房颤导管消融进展.pptVIP

87.5% 80% 80% 房顶线阻滞 二尖瓣峡部线阻滞 房顶线及二尖瓣峡部线均阻滞 典型房扑 阵发性房颤 WPW SVT 技术成熟时代 慢性房颤 总 结 房颤导管消融技术已基本完全成熟，但是总体疗效距离理想目标有一定的距离。 房颤导管消融技术有极大的提高和发展空间，新技术、新方法和新概念不断涌现，充分说明在今后相当长的一段时间内这仍将是一个非常有活力而富有挑战性的领域。 总结 中国将进入大数据时代！ Shown are the burden of atrial fibrillation (upper graph) and the number of patients without atrial fibrillation (lower graph) in 7-day Holter-monitor recordings at baseline, at each follow-up visit, and cumulatively during follow-up. The mean rank (Mann–Whitney test) and P values for group comparisons of the burden of atrial fibrillation are shown at the bottom of the figure. * 研究开始后前18个月两组间房颤负荷都没有显著差异，但在24个月时，RFCA组房颤负荷显著低于抗心律失常药物治疗组（分别为第90个百分点9% vs 18%；P=0.007） * * 设计消融线为开环，以便系统知道始点终点 通常设置步长为2mm，因冷盐水损伤直径可达5-7mm，故可保证消融线连续 * 设计消融线为开环，以便系统知道始点终点 通常设置步长为2mm，因冷盐水损伤直径可达5-7mm，故可保证消融线连续 J Cardiovasc Electrophysiol. 2011 May;22(5):534-40. doi: 10.1111/j.1540-8167.2010.01942.x. Epub 2010 Nov 23. Robotic navigation in catheter ablation for paroxysmal atrial fibrillation: midterm efficacy and predictors of postablation arrhythmia recurrences. Hlivák P, Ml?ochová H, Peichl P, Cihák R, Wichterle D, Kautzner J. Source Department of Cardiology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic Department of Arrhythmias and Pacing, National Cardiovascular Institute, Bratislava, Slovak Republic. Abstract Robotic Navigation in Ablation of Paroxysmal AF.?Introduction: Remote navigation systems represent a novel strategy for catheter ablation of atrial fibrillation (AF). The goal of this study is to describe a single-center experience with the electromechanical robotic system (Sensei, Hansen Medical) in treatment of patients with paroxysmal AF. Methods: Out of 200 patients who underwent robotically guided ablation for AF between 2007 and 2009 at our institute, 100 patients (29 women, age 56.5 ± 10 years) had paroxysmal AF refractory to antiarrhythmic drugs. Electroanatomic mapping using NavX system (St. Jude Medical) provided anatomical shell