导管消融术后医源性房间隔缺损的临床研究进展  

Clinical research progress of iatrogenic atrial septal defect after catheter ablation

作　　者：何长健 张媛媛[1] 谢瑞芹 HE Changjian;ZHANG Yuanyuan;XIE Ruiqin(Department of Cardiology,The Second Hospital of Hebei Medical University,Shijiazhuang,050000,China)

机构地区：[1]河北医科大学第二医院心内科,石家庄050000

出　　处：《临床心血管病杂志》2021年第7期676-680,共5页Journal of Clinical Cardiology

摘　　要：随着心房颤动导管消融手术应用的日益增多,消融后医源性房间隔缺损的发生率可能将进一步增加。医源性房间隔缺损的预测因素已有相关报道,但持续性医源性房间隔缺损的临床意义尚不明确,是否需要对消融后出现的房间隔缺损进行封堵或者严格的监测亦无定论。本文就导管消融术后医源性房间隔缺损的发生情况、预测因素、临床意义以及治疗进行综述。With the increasing application of catheter ablation surgery in atrial fibrillation, the incidence of iatrogenic atrial septal defect after ablation may further increase. The predictive factors of iatrogenic atrial septal defect have been reported, but it is unclear for the clinical significance of persistent iatrogenic atrial septal defect. Whether it is necessary to block or strictly monitor the atrial septal defect after ablation is inconclusive. This article reviews the occurrence, predictive factors, clinical significance and treatment of iatrogenic atrial septal defect after catheter ablation.

关 键 词：医源性房间隔缺损 导管消融 射频消融 冷冻球囊消融 心房颤动 

分 类 号：R541.7[医药卫生—心血管疾病]