1、 51.348.777.1%22.9%78.871.562.321.228.537.7P0.05LUPVLLPVRUPVRLPVICVSCVLUPVLLPVRUPVRLPVICVSCVLUPVLLPVRUPVRLPVICVSCVLUPVLLPVRUPVRLPVICVSCVLUPVLLPVRUPVRLPVICVSCVLUPVLLPVRUPVRLPVICVSCVEstner et al.EUROPACE,2019,8Crawford et al.J Interv Card Electrophysiol,2019,21:2733Tada et al.J Cardiovasc Electrophysi
2、ol,2019,19,606-612IVCRARIPVRAARSPVSVCLVLPALSPVLIPVRVLALAALuZ,JiangHandSunnyPo.CircArrhythmiaElectrophysiol.20192001601208040123456Baseline起搏时间起搏时间ERP(ms)LSPVERP2xThresholdERP10 xThresholdLuZ,JiangHandSunnyPo.CircArrhythmiaElectrophysiol.20192001601208040123456BaselineERP(ms)LSPVERP2xThresholdERP10 x
3、ThresholdPost-AblGPAblation起搏时间起搏时间LuZ,JiangHandSunnyPo.CircArrhythmiaElectrophysiol.2019123456BaselineWoV(ms)消融消融GP040080012001600Post-AblLuZ,JiangHandSunnyPo.CircArrhythmiaElectrophysiol.20192001601208040123456Post-AblERP(ms)LSPVERP2xThresholdERP10 xThreshold起搏时间起搏时间LuZ,JiangHandSunnyPo.CircArrhyt
4、hmiaElectrophysiol.2019Post-Abl123456Post-Abl040080012001600WoV(ms)LuZ,JiangHandSunnyPo.CircArrhythmiaElectrophysiol.2019Post-AblLu Z,Jiang H and Sunny Po.JCE.2019100 msIIRAARSPVRIPVRAAAMidGPRotorFiringRACFAE+Lu Z,Jiang H and Sunny Po.JCE.2019IIRAARSPVRIPVRAAAMidGP100 msLu Z,Jiang H and Sunny Po.JCE
5、.2019Lu Z,Jiang H and Sunny Po.JCE.2019297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,HRS201910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,2019,114:876Follow-up(days)FreedomfromrecurrenceVagal(withvagalresponse)PVisolation(novagalresponse)0.00.20.40.60.81.0050100150200250