Percutaneous Neuromodulation for Atrial Fibrillation.

Atrial Fibrillation / therapy Humans Vagus Nerve Stimulation / methods Transcutaneous Electric Nerve Stimulation / methods Catheter Ablation / methods
Atrial fibrillation Autonomic modulation Ganglionated plexi ablation Percutaneous neuromodulation Pulmonary vein isolation Renal denervation Transcutaneous low-level tragus stimulation Vagus nerve stimulation

Journal

Cardiac electrophysiology clinics
ISSN: 1877-9190
Titre abrégé: Card Electrophysiol Clin
Pays: United States
ID NLM: 101549998

Informations de publication

Date de publication:
Sep 2024
Historique:
medline: 1 8 2024
pubmed: 1 8 2024
entrez: 31 7 2024
Statut: ppublish

Résumé

Percutaneous neuromodulation is emerging as a promising therapeutic approach for atrial fibrillation (AF). This article explores techniques such as ganglionated plexi (GP) ablation, and vagus nerve stimulation, pinpointing their potential in modulating AF triggers and maintenance. Noninvasive methods, such as transcutaneous low-level tragus stimulation, offer innovative treatment pathways, with early trials indicating a significant reduction in AF burden. GP ablation may address autonomic triggers, and the potential for GP ablation in neuromodulation is discussed. The article stresses the necessity for more rigorous clinical trials to validate the safety, reproducibility, and efficacy of these neuromodulation techniques in AF treatment.

Identifiants

DOI: 10.1016/j.ccep.2023.09.001 PMID: 39084721
pubmed: 39084721
pii: S1877-9182(23)00084-9
doi: 10.1016/j.ccep.2023.09.001
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

281-296

Informations de copyright

Crown Copyright © 2023. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure Nil.

Auteurs

Mohamed Zuhair (M)

National Heart and Lung Institute, Imperial College London, Du Cane Road, London W12, UK. Electronic address: m.zuhair@nhs.net.

Daniel Keene (D)

National Heart and Lung Institute, Imperial College London, Du Cane Road, London W12, UK.

Prapa Kanagaratnam (P)

National Heart and Lung Institute, Imperial College London, Du Cane Road, London W12, UK.

Phang Boon Lim (PB)

National Heart and Lung Institute, Imperial College London, Du Cane Road, London W12, UK.

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Classifications MeSH

questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Troubles du rythme cardiaque › Fibrillation auriculaire › Percutaneous Neuromodulation for Atrial Fibrillation.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Percutaneous Neuromodulation for Atrial Fibrillation.
questionsmedicales.fr › Thérapeutique › Stimulation du nerf vague › Percutaneous Neuromodulation for Atrial Fibrillation.
questionsmedicales.fr › Anesthésie et analgésie › Analgésie › Neurostimulation électrique transcutanée › Percutaneous Neuromodulation for Atrial Fibrillation.
questionsmedicales.fr › Procédures de chirurgie opératoire › Techniques d'ablation › Ablation par radiofréquence › Ablation par cathéter › Percutaneous Neuromodulation for Atrial Fibrillation.