| 68 | 0 | 58 |
| 下载次数 | 被引频次 | 阅读次数 |
心脏瓣膜病合并房颤是心血管外科常见疾病,瓣膜病后期并发房颤后可进一步导致患者心功能恶化,诱发血栓栓塞事件。常用的房颤治疗方案有药物保守治疗、内科导管消融及外科直视下消融等,而外科直视下消融是目前房颤治疗中最有效、转窦律最高的手段之一。本单位对房颤消融经过多年的反复摸索及改进,发现双极射频消融联合二尖瓣峡部切开对于瓣膜病合并房颤患者的疗效较好。本文就该术式进行简要介绍。
Abstract:Valvular heart disease complicated with atrial fibrillation is a common disease in cardiovascular surgery. Valvular heart disease complicated with atrial fibrillation in the later stage can further worsen the heart function of patients and lead to thromboembolic events. The commonly used treatment options for atrial fibrillation include drug conservative treatment, medical catheter ablation and surgical ablation under direct view. Surgical ablation under direct view is one of the most effective methods for the treatment of atrial fibrillation. After years of exploration and improvement of surgical ablation of atrial fibrillation, we found that bipolar radiofrequency ablation combined with mitral isthmus incision was effective for patients with valvular disease combined with atrial fibrillation. This paper introduces the operation briefly.
[1] Ishii Y. Atrial fibrillation concomitant with valvular heart disease[J]. Nihon Rinsho, 2013, 71(1):136-141.
[2] Kusayama T, Wan J Y, Yuan Y, et al. Neural mechanisms and therapeutic opportunities for atrial fibrillation[J]. Methodist Debakey Cardiovasc J, 2021, 17(1):43-47.
[3] Calkins H, Hindricks G, Cappato R, et al. 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation:executive summary[J]. J Interv Card Electrophysiol, 2017, 50(1):1-55.
[4] Henn M C, Lancaster T S, Miller J R, et al. Late outcomes after the Cox maze IV procedure for atrial fibrillation[J]. J Thorac Cardiovasc Surg, 2015, 150(5):1168-1176, 1178.e1-2.
[5]谭程,孙小康,黄磊.二尖瓣机械瓣膜置换同期行双极射频消融术治疗心房颤动的早期疗效[J].四川医学, 2016, 37(7):788-790.
[6]中国研究型医院协会,中国医师协会房颤专家委员会.心房颤动外科治疗中国专家共识2020版[J].中华胸心血管外科杂志, 2021, 37(3):129-144.
[7] Zhu X L, Li Q, Li Y, et al. Analysis of bipolar radiofrequency ablation in treatment of atrial fibrillation associated with rheumatic heart disease[J]. PLo S One,2016, 11(3):e0151248.
[8]孟旭.房颤的外科消融治疗进展[J].医学与哲学(B), 2016, 37(12):10-12.
[9] Cox J L. A brief overview of surgery for atrial fibrillation[J]. Ann Cardiothorac Surg, 2014, 3(1):80-88.
[10]Edgerton Z J, Edgerton J R. History of surgery for atrial fibrillation[J]. Heart Rhythm, 2009, 6(12):S1-S4.
[11]郭秋哲,郭应强.心房颤动外科治疗的历史与现状[J].心血管病学进展, 2013, 34(3):356-359.
[12]Cox J L, Schuessler R B, Boineau J P. The surgical treatment of atrial fibrillation. I. Summary of the current concepts of the mechanisms of atrial flutter and atrial fibrillation[J]. J Thorac Cardiovasc Surg, 1991,101(3):402-405.
[13]Cox J L. The first Maze procedure[J]. J Thorac Cardiovasc Surg, 2011, 141(5):1093-1097.
[14]Cox J L, Churyla A, Malaisrie S C, et al. When is a maze procedure a maze procedure?[J]. Can J Cardiol,2018, 34(11):1482-1491.
[15]Cox J L, Malaisrie S C, Kislitsina O N, et al. The electrophysiologic basis for lesions of the contemporary Maze operation[J]. J Thorac Cardiovasc Surg, 2019,157(2):584-590.
[16]Alreshidan M, Roberts H G, Rankin J S, et al. Current approach to surgical ablation for atrial fibrillation[J].Semin Thorac Cardiovasc Surg, 2019, 31(2):141-145.
[17]Phan K, Xie A, Kumar N, et al. Comparing energy sources for surgical ablation of atrial fibrillation:a Bayesian network meta-analysis of randomized, controlled trials[J]. Eur J Cardiothorac Surg, 2015, 48(2):201-211.
[18]Lee A M, Clark K, Bailey M S, et al. A minimally invasive cox-maze procedure:operative technique and results[J]. Innovations(Phila), 2010, 5(4):281-286.
[19]孙广龙,曹向戎,仲昭澎,等. Cox迷宫Ⅳ手术治疗心脏疾病合并心房颤动的近期疗效分析[J].中国循环杂志, 2020, 35(1):50-54.
基本信息:
中图分类号:R541.75;R542.5
引用信息:
[1]孙来龙,张松林,刘朝兵.双极射频消融联合二尖瓣峡部切开在瓣膜病合并房颤中的应用[J].巴楚医学,2023,6(04):29-31.
基金信息:
湖北省自然科学基金面上项目(No:2020CFB533)
2023-12-30
2023-12-30