经典单极射频消融治疗长期持续性心房颤动:倾向评分匹配分析

A. Evtushenko, V. Evtushenko, E. Pavlyukova, I. Kurlov, V. K. Vaizov, V. Katkov, E. Kiriakidi, S. Popov
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引用次数: 1

摘要

本文对穿透性射频消融技术在心房心肌的临床应用效果进行评价。材料和方法。对298例瓣膜性心脏病合并心房颤动患者进行了手术治疗。所有手术均在体外循环和停搏下进行。主要组198例采用穿透技术射频照射手术。对照组包括100例使用“经典”单极射频消融技术进行手术的患者。两组术前在任何参数上均无显著差异,但为了增加结果的可信度,使用倾向评分匹配技术进行了伪随机化。既往心脏手术的患者在选择手术候选人时被排除在外,因为心包粘连的存在使左心房不能很好地可视化,不足以进行手术。在术后早期和长期,穿透技术的效率明显高于“经典”技术。术后早期有效率93%,远期有效率88%。“经典”单极手术的疗效较低,分别为86%和68%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CLASSICAL MONOPOLAR RADIOFREQUENCY ABLATION IN TREATMENT OF LONG-Standing persistent Atrial FIBRILLATION: PROPENSITY SCORE MATCHING ANALYSIS
The article is devoted to the evaluation of the results of clinical application of penetrating radiofrequency ablation techniques on atrial myocardium.Material and Methods. A total of 298 patients with valvular heart disease complicated with atrial fibrillation were operated. All operations were performed under cardiopulmonary bypass and cardioplegia. The main group consisted of 198 patients who were operated using penetrating technique radiofrequency exposure. The control group consisted of 100 patients who underwent surgery with the use of «classical» monopolar radiofrequency-ablation technique. Both groups did not significantly differ in any parameter before surgery, but to increase confidence in the results, pseudo-randomization was performed using the Propensity score matching technique.Results. Patients with previous heart surgery were excluded during the selection of candidates for the procedure because of the presence of adhesions in the pericardium that did not allow good visualization of the left atrium, sufficient to perform the procedure. Penetrating technique had significantly higher efficiency compared to the «classic» technique in the early and long-term postoperative periods. The efficiency was 93% in the early postoperative period and 88% in the long term. The efficacy of «classical» monopolar procedure was lower: 86 and 68%, respectively.
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