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心房颤动导管射频消融研究进展 被引量:1

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摘要 心房颤动是临床较为常见的心律失常症状之一,其治疗主要为控制心室率、恢复窦性心律等,既往对于其治疗主要以药物控制患者心律,预防血栓相关并发症发生为主,但患者往往需要长期服药。经导管射频消融术是近年来发展起来的治疗各种类型心律失常的新方法,其较药物治疗,效果更为明显,还可避免口服用药引起的各种不良反应,尤其是针对孤立性房颤的治疗,其效果更佳。传统采用环肺静脉隔离术是房颤射频消融术中普遍认同的观点,但易因导管与左房壁贴靠程度、稳定性等问题影响疗效,且如消融造成损伤,还可能增加房颤的复发率。目前临床采用的带止血阀的可控导管以其良好的鞘管操纵性能及无需转动鞘管,具有更灵活的操纵性及良好的支撑力,可明显提高消融率。
作者 苏运星
出处 《医学理论与实践》 2016年第8期1006-1008,共3页 The Journal of Medical Theory and Practice
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参考文献18

  • 1Poli D,Antonucci E.Epidemiology,diagnosis,and management of atrial fibrillation in women[J].Int J Womens Health,2015,7(8):605-614.
  • 2Rubboli A,Agewall S,Huber K,et al.New-onset atrial fibrillation after recent coronary stenting:Warfarin or non-vitamin K-antagonist oral anticoagulants to be added to aspirin and clopidogrel?A viewpoint[J].Int J Cardiol,2015,196(9):133-138.
  • 3Ment J.Direct oral anticoagulants:key considerations for use to prevent stroke in patients with nonvalvular atrial fibrillation[J].Vasc Health Risk Manag,2015,11(8):317-332.
  • 4沈启明,刘伏元,苏浩,徐健.阵发性心房颤动患者射频消融术后心房颤动晚期复发的相关因素[J].中国临床保健杂志,2013,16(3):268-271. 被引量:8
  • 5Anselmino M,Ferraris F,Cerrato N,et al.Left persistent superior vena cava and paroxysmal atrial fibrillation:the role of selective radio-frequency transcatheter ablation[J].Journal of cardiovascular medicine(Hagerstown,Md),2014,15(8):647-652.
  • 6张健,蒋华,周贤惠,甘天翊,何卫,汤宝鹏,李发鹏,毛婷,李菲.导管射频消融术治疗心房颤动临床研究[J].中华实用诊断与治疗杂志,2012,26(4):387-389. 被引量:9
  • 7Weil BR,Ozcan C.Cardiomyocyte Remodeling in Atrial Fibrillation and Hibernating Myocardium:Shared Pathophysiologic Traits Identify Novel Treatment Strategies?[J].Biomed Res Int,2015,2015(14):587361.
  • 8Goralnick E,Bontempo LJ.Atrial Fibrillation[J].Emerg Med Clin North Am,2015,33(3):597-612.
  • 9MacDonald DR,Maruthappu M,Nagendran M.How effective is microwave ablation for atrial fibrillation during concomitant cardiac surgery?[J].Interact Cardiovasc Thorac Surg,2012,15(1):122-127.
  • 10Giudici MC,Bhave PD.Left Atrial Appendage Closure Device in Atrial Fibrillation[J].Card Electrophysiol Clin,2015,7(3):415-418.

二级参考文献30

  • 1姚焰,张澍,唐闽,张劲林,王方正,陈新.阵发性心房颤动机制的心内非接触式标测初步研究[J].中华心律失常学杂志,2004,8(3):138-145. 被引量:15
  • 2黄从新,马长生,杨延宗,黄德嘉,张澍,江洪,杨新春,吴书林,马坚,刘少稳,李莉,曹克将,王方正,陈新.心房颤动:目前的认识和治疗建议(二)[J].中华心律失常学杂志,2006,10(3):167-197. 被引量:269
  • 3Sanders P,Morton J B,Davidson N C,et al.Electrical remodeling of the atria in congestive heart failure:electrophysiological and electroanatomic mapping in humans[J].Circulation,2003,108(12):1461-1468.
  • 4Cha T J,Ehrlich J R,Zhang L,et al.Dissociation between ionic remodeling and ability to sustain atrial fibrillation during recovery from experimental congestive heart failure[J].Circulation,2004,109(3):412-418.
  • 5Wijffels M C,Kirchhof C J,Dorland R,et al.Atrial fibrillation begets atrial fibrillation:a study in awake chronically instrumented goats[J].Circulation,1995,92(7):1954-1968.
  • 6Reant P,Lafitte S,Jas P,et al.Reverse remodeling of the left cardiacchambers after catheter ablation after1year in a series of patients with isolated atrial fibrillation[J].Circulation,2005,112(19):2896-2903.
  • 7Capucci A,Biffi M,Boriani G,et al.Dynamic electrophysiological behavior of human atria during paroxysmal atrial fibrillation[J].Circulation,1995,92(5):1193-1202.
  • 8Efremidis M,Sideris A,Xydonas S,et al.Ablation of atrial fibrillation in patients with heart failure:reversal of atrial and ventricular remodeling[J].Hellenic J Cardiol,2008,49(1):19-25.
  • 9Statters D J,Malik M,Ward D E,et al.QT dispersion:problems of methodology and clinical significance[J].J Cardiovasc Electrophysiol,1994,5(8):672-685.
  • 10Leggio M,Sgorbini L,Pugliese M,et al.Systo-diastolic ventricular function in patients with hypertension:an echocardiographic tissue Doppler imaging evaluation study[J].Int J Cardiovasc Imaging,2007,23(2):177-184.

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