Percutaneous Radiofrequency Catheter Ablation for Atrial Fibrillation Prior to Atrial Septal Defect Closure
Percutaneous Radiofrequency Catheter Ablation for Atrial Fibrillation Prior to Atrial Septal Defect Closure
复制标题
房间隔缺损封堵术前经皮射频导管消融治疗房颤
DOI：
10.1111/j.1540-8167.2011.02164.x
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发表时间：
2012
影响因子：
2.7
通讯作者：
S. Kalbfleisch
中科院分区：
文献类型：
--
作者：
Mark A. Crandall;E. Daoud;C. Daniels;S. Kalbfleisch
经皮射频导管消融术。房间隔缺损 (ASD) 患者通常会出现房颤 (AF)，而房间隔缺损 (ASD) 封堵很少能控制心律失常。我们报告了 4 名患有复发性难治性 AF 且患有未修复 ASD 的患者的治疗情况，他们在 ASD 闭合前接受了经皮 RFA。 4 名患者中的 3 名 AF 在消融后未经抗心律失常药物治疗得到控制，第四名患者在 ASD 闭合后通过抗心律失常治疗控制了 AF。基于这些有限的结果，在计划的经皮 ASD 封堵术之前考虑对医学上难治性 AF 患者进行 RFA 似乎是合理的。 （《心血管电生理杂志》，第 23 卷，第 102‐104 页，2012 年 1 月）
Percutaneous Radiofrequency Catheter Ablation. Patients with an atrial septal defect (ASD) commonly have atrial fibrillation (AF) and closure of the ASD rarely controls the arrhythmia. We report on the management of 4 patients with recurrent medically refractory AF in the setting of an unrepaired ASD who underwent percutaneous RFA prior to ASD closure. In 3 of the 4 patients AF was controlled after ablation without antiarrhythmic drug therapy and in the fourth patient AF was controlled with antiarrhythmic therapy after ASD closure. Based on these limited results it seems reasonable to consider RFA of medically refractory AF in patients prior to planned percutaneous ASD closure. (J Cardiovasc Electrophysiol, Vol. 23, pp. 102‐104, January 2012)