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1.
Nano Lett ; 2024 Aug 08.
Artículo en Inglés | MEDLINE | ID: mdl-39115228

RESUMEN

The helical edge states (ESs) protected by underlying Z2 topology in two-dimensional topological insulators (TIs) arouse upsurges in saturable absorptions thanks to the strong photon-electron coupling in ESs. However, limited TIs demonstrate clear signatures of topological ESs at liquid nitrogen temperatures, hindering the applications of such exotic quantum states. Here, we demonstrate the existence of one-dimensional (1D) ESs at the step edge of the quasi-1D material Ta2NiSe7 at 78 K by scanning tunneling microscopy. Such ESs are rather robust against the irregularity of the edges, suggesting a possible topological origin. The exfoliated Ta2NiSe7 flakes were used as saturable absorbers (SAs) in an Er-doped fiber laser, hosting a mode-locked pulse with a modulation depth of up to 52.6% and a short pulse duration of 225 fs, far outstripping existing TI-based SAs. This work demonstrates the existence of robust 1D ESs and the superior SA performance of Ta2NiSe7.

2.
Nano Lett ; 21(20): 8749-8755, 2021 Oct 27.
Artículo en Inglés | MEDLINE | ID: mdl-34609886

RESUMEN

Nodal monoloop, enjoying the cleanest scenario with a single loop, is recognized as the basic building block of intricate linked loops including chains, nets, and knots. Here, we explore the interplay of magnetic ordering and band topology in one system by introducing a brand-new quantum state, referred to as Weyl monoloop semi-half-metal, which is characterized by a single loop at the Fermi level stemming from the same spin channel. Such a nodal line Fermion, yielding 100% spin polarization, is protected by mirror (Mz) symmetry. As a prominent example, a realistic rutile-type metal fluorides LiV2F6 achieves the hitherto unmaterialized state, featuring fully spin-polarized ultraflat surface states. More interestingly, LiV2F6 has a "soft" ferromagnetic property, which is one of the desired systems to control the anomalous Hall effect by rotating the magnetization direction. Our findings offer a promising candidate for exploring the topology and magnetism with intriguing effects.

3.
Phys Rev Lett ; 125(7): 076801, 2020 Aug 14.
Artículo en Inglés | MEDLINE | ID: mdl-32857537

RESUMEN

A particle beam may undergo an anomalous spatial shift when it is reflected at an interface. The shift forms a vector field defined in the two-dimensional interface momentum space. We show that, although the shift vector at individual momentum is typically sensitive to the system details, its integral along a close loop, i.e., its circulation, could yield a robust quantized number under certain conditions of interest. Particularly, this is the case when the beam is incident from a trivial medium, then the quantized circulation of anomalous shift (CAS) directly manifests the topological character of the other medium. We demonstrate that the topological charge of a Weyl medium as well as the unconventional pair potentials of a superconductor can be captured and distinguished by CAS. Our work unveils a hidden quantized feature in a ubiquitous physical process, which may also offer a new approach for probing topological media.

4.
Phys Rev Lett ; 124(3): 037701, 2020 Jan 24.
Artículo en Inglés | MEDLINE | ID: mdl-32031831

RESUMEN

The current valleytronics research is based on the paradigm of time-reversal-connected valleys in two-dimensional (2D) hexagonal materials, which forbids the fully electric generation of valley polarization by a gate field. Here, we go beyond the existing paradigm to explore 2D systems with a novel valley-layer coupling (VLC) mechanism, where the electronic states in the emergent valleys have a valley-contrasted layer polarization. The VLC enables a direct coupling between a valley and a gate electric field. We analyze the symmetry requirements for a system to host VLC, demonstrate our idea via first-principles calculations and model analysis of a concrete 2D material example, and show that an electric, continuous, wide-range, and switchable control of valley polarization can be achieved by VLC. Furthermore, we find that systems with VLC can exhibit other interesting physics, such as valley-contrasting linear dichroism and optical selection of the valley and the electric polarization of interlayer excitons. Our finding opens a new direction for valleytronics and 2D materials research.

5.
Phys Rev Lett ; 125(5): 056402, 2020 Jul 31.
Artículo en Inglés | MEDLINE | ID: mdl-32794859

RESUMEN

We propose a universal practical approach to realize magnetic second-order topological insulator (SOTI) materials, based on properly breaking the time reversal symmetry in conventional (first-order) topological insulators. The approach works for both three dimensions (3D) and two dimensions (2D), and is particularly suitable for 2D, where it can be achieved by coupling a quantum spin Hall insulator with a magnetic substrate. Using first-principles calculations, we predict bismuthene on EuO(111) surface as the first realistic system for a two-dimensional magnetic SOTI. We explicitly demonstrate the existence of the protected corner states. Benefitting from the large spin-orbit coupling and sizable magnetic proximity effect, these corner states are located in a boundary gap ∼83 meV, and hence can be readily probed in experiment. By controlling the magnetic phase transition, a topological phase transition between a first-order TI and a SOTI can be simultaneously achieved in the system. The effect of symmetry breaking, the connection with filling anomaly, and the experimental detection are discussed.

