大连医科大学附属第一医院心内科;
导管消融治疗持续性心房颤动(简称房颤)中,房颤终止和转复窦性心律是理想的手术终点。但并非所有持续性房颤导管消融均能终止房颤,术前优化入选持续性房颤患者导管消融十分重要。目前对房颤导管消融术中终止的预测因素包括术前和术中指标,其中,房颤持续时间、左房大小、通过体表心电图测量的房颤周长及超声测量的左心耳收缩速度属于术前预测指标,可为术前评估提供参考;心腔内测量房颤周长属于术中预测指标,可为术中的消融策略及消融程度提供指导。
| 87 | 0 | 3 |
| 下载次数 | 被引频次 | 阅读次数 |
1 Kumagai K,Sakamoto T,Nakamura K,et al.Pre-procedural prediction of termination of persistent atrial fibrillation by catheter ablation as an indicator of reverse remodeling of the left atrium.Circ J[J],2012,77(6):1 416
2 张劲林,苏晞,唐成,等.以终止持续性心房颤动为手术终点的递进式消融200例总结[J].中国心脏起搏与心电生理杂志,2012,26(3):221
3 Rostock T,Salukhe TV,Steven D,et al.Long-term single and multiple procedure outcome and predictors of success after catheter ablation for persistent atrial fibrillation[J].Heart Rhythm,2011,8:1 391
4 Oral H,Pappone C,Chugh A,et al.Circumferential pulmonaryvein ablation for chronic atrial fibrillation[J].N Engl J Med,2006,354:934
5 Schmitt C,Estner H,Hecher B,et al.Radiofrequency ablation of complex fractionated atrial electrograms(CFAE):Preferential sites of acute termination and regularization in paroxysmal and persistent atrial fibrillation[J].J Cardiovasc Electrophysiol,2007,18:1 039
6 Di Biase L,Santangeli P,Mohanty P,et al.Dose termination of atrial fibrillation during ablation of long standing persistent atrial fibrillation predict the outcome of at follow-up?Results from a prospective randomized study[J].J Am Coll Cardiol,2013,61(10):E355
7 Elayi CS,Di Biase L,Barrett C,et al.Atrial fibrillation termination as a procedural endpoint during ablation in long-standing persistent atrial fibrillation[J].Heart Rhythm,2010,7:1 216
8 Estner HL,Hessling G,Ndrepepa G,et al.Acute effects and longterm outcome of pulmonary vein isolation in combination with electrogram-guided substrate ablation for persistent atrial fibrillation[J].Am J Cardiol,2008,101:332
9 Oral H,Chugh A,Good E,et al.Randomized evaluation of right atrial ablation after left atrial ablation of complex fractionated atrial electrograms for long-lasting persistent atrial fibrillation[J].Circ Arrhythm Electrophysiol,2008,1:6
10 Yoshida K,Chugh A,Good E,et al.A critical decrease in dominant frequency and clinical outcome after catheter ablation of persistent atrial fibrillation[J].Heart Rhythm,2010,7:295
11 Fiala M,Chovancík J,Nevralova R,et al.Termination of long-lasting persistent versus shortlasting persistent and paroxysmal atrial fibrillation by ablation[J].Pacing Clin Electrophysiol,2008,31:985
12 Komatsu Y,Taniguchi H,Miyazake S,et al.Impact of atrial fibrillation termination on clinical outcome after ablation in relation to the duration of persistent atrial fibrillation[J].PACE,2012,35:1 436
13 Heist E K,Chalhoub F,Barrett C,et al.Predictors of atrial fibrillation termination and clinical success of catheter ablation of persistent atrial fibrillation[J].Am J Cardiol,2012,110(4):545
14 Matsuo S,Lellouche N,Wright M,et al.Clinical predictors of termination and clinical outcome of catheter ablation for persistent atrial fibrillation[J].J Am Coll Cardiol,2009,54:788
15 Allessie M,Ausuma J,Schotten U.Electrical,contractile and structural remodeling during atrial fibrillation[J].Cardiovasc Res,2002,54:230
16 Burstein B,Nattel S.Atrial fibrosis:mechanisms and clinical relevance in atrial fibrillation[J].J Am CollCardiol,2008,51:802
17 O'Neill MD,Jais P,Takahashi Y,et al.The stepwise ablation approach for chronic atrial fibrillation-evidence for a cumulative effect[J].J Interv Card Electrophysiol,2006,16:153
18 Haissaguerre M,Sanders P,Hocini M,et al.Catheter ablation of long-lasting persistent atrial fibrillation:critical structures for termination[J].J Cardiovasc Electrophysiol,2005,16:1 125
19 O'Neill MD,Wright M,Knecht S,et al.Long-term follow-up of persistent atrial fibrillation ablation using termination as a procedural endpoint[J].Eur Heart J,2009,30:1 105
20 Sih HJ,Zipes DP,Berbari EJ,et al.Differences in organization between acute and chronic atrial fibrillation in dogs[J].J Am Coll Cardiol,2000,36:924
21 Holm M,Pehrson S,Ingemansson M,et al.Non-invasive assessment of the atrial cycle length during atrial fibrillation in man:introducing,validating and illustrating a new ECG method[J].Cardiovasc Res,1998,38:69
22 Holmqvist F,Stridh M,Waktare JE,et al.Atrial fibrillation signal organization predicts sinus rhythm maintenance in patients undergoing cardioversion of atrial fibrillation[J].Europace,2006,8:559
23 Antonielli E,Pizzuti A,Palinkas A,et al.Clinical value of left atrial appendage flow for prediction of long-term sinus rhythm maintenance in patients with nonvalvular atrial fibrillation[J].J Am Coll Cardiol,2002,39:1 443
24 Agmon Y,Khandheria BK,Meissner I,et al.Are left atrial appendage flow velocities adequate surrogates of global left atrial function?A population-based transthoracic and transesophageal echocardiographic study[J].J Am Soc Echocardiog,2002,15:433
基本信息:
DOI：10.13333/j.cnki.cjcpe.2014.04.018
中图分类号:R541.75
引用信息:
[1]孙源君,常栋,杨延宗.导管消融终止持续性心房颤动的预测因素[J].中国心脏起搏与心电生理杂志,2014,28(04):349-351.DOI:10.13333/j.cnki.cjcpe.2014.04.018.
基金信息: