分散贴片电极定位对射频导管消融安全性和疗效的影响。

IF 7.9 1区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Europace Pub Date : 2024-11-01 DOI:10.1093/europace/euae285

Piotr Futyma, Łukasz Zarębski, William H Sauer

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引用次数: 0

摘要

安全高效的射频导管消融在很大程度上取决于皮肤上分散贴片电极（DPE）的正确放置。这一观点阐述了 DPE 定位在优化病灶形成和降低并发症风险方面的作用。不正确的分散贴片电极位置会导致不理想的能量传输，延长手术时间和/或增加不良事件的风险，如蒸汽爆裂和可能致命的肛门食道瘘。尽管 DPE 非常重要，但目前还没有就 DPE 的最佳定位达成共识，而且目前的研究还需要进一步改进预测模型。

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Impact of dispersive patch electrode positioning on safety and efficacy of radiofrequency catheter ablation.

Safe and efficient radiofrequency catheter ablation depends significantly on the proper placement of dispersive patch electrodes (DPEs), on the skin. This viewpoint describes the role of DPE positioning in optimizing lesion creation and reducing the risk of complications. Incorrect DPE placement can lead to suboptimal energy delivery, prolonging the procedure and/or increasing the risk of adverse events, such as steam pops and potentially fatal atrio-oesophageal fistula. Despite its importance, there is no consensus on the optimal positioning of DPE, and current studies require further improvement in predictive modelling.

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来源期刊

Europace 医学-心血管系统

CiteScore

10.30

自引率

8.20%

发文量

851

审稿时长

3-6 weeks

期刊介绍： EP - Europace - European Journal of Pacing, Arrhythmias and Cardiac Electrophysiology of the European Heart Rhythm Association of the European Society of Cardiology. The journal aims to provide an avenue of communication of top quality European and international original scientific work and reviews in the fields of Arrhythmias, Pacing and Cellular Electrophysiology. The Journal offers the reader a collection of contemporary original peer-reviewed papers, invited papers and editorial comments together with book reviews and correspondence.