基于环肺静脉隔离的心房颤动导管消融策略选择治疗进展  

Catheter Ablation Strategies for Atrial Fibrillation Based on Circumferential Pulmonary Vein Isolation

作　　者：赵灿[1] 吴永全 ZHAO Can;WU Yongquan(Department of Cardiology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;Department of Cardiology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京友谊医院心内科,北京100050 [2]首都医科大学附属北京安贞医院心内科,北京100029

出　　处：《心血管病学进展》2020年第12期1234-1237,共4页Advances in Cardiovascular Diseases

摘　　要：心房颤动是心内科常见病,目前对心房颤动的治疗包括药物及非药物治疗。近年来经导管射频消融方法治疗心房颤动得到了飞跃式的发展,不同医院的电生理中心选择不同的射频消融的术式,但绝大部分都是基于环肺静脉隔离。目前尚无统一的且效果最佳的消融策略,主张采取个体化原则,以最小的“消融代价”取得最好的效果。现就心房颤动射频导管消融策略选择进展做一综述。Atrial fibrillation is a common disease in cardiology.At present,the treatment of atrial fibrillation includes pharmacological and non-drug treatment.In recent years,transcatheter radiofrequency ablation has achieved rapid development in the treatment of atrial fibrillation.Electrophysiological centers in different hospitals choose different radiofrequency ablation procedures,but most of them are based on circumferential pulmonary vein isolation.There is no unified and best-effect ablation strategy,and it is advocated to adopt the principle of individualization to obtain the best results with the minimum“ablation cost”.This article reviews the progress of catheter ablation strategies for atrial fibrillation.

关 键 词：心房颤动 导管消融 环肺静脉消融 心脏神经节丛 

分 类 号：R541.75[医药卫生—心血管疾病]