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| 导管消融联合左心耳封堵在心房颤动患者中的应用进展 |
| 赵耀,赵腾,赵海娟,李珂,黄松群,白元,曹江,郭志福,黄新苗* |
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(海军军医大学(第二军医大学)第一附属医院心血管内科, 上海 200433
*通信作者) |
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| 摘要: |
| 心房颤动是临床上最常见的心律失常，其症状可导致患者生活质量下降，并增加患者缺血性脑卒中和心力衰竭的发生风险。导管消融术能有效缓解心房颤动患者的症状，但目前还没有足够的证据表明其可降低脑卒中的发生率。左心耳封堵术是心房颤动卒中预防的有效手段，导管消融联合左心耳封堵的一站式手术适用于高脑卒中、高脑出血风险的非瓣膜性心房颤动患者。本文综述了心房颤动导管消融联合左心耳封堵一站式手术的安全性、有效性及其疗效的影响因素，以供临床参考借鉴。 |
| 关键词: 心房颤动 导管消融术 左心耳封堵 一站式 |
| DOI：10.16781/j.CN31-2187/R.20211160 |
| 投稿时间：2021-11-16修订日期：2022-04-29 |
| 基金项目:国家自然科学基金(81770506),海军军医大学(第二军医大学)第一附属医院"234学科攀峰计划"(2020YXK010). |
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| Application of catheter ablation combined with left atrial appendage closure in patients with atrial fibrillation: recent progress |
| ZHAO Yao,ZHAO Teng,ZHAO Hai-juan,LI Ke,HUANG Song-qun,BAI Yuan,CAO Jiang,GUO Zhi-fu,HUANG Xin-miao* |
(Department of Cardiovasology, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Atrial fibrillation (AF) is one of the most common arrhythmias in clinical scenario and its symptoms can lead to a decline in the quality of life and increase the risk of ischemic stroke and heart failure in patients.Catheter ablation can effectively relieve the symptoms of AF patients,but there is no enough evidence that it reduces the incidence of stroke.Left atrial appendage closure is an effective method for the prevention of stroke caused by AF.The one-stop operation of catheter ablation combined with left atrial appendage closure is suitable for nonvalvular AF patients with high risk of stroke and bleeding.This article reviews the safety,effectiveness and influencing factors of the efficacy of catheter ablation combined with left atrial appendage closure for clinical reference. |
| Key words: atrial fibrillation catheter ablation left atrial appendage closure one-stop |
