[1]潘维,综述,殷跃辉,等.冷冻球囊消融术与射频消融术治疗阵发性心房颤动的比较[J].心血管病学进展,2016,(4):345-349.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.005]
 PAN Wei,YIN Yuehui.Cryoballoon Versus Radiofrequency Ablation for Paroxysmal Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2016,(4):345-349.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.005]
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冷冻球囊消融术与射频消融术治疗阵发性心房颤动的比较()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2016年4期
页码:
345-349
栏目:
主题综述
出版日期:
2016-08-15

文章信息/Info

Title:
Cryoballoon Versus Radiofrequency Ablation for Paroxysmal Atrial Fibrillation
作者:
潘维综述殷跃辉审校
重庆医科大学附属第二医院心血管内科,重庆 400000
Author(s):
PAN WeiYIN Yuehui
Department of Cardiology,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400000,China
关键词:
阵发性心房颤动 冷冻消融 射频消融 肺静脉隔离
Keywords:
Paroxysmal atrial fibrillation Cryoballoon ablation Radiofrequency ablation
分类号:
R54
DOI:
10.16806/j.cnki.issn.1004-3934.2016.04.005
文献标志码:
A
摘要:
心房颤动(Af)是常见的心律失常之一。中国目前是世界上第一Af患病大国,Af患者达800万,并且这一数据随着中国人口老龄化逐年增加。射频消融术治疗阵发性Af成功率高、疗效确切,因而在临床上得到广泛应用; 但其消融过程复杂,术中患者疼痛感明显。相较而言,冷冻球囊消融术成功率高、手术时间短、患者痛苦小,因此成为阵发性Af的新治疗方法; 但也存在对肺静脉解剖结构要求较高、辐射暴露较多以及膈神经麻痹等缺点。现以近期相关文献为基础,对射频消融和冷冻球囊消融治疗原理、操作难度以及疗效做一综述,通过比较射频消融和冷冻球囊消融治疗阵发性Af的优劣,为临床医师提供参考意见。
Abstract:
Atrial fibrillation is the most common cardiac arrhythmia. Nowadays, China has the largest population of patients with atrial fibrillation, more than 8 million, and the data on this topic has correspondingly increased every year with the aging population. The successful rate and curative effect of catheter ablation has already been confirmed in patients with paroxysmal atrial fibrillation. However, obvious pain and complicated operation procedure are also found in radiofrequency ablation. Compared with radiofrequency ablation, cryoballoon ablation is a novel therapeutic method for paroxysmal atrial fibrillation due to its high successful rate, short operation time and reduced patient pain. Nevertheless, disadvantages such as strict anatomy requirements of the pulmonary vein, unnecessary radiation exposure and phrenic nerve paralysis also exist in cryoballoon ablation. In this paper we reviewed the mechanism, operation difficulty and curative effect between catheter ablation and cryoballoon ablation based on recent research in order to provide guidance for clinical practice through comparing catheter ablation and cryoballoon ablation in the treatment of paroxysmal atrial fibrillation.

参考文献/References:

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备注/Memo

备注/Memo:
作者简介:潘维(1991—),住院医师,硕士,主要从事心房颤动研究。Email:pivi1991@126.com 通信作者:殷跃辉(1963—),主任医师,教授,博士生导师,主要从事心律失常治疗的研究。Email:yinyh63@163.com
更新日期/Last Update: 2016-07-25