Catheter Ablation of Atrial Fibrillation: Technique and Future Perspectives

被引：0

作者：

Peruzza, Francesco ^{[1
,2
]}

Candelora, Andrea ^{[1
,2
]}

Angheben, Carlo ^{[1
,2
]}

Maines, Massimiliano ^{[1
,2
]}

Laurente, Mauro ^{[1
,2
]}

Catanzariti, Domenico ^{[1
,2
]}

Del Greco, Maurizio ^{[1
,2
]}

Madaffari, Antonio ^{[1
,2
]}

机构：

[1] Santa Maria Carmine Hosp, Dept Cardiol, Corso Verona 4, I-38068 Rovereto, Italy

[2] Azienda Prov & Serv Socio Sanit APSS, I-38123 Trento, Italy

来源：

JOURNAL OF CLINICAL MEDICINE | 2025年 / 14卷 / 06期

关键词：

atrial fibrillation; catheter ablation; pulsed field; pulmonary vein isolation; posterior wall isolation; vein of Marshall; PULMONARY VEIN ISOLATION; MARSHALL ETHANOL INFUSION; SPONTANEOUS ECHO CONTRAST; RADIOFREQUENCY ABLATION; CRYOBALLOON ABLATION; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; INTRACARDIAC ECHOCARDIOGRAPHY; CLINICAL-IMPLICATIONS; ANTIARRHYTHMIC-DRUGS; ARCTIC FRONT;

D O I：

10.3390/jcm14061788

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Atrial fibrillation is the most common sustained cardiac arrhythmia with a significant impact on quality of life in terms of symptoms and reduction of functional status. Also, it is associated with an increased risk of mortality, stroke, and peripheral embolism. Catheter ablation for atrial fibrillation has become a well-established treatment, improving arrhythmia outcomes without increasing the risk of serious adverse events compared to antiarrhythmic drug therapy. The field has undergone significant advancements in recent years, yet pulmonary vein isolation continues to be the cornerstone of any atrial fibrillation ablation procedure. The purpose of this review is to provide an overview of the current techniques, emerging technologies, and future directions.

引用

页数：22

共 111 条

[11] Hybrid-Convergent Procedure or Pulsed Field Ablation in Long-Standing Persistent Atrial Fibrillation [J].

Bianchini, Lorenzo ;

Schiavone, Marco ;

Vettor, Giulia ;

Gasperetti, Alessio ;

Penza, Eleonora ;

Ballotta, Andrea ;

Pirola, Sergio ;

Brambillasca, Claudio ;

Zito, Elio ;

De Lio, Francesca ;

Ventrella, Nicoletta ;

Tundo, Fabrizio ;

Moltrasio, Massimo ;

Fassini, Gaetano ;

Polvani, Gianluca ;

Tondo, Claudio .

JACC-CLINICAL ELECTROPHYSIOLOGY, 2024, 10 (07) :1700-1710

[12] Single procedural outcomes in the setting of percutaneous ablation for persistent atrial fibrillation: a propensity-matched score comparison between different strategies [J].

Bisignani, Antonio ;

Cecchini, Federico ;

Mugnai, Giacomo ;

Overeinder, Ingrid ;

Sieira, Juan ;

Osorio, Thiago Guimaraes ;

Miraglia, Vincenzo ;

Monaco, Cinzia ;

Sofianos, Dimitrios ;

Boveda, Serge ;

Bala, Gezim ;

Stroker, Erwin ;

Paparella, Gaetano ;

Westra, Sjoerd W. ;

Brouwer, Marc A. ;

Brugada, Pedro ;

de Asmundis, Carlo ;

Chierchia, Gian-Battista .

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2022, 64 (01) :9-16

[13] Appendage obliteration to reduce stroke in cardiac surgical patients with atrial fibrillation [J].

Blackshear, JL ;

Odell, JA .

ANNALS OF THORACIC SURGERY, 1996, 61 (02) :755-759

[14] Outcomes after cryoballoon or radiofrequency ablation for persistent atrial fibrillation: a multicentric propensity-score matched study [J].

Boveda, Serge ;

Providencia, Rui ;

Defaye, Pascal ;

Pavin, Dominique ;

Cebron, Jean-Pierre ;

Anselme, Frederic ;

Halimi, Franck ;

Khoueiry, Ziad ;

Combes, Nicolas ;

Combes, Stephane ;

Jacob, Sophie ;

Albenque, Jean-Paul ;

Sousa, Pedro .

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2016, 47 (02) :133-142

[15]

Brunelli M., 2015, P EHRA C

[16]

Buist TJ, 2018, CLIN RES CARDIOL, V107, P498, DOI 10.1007/s00392-018-1211-9

[17] Morphological evidence of muscular connections between contiguous pulmonary venous orifices: Relevance of the interpulmonary isthmus for catheter ablation in atrial fibrillation [J].

Cabrera, Jose Angel ;

Ho, Siew Yen ;

Climent, Vicente ;

Fuertes, Beatriz ;

Murillo, Margarita ;

Sanchez-Quintana, Damian .

HEART RHYTHM, 2009, 6 (08) :1192-1198

[18]

Calkins H, 2018, EUROPACE, V20, P157, DOI [10.1093/europace/eux275, 10.1093/europace/eux274, 10.1016/j.hrthm.2017.05.012]

[19] Treatment of Atrial Fibrillation With Antiarrhythmic Drugs or Radiofrequency Ablation Two Systematic Literature Reviews and Meta-Analyses [J].

Calkins, Hugh ;

Reynolds, Matthew R. ;

Spector, Peter ;

Sondhi, Manu ;

Xu, Yingxin ;

Martin, Amber ;

Williams, Catherine J. ;

Sledge, Isabella .

CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2009, 2 (04) :349-U49

[20] Initiation of atrial fibrillation by ectopic beats originating from the pulmonary veins - Electrophysiological characteristics, pharmacological responses, and effects of radiofrequency ablation [J].

Chen, SA ;

Hsieh, MH ;

Tai, CT ;

Tsai, CF ;

Prakash, VS ;

Yu, WC ;

Hsu, TL ;

Ding, YA ;

Chang, MS .

CIRCULATION, 1999, 100 (18) :1879-1886

← 1 2 3 4 5 6 7 8 9 10 →