心房颤动冷冻球囊消融术常见并发症及其防治  

Common Complications of Cryoballoon Ablation of Atrial Fibrillation and Its Prevention and Treatment

作　　者：张帆[1] 黄从新[1] ZHANG Fan;HUANG Congxin(Department of Cardiology,Renmin Hospital of Wuhan University,Cardiovascular Research Institute of Wuhan University,Hubei Key Laboratory of Cardiology,Wuhan 430060,Hubei,China)

机构地区：[1]武汉大学人民医院心内科、武汉大学心血管病研究所、心血管病湖北省重点实验室,湖北武汉430060

出　　处：《心血管病学进展》2023年第8期673-675,685,共4页Advances in Cardiovascular Diseases

基　　金：湖北省技术创新专项(重大项目)(2016ACA153)。

摘　　要：对于药物控制不佳的症状性心房颤动患者,导管消融已经成为一线治疗方案。冷冻球囊消融术作为心房颤动治疗的新技术,在临床上越来越多地得到应用。通常,在单次冷冻后就可以取得满意的肺静脉电隔离效果,相对于传统的基于逐点消融的射频消融术有着巨大优势。但冷冻球囊消融术投入临床使用时间较短,目前仍有一些并发症存在。现总结其常见并发症的发生机制及防治措施。Catheter ablation has become the first-line treatment for patients with symptomatic atrial fibrillation who are poorly controlled with drugs.As a new technique for the treatment of atrial fibrillation,cryoballon ablation has been applied more and more in clinic.In general,pulmonary vein isolation can be achieved after a single cryopreservation,which has advantages over traditional point-by-point ablation-based radiofrequency ablation.However,the clinical application of cryoballon ablation is short,and there are still some complications.This article summarized the mechanism and prevention and treatment measures of its common complications.

关 键 词：心房颤动 冷冻球囊 消融 并发症 

分 类 号：R541.75[医药卫生—心血管疾病]