手术消融手术技术和临床试验结果及东西方比较(中英文）演示幻灯片.pptVIP

;房颤是一常见的疾病;房颤在亚洲的现状;房颤的结局 ;;;房颤的消融术VS 切与缝:;“切与缝”技术优于消融术吗？;“切与缝”与手术消融术孰优熟劣仍是一个值得商榷的问题。Melo等人2008年在胸心血管外科杂志（JTCS）上发表了全球房颤手术临床研究的结果。1733名纳入本研究 的房颤患者，仅44名接受“切与缝”手术。其他患者接受某一类型的能量消融术治疗。;Copyright ?2008 The American Association for Thoracic Surgery;Castella M. et al.; J Thorac Cardiovasc Surg 2008;136:419-423;Copyright ?2008 The American Association for Thoracic Surgery;发展中国家医疗费用问题; ;在中国，使用可形成Cox 迷宫III手术消融线单极设备的费用与普通居民一年的收入相当.;使用单极进行笔式射频消融时，如何保证其透壁性？;冲洗式单极射频消融;确保透壁性的技术;心内膜和心外膜联合消融;;;;;;左心房;从左肺静脉至二尖瓣瓣环消融线的透壁性;;;;;;;;;序贯心内膜和心外膜冲洗式单极消融以确保消融线的透壁性;;Surgical Ablation:? Techniques and Trial Results, Comparison of East and West:?;AF Is Common;Scope Of The Problem in Asia;Consequences of AF ;ABLATION TOOLS – BLESSING OR CURSE?;;AF ABLATION VS CUT SEW:;Is the ‘Cut and Sew’ better than the ablation device ?;Cut Sew vs Surgical Ablation may be a moote point. In the International Registry of Atrial Fibrillation Surgery in which the results were published in the JTCS 2008 by Melo et al, out of 1733 patients in the study, only 44 patients have the cut sew. All the others have one form of energy ablation or another.;In Asia , RF devices occupy 95% of the market share for AF surgical ablation . In some countries it is 100%!!!;The Gold S;Copyright ?2008 The American Association for Thoracic Surgery;Copyright ?2008 The American Association for Thoracic Surgery;Castella M. et al.; J Thorac Cardiovasc Surg 2008;136:419-423;Copyright ?2008 The American Association for Thoracic Surgery;COST ISSUES IN DEVELOPING COUNTRIES; ;In China the monopolar device which can create all the lines of the Cox Maze III can cost up to almost a year of personal income.;The issue then if the monopolar RF pen is to be used, how can one ensure transmurality with it;Unipolar Irrigated RF;Technique To Ensure Transmurality;Endocardial Epicardial Combined Lesions;f;LEFT ATRIUM;Transmurality of line of block from LPV to MA;c;d;Sequential Endocardial and Epicardial Irrigated Monopolar Ablation to ensure transmur