脉冲电场消融在持续性心房颤动中的应用进展  

Advances of pulsed field ablation applied in persistent atrial fibrillation

作　　者：万云 丁静韵 卢媛 兰香松 罗骏[1] WAN Yun;DING Jingyun;LU Yuan;LAN Xiangsong;LUO Jun(Department of Cardiology,the Affiliated Ganzhou Hospital,Jiangxi Medical College,Nanchang University,Ganzhou Jiangxi 341000,China)

机构地区：[1]赣州市人民医院心血管内科(赣州市心血管病研究所),江西赣州341000

出　　处：《实用心电与临床诊疗》2025年第1期6-10,共5页PRACTICAL ELECTROCARDIOLOGY AND CLINICAL TREATMENT

基　　金：国家自然科学基金资助项目(82260053)。

摘　　要：导管消融是心房颤动(简称房颤)患者维持窦性心律较为有效的方法。而脉冲电场消融(pulsed field ablation,PFA)作为一种新的消融能量形式,具有组织选择性,其在阵发性房颤中的疗效已得到临床证实。而持续性房颤的消融更复杂、风险更高,目前PFA在持续性房颤中的应用也在逐渐增多。本文对PFA治疗持续性房颤的效果、并发症及其消融策略的最新研究进展进行综述。Catheter ablation is a relatively effective method for maintaining sinus rhythm in patients with atrial fibrillation(AF).Pulsed field ablation(PFA)as a novel form of ablation energy exhibits tissue selectivity.Its efficacy in treating paroxysmal AF has been clinically demonstrated.However,the ablation of persistent AF is more complex and risky.Currently,the use of PFA for persistent AF is also gradually gaining traction.This article provides a review of the latest research progress on the efficacy,complications and its ablation strategies in the treatment of persistent AF.

关 键 词：持续性心房颤动 导管消融 肺静脉隔离 脉冲电场消融 

分 类 号：R541.75[医药卫生—心血管疾病]