摘要
心房颤动是临床上最常见的心律失常,导管消融已成为一线的治疗策略.其中,冷冻球囊消融因手术时间短、学习曲线短、患者痛苦小等优点成为心房颤动的标准化治疗手段.目前有大量临床实践以及研究为冷冻球囊消融作为心房颤动一线治疗提供了新的证据.因此,该文对导管消融的现状,冷冻球囊消融的现状、面临的挑战以及作为心房颤动一线导管消融策略的展望进行综述,旨在为心脏科医生在心房颤动初始节律控制方面进行临床决策提供参考.
Abstract
Atrial fibrillation is the most common arrhythmia in clinical practice,and catheter ablation has become a first-line treatment strategy.Among them,cryoballoon ablation has become a standardized treatment for atrial fibrillation due to its advantages such as short surgical time,short learning curve,and minimal patient pain.Currently,a large amount of clinical practice and research have provided new evidence for cryoballoon ablation as a first-line treatment for atrial fibrillation.Therefore,this article provides a review of the current status of catheter ablation,the current status,challenges faced,and prospects as a first-line catheter ablation strategy for atrial fibrillation of cryoballoon ablation,with the aim of providing reference for cardiologists in clinical decision-making in the initial rhythm control of atrial fibrillation.