Catheter Ablation of Atrial Fibrillation

被引：14

作者：

Callahan, Thomas D. ^{[1
]}

Di Biase, Luigi ^{[1
,2
]}

Horton, Rodney ^{[3
]}

Sanchez, Javier ^{[3
]}

Gallinghouse, Joseph G. ^{[3
]}

Natale, Andrea ^{[3
,4
,5
,6
]}

机构：

[1] Cleveland Clin, Cleveland, OH 44106 USA

[2] Univ Foggia, Dept Cardiol, Foggia, Italy

[3] St Davids Med Ctr, Texas Cardiac Arrhythmia Inst, Austin, TX USA

[4] Case Western Reserve Univ, Cleveland, OH 44106 USA

[5] Stanford Univ, Div Cardiol, Stanford, CA 94305 USA

[6] Calif Pacific Med Ctr, Atrial Fibrillat & Arrhythmia Program, San Francisco, CA USA

来源：

CARDIOLOGY CLINICS | 2009年 / 27卷 / 01期

关键词：

Catheter ablation; Atrial fibrillation; Pulmonary veins; Atrioventricular node ablation; Antiarrhythmic drugs; Rate control; Rhythm control; PULMONARY VEIN ISOLATION; QUALITY-OF-LIFE; PHRENIC-NERVE INJURY; RADIOFREQUENCY ABLATION; ELECTROPHYSIOLOGICAL CHARACTERISTICS; ATRIOVENTRICULAR JUNCTION; CIRCUMFERENTIAL ABLATION; NAVIGATION SYSTEM; ANTRUM ISOLATION; PACEMAKER IMPLANTATION;

D O I：

10.1016/j.ccl.2008.09.004

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Atrial fibrillation is a common arrhythmia associated with significant morbidity, including angina, heart failure, and stroke. Medical therapy remains suboptimal, with significant side effects and toxicities, and a high recurrence rate. Catheter ablation or modification of the atrioventricular node with pacemaker implantation provides rate-control but exposes patients to the hazards associated with implantable devices and does nothing to reduce the risk for stroke. Pulmonary vein antrum isolation offers a nonpharmacologic means of restoring sinus rhythm, thereby eliminating the morbidity of atrial fibrillation and the need for antiarrhythmic drugs.

引用

收藏

页码：163 / +

页数：17

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