心房颤动导管消融后心房食管瘘的研究概况

General situation of researches on atrial esophageal fistula after catheter ablation of atrial fibrillation

摘要:

心房颤动(房颤)是较常见的一种心律失常,目前导管消融作为其治疗手段之一,已广泛应用于临床。心房食管瘘是房颤导管消融术的一种罕见并发症,但却是最可怕和致命的。因此,为了能降低其发生的风险,我们需要充分认识该并发症,并采取积极有效的预防措施。本文综述了心房食管瘘的发病机制、危险因素、诊断及治疗,以及目前可能有效的一些预防措施,以期为临床提供参考。

Abstract:

Atrial fibrillation (AF) is a common arrhythmia. Currently, catheter ablation is one of the effective treatments and has been widely used in clinical practice. Atrial esophageal fistula is a rare complication of AF catheter ablation but is the most dreadful and deadly one. Therefore, to reduce the risk of its occurrence, we need to fully understand it and take active and effective preventive measures. This article reviews its pathogenesis, risk factors, diagnosis and treatment, and summarizes some of the preventive measures that may be effective at present.