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心房颤动的射频导管消融治疗近年来取得了长足的进步，从ESC、AHA等心房颤动相关指南中可以清晰地反映出其在心房颤动治疗中的地位不断上升。尤其对于阵发性心房颤动，其成功率可达70％～80％。阵发性心房颤动消融的核心策略是肺静脉隔离。如何提高手术的成功率，减少复发，特别是进一步提高一次手术的成功率是广大电生理学者关心的主要问题。现对肺静脉隔离以外的消融策略及相关新技术做一简要综述。“,”Catheter ablation of atrial fibrillation has made substantial progress in recent years .We can infer that catheter ablation plays an important role in the treatment of atrial fibrillation according to clinical guidelines .Pulmonary vein isolation is the essential proce-dure of catheter ablation to treat paroxysmal atrial fibrillation ,and its success rate is range 70%~80%.However ,this strategy is associated with limited success in some patients with paroxysmal atrial fibrillation .A variety of techniques have recently been proposed to improve the outcome of patients who received ablation ,but the optimal strategy has not yet been defined .This review will focus on the ablation beyond the pulmonary vein triggers ,including substrate-based ablation and the application of new techniques during ablation .