Percutaneous Treatment of Non-paroxysmal Atrial Fibrillation: A Paradigm Shift from Pulmonary Vein to Non-pulmonary Vein Trigger Ablation?

被引：25

作者：

Della Rocca, Domenico G. ^{[1
]}

Mohanty, Sanghamitra ^{[1
]}

Trivedi, Chintan ^{[1
]}

Di Biase, Luigi ^{[1
,2
,3
]}

Natale, Andrea ^{[1
,4
,5
,6
]}

机构：

[1] St Davids Med Ctr, Texas Cardiac Arrhythmia Inst, 3000 North I-35,Suite 720, Austin, TX 78705 USA

[2] Albert Einstein Coll Med, Montefiore Med Ctr, Arrhythmia Serv, Dept Med, New York, NY USA

[3] Univ Foggia, Dept Clin & Expt Med, Foggia, Italy

[4] Scripps Clin, Intervent Elect, La Jolla, CA 92037 USA

[5] Case Western Reserve Univ, Sch Med, MetroHlth Med Ctr, Dept Cardiol, Cleveland, OH USA

[6] Stanford Univ, Div Cardiol, Stanford, CA USA

来源：

ARRHYTHMIA & ELECTROPHYSIOLOGY REVIEW | 2018年 / 7卷 / 04期

关键词：

Atrial fibrillation; catheter ablation; non-pulmonary vein trigger; outcomes;

D O I：

10.15420/aer.2018.56.2

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pulmonary vein antrum isolation is the most effective rhythm control strategy in patients with paroxysmal AF. However, catheter ablation of non-paroxysmal AF has a lower success rate, even when persistent isolation of pulmonary veins (PVs) is achieved. As a result of arrhythmia-related electophysiological and structural changes in the atria, sites other than the PVs can harbour triggers. These non-PV triggers contribute to AF relapse. In this article, we summarise the rationale and current evidence supporting the arrhythmogenic role of non-PV triggers and our ablation approach to patients with non-paroxysmal AF.

引用

页码：256 / 260

页数：5

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