Catheter Ablation for the Management of Atrial Fibrillation: An Update of the Literature

被引：5

作者：

Hussain, Shahana ^{[1
]}

Sohrabi, Catrin ^{[2
]}

Providencia, Rui ^{[1
]}

Ahsan, Syed ^{[1
]}

Papageorgiou, Nikolaos ^{[1
,3
]}

机构：

[1] St Bartholomews Hosp, Barts Heart Ctr, Electrophysiol Dept, London EC1A 7BE, England

[2] Royal Free London NHS Fdn Trust, London NW3 2QG, England

[3] Univ Coll London UCL, Inst Cardiovasc Sci, London WC1E 6BT, England

来源：

LIFE-BASEL | 2023年 / 13卷 / 08期

关键词：

catheter ablation; atrial fibrillation; heart failure; PULMONARY-VEIN ISOLATION; RANDOMIZED CONTROLLED-TRIAL; HEART-FAILURE; RADIOFREQUENCY ABLATION; SYSTOLIC DYSFUNCTION; CONVERGENT PROCEDURE; APPENDAGE ISOLATION; SURGICAL-TREATMENT; ANTRUM ISOLATION; RHYTHM CONTROL;

D O I：

10.3390/life13081784

中图分类号：

Q [生物科学];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Catheter ablation has been shown to be more effective at maintaining sinus rhythm and improving quality of life when compared to antiarrhythmic drugs. Radiofrequency and cryoablation are two effective methods. However, catheter-only ablation strategies have not consistently produced high success rates in treating longstanding and persistent AF patients. The emerging treatment of choice for such cases is hybrid ablation, which involves a multidisciplinary and minimally invasive approach to achieve surgical ablation of the direct posterior left atrial wall in combination with endocardial catheter ablation. Studies have shown promising results for the hybrid approach when compared with catheter ablation alone, but it is not without risks. Large and randomised studies are necessary to further evaluate these strategies for managing AF.

引用

页数：19

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