Ganglionic Plexus Ablation: A Step-by-step Guide for Electrophysiologists and Review of Modalities for Neuromodulation for the Management of Atrial Fibrillation

被引：10
作者：
Aksu, Tolga [1 ]
Skeete, Jamario R. [2 ]
Huang, Henry H. [2 ]
机构：
[1] Yeditepe Univ Hosp, Dept Cardiol, TR-34100 Istanbul, Turkiye
[2] Rush Med Coll, Dept Cardiol, Chicago, IL USA
来源：
ARRHYTHMIA & ELECTROPHYSIOLOGY REVIEW | 2023年 / 12卷
关键词：
Cardioneuroablation; atrial fibrillation; ganglionated plexus; autonomic nervous system; PULMONARY VEIN ISOLATION; MARSHALL ETHANOL INFUSION; VAGUS NERVE-STIMULATION; CATHETER ABLATION; RENAL DENERVATION; HEART-FAILURE; ELECTRICAL-STIMULATION; BAROREFLEX FUNCTION; CAROTID BAROREFLEX; VAGAL DENERVATION;
D O I：
10.15420/aer.2022.37
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
As the most common sustained arrhythmia, AF is a complex clinical entity which remains a difficult condition to durably treat in the majority of patients. Over the past few decades, the management of AF has focused mainly on pulmonary vein triggers for its initiation and perpetuation. It is well known that the autonomic nervous system (ANS) has a significant role in the milieu predisposing to the triggers, perpetuators and substrate for AF. Neuromodulation of ANS - ganglionated plexus ablation, vein of Marshall ethanol infusion, transcutaneous tragal stimulation, renal nerve denervation, stellate ganglion block and baroreceptor stimulation - constitute an emerging therapeutic approach for AF. The purpose of this review is to summarise and critically appraise the currently available evidence for neuromodulation modalities in AF.
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页数：8
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