摘要 高功率短时程（high power short duration, HPSD）消融较传统的消融方法显著缩短了手术时间、放电时间与透视时间，降低了围手术期相关并发症的发生率。HPSD消融不仅能维持较高的手术成功率，而且不会造成食管损伤等严重并发症的发生率升高，具有高效、安全、操作难度低等特点。近年来，90 W、4 s的极高功率短时程（very high power short duration, vHPSD）消融也逐步进入临床诊疗，初步展现出较高的安全性和有效性。随着新术式的开发与杂交手术的广泛应用，HPSD消融或将成为房颤节律控制的主要手段。本文对HPSD消融的临床应用及相关进展进行综述。
Abstract：Compared with traditional ablation procedures, high power short duration (HPSD) ablation significantly shortens the operation time, discharge time and fluoroscopy time, and reduces the incidence of periprocedural complications. HPSD ablation could not only maintain a high surgical success rate, but also would not increase the incidence of serious complications such as esophageal injury. It is characterized by high efficiency, high safety and low operation difficulty. In recent years, very high power short duration (vHPSD) ablation (90 W, 4 s) has been gradually introduced into clinical diagnosis and treatment, preliminarily showing its high safety and efficacy. With the development of new procedural methods and wide application of hybrid procedure, HPSD ablation may become the main means of rhythm control in patients with atrial fibrillation. This article reviews the clinical application and related progress of HPSD ablation.
杜辉，马艺波，王怡，易甫. 高功率短时程消融在房颤治疗中的应用[J]. 实用心电学杂志, 2023, 32(1): 56-59.
DU Hui, MA Yibo, WANG Yi, YI Fu. Application of high power short duration ablation in treating atrial fibrillation. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2023, 32(1): 56-59.
