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Catheter Ablation with Radiofrequency Energy: Biophysical Aspects and Clinical Applications

机译:射频能量导管消融术:生物物理方面和临床应用

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Radiofrequency Catheter Ablation. Radiofrequency catheter ablation techniques are becoming increasingly accepted as the therapy of choice for selected patients with symptomatic arrhythmias. The ability to titrate the power output using radiofrequency current has allowed these ablative techniques to be applied safely in a variety of arrhythmias. In many institutions, radiofrequency catheter ablation has now become standard therapy for controlling medically refractory atrial arrhythmias using atrioventricular (AV) junction ablation and for curing AV nodal reentrant tachycardia and supra ventricular tachycardia due to accessory AV connections. This technology is also being used to treat some forms of ventricular tachycardia such as bundle branch reentry ventricular tachycardia, ventricular tachycardia in structurally normal hearts, and with limited success in patients with ventricular tachycardia and coronary artery disease. Advancements in catheter design and energy delivery systems may further expand the use of this form of therapy. (J Cardiovasc Electrophysiol, Vol. 3, pp. 173–186, April 199
机译:射频导管消融术。射频导管消融技术越来越被接受为特定症状性心律失常患者的首选疗法。使用射频电流滴定功率输出的能力使这些烧蚀技术能够安全地应用于各种心律失常。在许多机构中,射频导管消融术现已成为使用房室 (AV) 交界处消融术控制难治性房性心律失常以及治疗因辅助房室连接引起的房室结折返性心动过速和室上性心动过速的标准疗法。该技术还被用于治疗某些形式的室性心动过速,例如束支再入室性心动过速、结构正常心脏中的室性心动过速,并且在室性心动过速和冠状动脉疾病患者中取得了有限的成功。导管设计和能量输送系统的进步可能会进一步扩大这种治疗形式的使用。(J Cardiovasc Electrophysiol,第 3 卷,第 173-186 页,199 年 4 月

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