无症状性脑梗死:房颤导管消融不可忽视的问题  

Silent cerebral embolism: A non-negligible issue in catheter ablation for atrial fibrillation

作　　者：赵晓溪 王如兴 ZHAO Xiaoxi;WANG Ruxing(Department of Cardiology,Wuxi People􀆳s Hospital Affiliated to Nanjing Medical University,Wuxi Jiangsu 214023,China)

机构地区：[1]南京医科大学附属无锡人民医院心内科,江苏无锡214023

出　　处：《实用心电学杂志》2022年第4期284-287,共4页Journal of Practical Electrocardiology

基　　金：国家自然科学基金资助项目(81770331);中国心血管健康联盟V.G基金资助项目(2017-CCA-VG-040)。

摘　　要：导管消融已成为房颤的主要治疗方式。然而导管消融可能造成脑卒中、栓塞等并发症,尤其是无症状性脑梗死(silent cerebral embolism,SCE)可影响神经功能,导致认知功能障碍。因此,预防和减少导管消融围手术期SCE的发生具有重要临床意义。本文系统地综述了SCE的定义、发生率、发生部位及临床表现、发生机制、危险因素和不同消融方法对SCE的影响等,以提高临床医生对SCE的认识,从而预防和减少房颤导管消融术后SCE的发生。Catheter ablation has become the main treatment for atrial fibrillation.However complications such as stroke and embolism may be resulted from catheter ablation,especially silent cerebral embolism(SCE),which can affect nerve function and lead to cognitive dysfunction.Therefore,it is of great clinical significance to prevent and reduce SCE during perioperative period of catheter ablation.This paper systematically reviews the definition,incidence,sites,clinical manifestations,mechanism and risk factors of SCE,and the influence of different ablation methods on SCE,in order to improve clinicians'understandings of SCE,and prevent and reduce its incidence after catheter ablation for atrial fibrillation.

关 键 词：无症状性脑梗死 脑卒中 房颤 导管消融 

分 类 号：R541.75[医药卫生—心血管疾病]