1、 51.348.777.1%22.9%78.871.562.321.228.537.7P0.05LUPVLLPVRUPVRLPVICVSCVLUPVLLPVRUPVRLPVICVSCVLUPVLLPVRUPVRLPVICVSCVLUPVLLPVRUPVRLPVICVSCVLUPVLLPVRUPVRLPVICVSCVLUPVLLPVRUPVRLPVICVSCVEstner et al.EUROPACE,2008,8Crawford et al.J Interv Card Electrophysiol,2008,21:2733(1)PV前庭前庭(2)后壁后壁(3)前壁前壁(4)顶部顶部(5)间隔部
2、间隔部(6)二尖瓣环后部二尖瓣环后部(7)前壁前壁(8)左心耳左心耳Tada et al.J Cardiovasc Electrophysiol,2008,19,606-612IVCRARIPVRAARSPVSVCLVLPALSPVLIPVRVLALAALuZ,JiangHandSunnyPo.CircArrhythmiaElectrophysiol.20082001601208040123456Baseline起搏时间起搏时间ERP(ms)LSPVERP2xThresholdERP10 xThresholdLuZ,JiangHandSunnyPo.CircArrhythmiaElectrop
3、hysiol.20082001601208040123456BaselineERP(ms)LSPVERP2xThresholdERP10 xThresholdPost-AblGPAblation起搏时间起搏时间LuZ,JiangHandSunnyPo.CircArrhythmiaElectrophysiol.2008123456BaselineWoV(ms)消融消融GP040080012001600Post-AblLuZ,JiangHandSunnyPo.CircArrhythmiaElectrophysiol.20082001601208040123456Post-AblERP(ms)LSP
4、VERP2xThresholdERP10 xThreshold起搏时间起搏时间LuZ,JiangHandSunnyPo.CircArrhythmiaElectrophysiol.2008Post-Abl123456Post-Abl040080012001600WoV(ms)LuZ,JiangHandSunnyPo.CircArrhythmiaElectrophysiol.2008Post-AblLu Z,Jiang H and Sunny Po.JCE.2008100 msIIRAARSPVRIPVRAAAMidGPRotorFiringRACFAE+Lu Z,Jiang H and Sunn
5、y Po.JCE.2008IIRAARSPVRIPVRAAAMidGP100 msLu Z,Jiang H and Sunny Po.JCE.2008Lu Z,Jiang H and Sunny Po.JCE.2008297例房颤患者例房颤患者CAPV随访随访12月月1例复发例复发29例（例（17.6%）复发）复发aVLRVI36008406008101040710 4401005004.1 secHFS 停止6003600ArterialPressure(mmHg)VV神经反射神经反射(R-RInterval)VVJackmanandNakagawa,HRS200510例例“迷走神经性房颤迷走神经性房颤”HFS诱发神经反射诱发神经反射7例诱发出迷走反射例诱发出迷走反射3例未诱发出迷走反射例未诱发出迷走反射神经丛消融神经丛消融CAPV随访随访8.3 2.8 月月2例无复发例无复发均无复发均无复发Scanavacca et al.Circulation,2006,114:876Follow-up(days)FreedomfromrecurrenceVagal(withvagalresponse)PVisolation(novagalresponse)0.00.20.40.60.81.0050100150200250
