【心房顫動最佳救星:脈衝埸消融術】
較早前我哋邀請咗心臟專科醫生 陳傑醫生同我哋分享一下「心房顫動」嘅治療方法了解咩方法最適合自己係好重要㗎!以下陳醫生為大家整理咗幾種手術嘅比較希望大家能夠認識更多一齊睇吓佢點講脈衝埸消融術(新型手術)手術時間:約1.5小時(較短)手術風險:較低一年內無病復發率:81.1%(不容易復發)導管射頻消融術(傳統手術)手術時間:約3小時(較長)手術風險:較高一年內無病復發率:63.2%(最大機會復發)冷凍球囊消融術(傳統手術)手術時間:約3小時(較長)手術風險:較高一年內無病復發率:74.2%(較大機會復發)資料來源:-Kistler PM, Chieng D, Sugumar H, et al. Effect of Catheter Ablation Using Pulmonary Vein Isolation With vs Without Posterior Left Atrial Wall Isolation on At rial Arrhythmia Recurrence in Patients With Persistent Atrial Fibrillation:The CAPLA Randomized Clinical Trial. JAMA. 2023;329(2):127 135.-Martin A, Fowler M, Breskovic T, et al. Novel cryoballoon to isolate pulmonary veins in patients with paroxysmal atrial fibrillation: long term outcomes in a multicentre clinical study. J Interv Card Electrophysiol . 2022Dec;65(3):609 616.從以上分析可見「脈衝埸消融術」喺各方面都比較優勝