Авторы
Шевченко Ю.Л., Свешников А.В., Башилов С.А., Гудымович В.Г.
Клиника грудной и сердечно-сосудистой хирургии имени Св. Георгия Национального медико-хирургического Центра имени Н.И. Пирогова, Москва
Аннотация
Детальный анализ современных подходов немедикаментозного лечения фибрилляции предсердий. Рассмотрены этапы развития хирургического лечения фибрилляции предсердий на открытом сердце от операции изоляции левого предсердия до операции «Лабиринт». Прослежена эволюция катетерных технологий, начиная с фульгурации атриовентрикулярного соединения до применения систем трехмерного электроанатомического картирования. Отдельное внимание уделено торакоскопическим вмешательствам и гибридному подходу в лечении пациентов с персистирующей формой фибрилляции предсердий. Приведены данные по новым технологиям лечения фибрилляции предсердий.
Ключевые слова: фибрилляция предсердий, история, изоляция легочных вен, операция «Лабиринт», катетерные технологии, торакоскопическая РЧА, гибридный подход, роботизированные системы, новые технологии.
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