摘要
心房颤动是临床最常见的心律失常,近年来射频消融已成为治疗心房颤动最重要、最有效的手段,但与此同时各种并发症也随之而来。肺静脉狭窄是心房颤动射频消融术后的并发症之一,严重的肺静脉狭窄可出现患侧肺淤血及血流灌注异常,晚期可发生进展性肺循环高压。由于它是一种相对罕见的医学问题,且不具有特异性表现,因此很容易被误诊、漏诊。结合上述现状,现针对心房颤动射频消融术后肺静脉狭窄的流行病学、形成及影响因素、病理生理、临床症状、诊治及相关进展做以下综述。
Atrial fibrillation is the most common arrhythmia in the clinic.In recent years,radiofrequency ablation has become the most important and effective method for the treatment of atrial fibrillation,but at the same time various postoperative complications followed.Pulmonary vein stenosis is one of the serious complications after radiofrequency ablation of atrial fibrillation.Severe pulmonary vein stenosis may cause abnormal pulmonary congestion and abnormal blood perfusion on the affected side,and progressive pulmonary hypertension may occur in the late stage.Because it is a relatively rare medical problem and has no specific manifestations,it is easy to be misdiagnosed or missed.Combined with the above status,this article reviews the epidemiology,forming and influencing factors,pathophysiology,symptoms,diagnosis,treatment and related progress of pulmonary vein stenosis after radiofrequency ablation of atrial fibrillation.
作者
程云
薛枫
CHENG Yun;XUE Feng(Department of Cardiology,The First Affiliated Hospital of Soochow University,Suzhou 215000,Jiangsu,China)
出处
《心血管病学进展》
CAS
2021年第2期111-113,127,共4页
Advances in Cardiovascular Diseases
关键词
心房颤动
射频消融术
肺静脉狭窄
Atrial fibrillation
Radiofrequency ablation
Pulmonary vein stenosis
