Which are the most reliable predictors of recurrence of atrial fibrillation after transcatheter ablation?:a meta-analysis [J]. Int J Cardiol,2013,167(5): 1984-1989.

[29] Voskoboinik A,Moskovitch JT,Harel N,et al. Revisiting pulmonary vein isolation alone for persistent atrial fibrillation: A systematic review and meta-analysis[J]. Heart Rhythm,2017,14(5):661-667.

更新日期/Last Update: 2019-12-17