Скачать с ютуб 심방세동의 새로운 치료법 (Pulse Field Ablation;PFA) : 펄스장 치료술 в хорошем качестве

심방세동의 새로운 치료법 (Pulse Field Ablation;PFA) : 펄스장 치료술

심방 세동의 가장 최근 시술인 pulse field ablation ( PFA , 펄스장 치료술) 에 대한 최신 정보를 알려드립니다. 유럽에서는 이미 사용화된지 수년이 되었고, 미국에서는 2024 년 FDA 승인을 거쳐 대형 병원에서 보급되기 시작한 기술입니다. 국내에는 올해 12월 첫 환자 케이스를 시작으로 2025 년부터 신의료 기술로 비급여 허가를 받았습니다. 기존의 전극도자 절제술, 냉동 풍선 절제술과 비교하여 어떤 장점이 있는지 간략하게 정리해 드립니다. 1. Ekanem, E., Neuzil, P., Reichlin, T. et al. Safety of pulsed field ablation in more than 17,000 patients with atrial fibrillation in the MANIFEST- 17K study. Nat Med (2024). doi:10.1038/s41591-024-03114-3. 2. Della Rocca DG, Marcon L, Magnocavallo M, et al. Pulsed electric field, cryoballoon, and radiofrequency for paroxysmal atrial fibrillation ablation: A propensity score-matched comparison. Europace. 2023;26(1):euae016. 3. Badertscher P, Weidlich S, Knecht S, et al. Efficacy and safety of pulmonary vein isolation with pulsed field ablation vs. novel cryoballoon ablation system for atrial fibrillation. Europace 25.12 (2023): euad329. 4. Maurhofer, Jens, et al. Pulsed-field vs. cryoballoon vs. radiofrequency ablation: A propensity score matched comparison of one-year outcomes after pulmonary vein isolation in patients with paroxysmal atrial fibrillation. J Interv Card Electrophysiol. 67.2 (2024): 389-397. 5. Ekanem E, Reddy VY, Schmidt B, et al., Multi-national survey on the methods, efficacy, and safety on the post-approval clinical use of pulsed field ablation (MANIFEST-PF) [published correction appears in Europace. 2023 Feb 16;25(2):449. doi:10.1093/europace/euac250]. Europace. 2022;24(8):1256-1266. doi:10.1093/europace/euac050. 6. Urbanek L, Bordignon S, Schaack D, et al. Pulsed field versus cryoballoon pulmonary vein isolation for atrial fibrillation: Efficacy, safety, and long-term follow-up in a 400-patient cohort. Circulation: Arrhythmia and Electrophysiology 16.7 (2023): 389-398. 7. Chaumont C, McDonnell E, Boveda S, et al. Prospective 1-year results of atrial fibrillation ablation using the pentaspline pulsed field ablation catheter: The initial French experience. Arch Cardiovasc Dis. Mar 5 2024;doi:10.1016/j.acvd.2024.01.005. 8. Rattka M, Mavrakis E, Vlachopoulou D, et al. Pulsed field ablation and cryoballoon ablation for pulmonary vein isolation: Insights on efficacy, safety and cardiac function. J Interv Card Electrophysiol. (2024): 1-8. 9. Reddy VY, Gerstenfeld EP, Natale A, et al. Pulsed field or conventional thermal ablation for paroxysmal atrial fibrillation. New England Journal of Medicine. 2023; 389(18):1660-1671. doi:10.1056/ NEJMoa2307291. 10. Reddy VY, Mansour M, Calkins H, et al. Pulsed Field vs Conventional Thermal Ablation for Paroxysmal Atrial Fibrillation: Recurrent Atrial Arrhythmia Burden. J Am Coll Cardiol. Published online May 6, 2024. doi:10.1016/j.jacc.2024.05.001. 11. Schmidt B, Bordignon S, Nevenet K, et al. European real-world outcomes with pulsed field ablation in patients with symptomatic atrial fibrillation: Lessons from the multi-centre EU-PORIA Registry. Europace. 2023;25(7):euad185. 12. Boresma, et al., Real World Data Collection in Subjects Treated with the FARAPULSE Pulsed Field Ablation System (FARADISE). HRS 2024. 13.Verma, A, et al. Pulsed field ablation for the treatment of atrial fibrillation: PULSED AF pivotal trial. Circulation 147.19 (2023): 1422-1432.