Marshall静脉无水乙醇化学消融联合导管消融治疗持续性心房颤动:从基础到临床  

Vein of Marshall alcohol ablation combined with catheter ablation for persistent atrial fibrillation:from bench to bedside

作　　者：程诗琳 胡和生 Cheng Shilin;Hu Hesheng(Shandong First Medical University,Jinan 250014,China;Department of Cardiology and Cardiac Arrhythmias,the First Affiliated Hospital of Shandong First Medical University&Shandong Provincial Qianfoshan Hospital,Shandong Medicine and Health Key Laboratory of Cardiac Electrophysiology and Arrhythmia,Jinan 250014,China)

机构地区：[1]山东第一医科大学,济南250014 [2]山东第一医科大学第一附属医院(山东省千佛山医院)心血管病学心律失常科,山东省医药卫生心律失常重点实验室,济南250014

出　　处：《中国心血管杂志》2024年第3期269-273,共5页Chinese Journal of Cardiovascular Medicine

基　　金：山东省自然科学基金面上项目(ZR2020MH024);山东省医学会临床科研资金—齐鲁专项(YXH2022ZX02138)。

摘　　要：导管消融是心房颤动(房颤)节律控制的重要方法。近年,Marshall静脉因其特殊解剖及功能在房颤尤其是持续性房颤的发生与维持中的作用不断被认识。本文就Marshall静脉和Marshall韧带的解剖学、电生理特征、Marshall静脉消融治疗持续性房颤的机制、潜在的临床问题及未来在联合导管消融治疗中可能的应用方向进行综述。Catheter ablation is an important method for rhythm control in atrial fibrillation(AF).Recently,the vein of Marshall has been increasingly recognized for its unique anatomical and functional roles in the onset and maintenance of AF,particularly in persistent AF.This article provides an overview of the anatomical and electrophysiological characteristics of the vein of Marshall and the Marshall ligament,the mechanism of vein of Marshall ablation for the treatment of persistent AF,potential clinical issues,and potential clinical application directions in the future of combined with catheter ablation therapy for persistent AF.

关 键 词：持续性心房颤动 Marshall静脉 无水乙醇 化学消融 导管消融 

分 类 号：R541.75[医药卫生—心血管疾病]