6.
Phys Rev Lett ; 123(25): 256402, 2019 Dec 20.
Artículo en Inglés | MEDLINE | ID: mdl-31922761

RESUMEN

A second-order topological insulator (SOTI) in d spatial dimensions features topologically protected gapless states at its (d-2)-dimensional boundary at the intersection of two crystal faces, but is gapped otherwise. As a novel topological state, it has been attracting great interest, but it remains a challenge to identify a realistic SOTI material in two dimensions (2D). Here, based on combined first-principles calculations and theoretical analysis, we reveal the already experimentally synthesized 2D material graphdiyne as the first realistic example of a 2D SOTI, with topologically protected 0D corner states. The role of crystalline symmetry, the robustness against symmetry breaking, and the possible experimental characterization are discussed. Our results uncover a hidden topological character of graphdiyne and promote it as a concrete material platform for exploring the intriguing physics of higher-order topological phases.

7.
Phys Rev Lett ; 121(17): 176602, 2018 Oct 26.
Artículo en Inglés | MEDLINE | ID: mdl-30411955

RESUMEN

Superconductors with unconventional pairings have been a fascinating subject of research, for which a central issue is to explore effects that can be used to characterize the pairing. The process of Andreev reflection-the reflection of an electron as a hole at a normal-metal-superconductor interface-offers a basic mechanism to probe the pairing. Here we predict that in Andreev reflection from unconventional superconductors, the reflected hole acquires an anomalous spatial shift normal to the plane of incidence, arising from the unconventional pairing. The transverse shift is sensitive to the superconducting gap structure, exhibiting characteristic features for each pairing type, and can be detected as voltage signals. Our work not only unveils a fundamentally new effect with a novel underlying mechanism, but also suggests a possible new technique capable of probing the structure of unconventional pairings.

8.
Phys Rev Lett ; 119(2): 026404, 2017 Jul 14.
Artículo en Inglés | MEDLINE | ID: mdl-28753359

RESUMEN

The recent proposal of the type-II Weyl semimetal state has attracted significant interest. In this Letter, we propose the concept of the three-dimensional type-II Dirac fermion and theoretically identify this new symmetry-protected topological state in the large family of transition-metal icosagenides, MA_{3} (M=V, Nb, Ta; A=Al, Ga, In). We show that the VAl_{3} family features a pair of strongly Lorentz-violating type-II Dirac nodes and that each Dirac node can be split into four type-II Weyl nodes with chiral charge ±1 via symmetry breaking. Furthermore, we predict that the Landau level spectrum arising from the type-II Dirac fermions in VAl_{3} is distinct from that of known Dirac or Weyl semimetals. We also demonstrate a topological phase transition from a type-II Dirac semimetal to a quadratic Weyl semimetal or a topological crystalline insulator via crystalline distortions.

9.
Phys Rev Lett ; 117(7): 077202, 2016 Aug 12.
Artículo en Inglés | MEDLINE | ID: mdl-27563994

RESUMEN

We show several distinct signatures in the magnetoresponse of type-II Weyl semimetals. The energy tilt tends to squeeze the Landau levels (LLs), and, for a type-II Weyl node, there always exists a critical angle between the B field and the tilt, at which the LL spectrum collapses, regardless of the field strength. Before the collapse, signatures also appear in the magneto-optical spectrum, including the invariable presence of intraband peaks, the absence of absorption tails, and the special anisotropic field dependence.

10.
Adv Mater ; 36(29): e2402232, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38684179

RESUMEN

Recently, the real topology has been attracting widespread interest in two dimensions (2D). Here, based on first-principles calculations and theoretical analysis, the monolayer Cr2Se2O (ML-CrSeO) is revealed as the first material example of a 2D antiferromagnetic (AFM) real Chern insulator (RCI) with topologically protected corner states. Unlike previous RCIs, it is found that the real topology of the ML-CrSeO is rooted in one certain mirror subsystem of the two spin channels, and cannot be directly obtained from all the valence bands in each spin channel as commonly believed. In particular, due to antiferromagnetism, the corner modes in ML-CrSeO exhibit strong corner-contrasted spin polarization, leading to spin-corner coupling (SCC). This SCC enables a direct connection between spin space and real space. Consequently, large and switchable net magnetization can be induced in the ML-CrSeO nanodisk by electrostatic means, such as potential step and in-plane electric field, and the corresponding magnetoelectric responses behave like a sign function, distinguished from that of the conventional multiferroic materials. This work considerably broadens the candidate range of RCI materials, and opens up a new direction for topo-spintronics and 2D AFM materials research.

