什么是阵发性房颤的冷冻消融.ppt

冷冻球囊世界上应用的经验 50多篇文献，无数的摘要报道 6年临床经验 成熟中心的手术时间平均在2-2.5小时10 曝光时间平均30分钟10 在26个国家的400多个中心，超过30,000位患者接受冷冻消融 快速的疗法接受 全球冷冻球囊手术累计 冷冻球囊-美国应用经验 Rapid Worldwide Adoption 接受度 开始投入市场3个月内，已经有100多个中心安置了冷冻消融仪 操作经验 在开始应用的前10例病人中，手术时间、左房停留时间以及曝光时间持续减少 平均每个肺静脉需2.7次冷冻球囊消融 使用 Arctic Front冷冻球囊选择 与欧洲相似: 82% 使用 28 mm 13% 使用 23 mm 5% 两者都用 一种简易的，有效的, 高效的, 安全的肺静脉隔离的方法 Inflate. Ablate. Isolate. Arctic Front? 谢 谢 * * * Key Messages to Deliver: There are an estimated 3.3 million people in the US suffering from atrial fibrillation. Due to increased risk factors, such as age, obesity, hypertension, diabetes, cardiovascular disease, the prevalence is expected to double by 2035. 1 Naccarelli GV, Varker H, Lin J, Schulman KL. Increasing prevalence of atrial fibrillation and flutter in the United States. Am J Cardiol. December 2009;104(11):1534-1539. 2 Miyasaka Y, Barnes ME, Gersh BJ, et al. Secular trends in incidence of atrial fibrillation in Olmsted County, Minnesota, 1980 to 2000, and implications on the projections for future prevalence. Circulation. July 2006;114(2):119-125. * * Key messages to deliver: Many companies adapt existing focal catheter technology to isolate PV and ablate the atrial tissue. The challenges facing focal catheters, which are not specifically designed for pulmonary vein isolation, are: Cardiac contractions make maintaining position difficult Variable patient anatomy Variable atrial tissue depth Catheter force varies with position in heart Successful procedure requires contiguous, circumferential lesions * Notes to Presenter: To ensure patient’s safety, there are numerous safety features in the system. Here are 5 of the most important. Dual Balloons: Double balloon safety system with 2 independent vacuum paths. The outer vacuum path between the two balloons is maintained under vacuum at all times. In the improbable case of a leak in the inner balloon, the refrigerant would be contained between the two balloons and drawn back to the console