冷冻球囊消融治疗心房颤动围术期膈神经麻痹的认识  

Phrenic nerve paralysis during perioperation in cryoballoon ablation for atrial fibrillation

作　　者：陈英 纪佳伯 易甫 程媛媛 张磊 CHENG Ying;JI Jia-bo;YI Fu;CHENG Yuan-yuan;ZHANG Lei(Department of Cardiology,Xijing Hospital,Air Force Medical University,Xi’an 710032,Shaanxi,China)

机构地区：[1]空军军医大学附属西京医院心血管病医院

出　　处：《心脏杂志》2019年第3期331-333,342,共4页Chinese Heart Journal

摘　　要：冷冻球囊消融治疗阵发性心房颤动(房颤,AF)已被2016年欧洲心脏病学会房颤管理指南推荐为一线治疗方案,其有效性及安全性已得到证明。与射频消融相比,冷冻球囊消融具有学习曲线短、操作时间短、患者痛苦少等特点,在临床工作中逐渐得到广泛应用。但膈神经麻痹作为常见手术并发症,值得学习及积极预防。以下就冷冻球囊消融治疗AF并发膈神经麻痹的认识做系统介绍。Cryoballoon ablation for paroxysmal atrial fibrillation(AF)has been recommended as a firstline treatment by 2016 ESC Guidelines for the management of atrial fibrillation and its effectiveness and safety has been previously demonstrated.Compared with radiofrequency ablation,cryoballoon ablation possesses the characteristics of briefer learning curve,shorter operation time,and less patient suffering.As a result,cryoballoon ablation is widely accepted in clinical treatment.However,phernic nerve paralysis,the most common complication,should be well understood to minimize occurence.In this review,we present a systematic investigation of phernic nerve paralysis caused by cryoballoon ablation for paroxysmal atrial fibrillation.

关 键 词：冷冻球囊消融 心房颤动 膈神经麻痹 

分 类 号：R541.7[医药卫生—心血管疾病]