房颤消融术后房性心律失常的处理和二次消融选择精选.pptVIP

房颤消融术中的左房房扑Left Atrial Flutter During Stepwise Linear Ablation of AF 中国医学科学院 阜外心血管病医院 心律失常中心 Arrhythmia Center ，Fuwai Herat Hospital Chinese Academy of Medical Sciences 姚 焰 Yan Yao 背景 Background 与房颤消融相关的左房房扑（LAFL）发生率介于2.6~31% [1]； The morbidity of AF ablation related left atrial flutter (LAFL) are 2.6~31%; 包括局灶、大折返或小折返等多种机制且多与房颤消融线的“缝隙”有关； Focal、micro- macro- reentrant mechanisms were documented and the gap on the lesions line is the sticking point of the circuit; 个体化递进式线性消融术Stepwise Linear Ablation Approach 结果 Results LAFL可在消融中由AF转化而成，或房颤消融成功之后快速刺激诱发； LAFLs were either converted