中国实用内科杂志2026，Vol.46Issue(5)：378-380,3.DOI:10.19538/j.nk2026050106
脉冲电场消融新时代:二尖瓣峡部还需要Marshall静脉无水酒精消融吗?
New era of pulsed field ablation for atrial fibrillation:is vein of Marshall ethanol ablation still necessary for mitral isthmus ablation?
摘要
Abstract
The article explores the clinical value of vein of Marshall(VOM)ethanol ablation in mitral isthmus ablation in the new era of pulsed field ablation(PFA)for atrial fibrillation.It analyzes the importance of mitral isthmus block in atrial fibrillation treatment,discusses the synergistic mechanism and clinical benefits of radiofrequency ablation combined with VOM,and analyzes the insufficient ablation depth and limited long-term effect of current bipolar PFA in mitral isthmus ablation.It is pointed out that combined ablation is still a more reliable strategy for achieving persistent block of MI at this stage.The future development direction is prospected in unipolar PFA technique and the multi-energy integration.关键词
心房颤动/脉冲电场消融/二尖瓣峡部/Marshall静脉无水酒精消融/联合消融Key words
atrial fibrillation/pulsed field ablation/mitral isthmus/vein of Marshall ethanol ablation/combined ablation分类
医药卫生引用本文复制引用
方咸宏..脉冲电场消融新时代:二尖瓣峡部还需要Marshall静脉无水酒精消融吗?[J].中国实用内科杂志,2026,46(5):378-380,3.基金项目
国家自然科学基金(82400374) （82400374）