11.
Plants (Basel) ; 13(5)2024 Mar 06.
Artículo en Inglés | MEDLINE | ID: mdl-38475589

RESUMEN

RNAs play important roles in regulating biological growth and development. Advancements in RNA-imaging techniques are expanding our understanding of their function. Several common RNA-labeling methods in plants have pros and cons. Simultaneously, plants' spontaneously fluorescent substances interfere with the effectiveness of RNA bioimaging. New technologies need to be introduced into plant RNA luminescence. Aggregation-induced emission luminogens (AIEgens), due to their luminescent properties, tunable molecular size, high fluorescence intensity, good photostability, and low cell toxicity, have been widely applied in the animal and medical fields. The application of this technology in plants is still at an early stage. The development of AIEgens provides more options for RNA labeling. Click chemistry provides ideas for modifying AIEgens into RNA molecules. The CRISPR/Cas13a-mediated targeting system provides a guarantee of precise RNA modification. The liquid-liquid phase separation in plant cells creates conditions for the enrichment and luminescence of AIEgens. The only thing that needs to be looked for is a specific enzyme that uses AIEgens as a substrate and modifies AIEgens onto target RNA via a click chemical reaction. With the development and progress of artificial intelligence and synthetic biology, it may soon be possible to artificially synthesize or discover such an enzyme.

12.
Diabetes Metab J ; 48(4): 716-729, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38408883

RESUMEN

BACKGRUOUND: Diabetes-induced cardiac fibrosis is one of the main mechanisms of diabetic cardiomyopathy. As a common histone methyltransferase, enhancer of zeste homolog 2 (EZH2) has been implicated in fibrosis progression in multiple organs. However, the mechanism of EZH2 in diabetic myocardial fibrosis has not been clarified. METHODS: In the current study, rat and mouse diabetic model were established, the left ventricular function of rat and mouse were evaluated by echocardiography and the fibrosis of rat ventricle was evaluated by Masson staining. Primary rat ventricular fibroblasts were cultured and stimulated with high glucose (HG) in vitro. The expression of histone H3 lysine 27 (H3K27) trimethylation, EZH2, and myocardial fibrosis proteins were assayed. RESULTS: In STZ-induced diabetic ventricular tissues and HG-induced primary ventricular fibroblasts in vitro, H3K27 trimethylation was increased and the phosphorylation of EZH2 was reduced. Inhibition of EZH2 with GSK126 suppressed the activation, differentiation, and migration of cardiac fibroblasts as well as the overexpression of the fibrotic proteins induced by HG. Mechanical study demonstrated that HG reduced phosphorylation of EZH2 on Thr311 by inactivating AMP-activated protein kinase (AMPK), which transcriptionally inhibited peroxisome proliferator-activated receptor γ (PPAR-γ) expression to promote the fibroblasts activation and differentiation. CONCLUSION: Our data revealed an AMPK/EZH2/PPAR-γ signal pathway is involved in HG-induced cardiac fibrosis.


Asunto(s)
Proteínas Quinasas Activadas por AMP , Diabetes Mellitus Experimental , Cardiomiopatías Diabéticas , Proteína Potenciadora del Homólogo Zeste 2 , Fibrosis , Miocardio , PPAR gamma , Transducción de Señal , Animales , Proteína Potenciadora del Homólogo Zeste 2/metabolismo , PPAR gamma/metabolismo , Ratones , Ratas , Cardiomiopatías Diabéticas/metabolismo , Cardiomiopatías Diabéticas/etiología , Diabetes Mellitus Experimental/metabolismo , Diabetes Mellitus Experimental/complicaciones , Masculino , Proteínas Quinasas Activadas por AMP/metabolismo , Miocardio/patología , Miocardio/metabolismo , Ratas Sprague-Dawley , Fibroblastos/metabolismo , Ratones Endogámicos C57BL , Células Cultivadas , Fosforilación
13.
Clin Cardiol ; 46(5): 567-573, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-36951364

RESUMEN

BACKGROUND: This study's intent is to evaluate the usefulness of pattern matching filter (PMF) function combined with robotic magnetic navigation (RMN) in guiding the ablation of premature ventricular contractions (PVCs). HYPOTHESIS: Assume that PMF can improve the outcomes of PVCs ablation using RMN. METHODS: A retrospective analysis was completed consisting of 118 consecutive patients with PVCs who underwent radiofrequency ablation guided by RMN. According to the application of PMF, patients were divided into two groups: 20 patients underwent ablation without PMF (group A), and another 98 patients received ablation incorporating PMF (group B). RESULTS: Compared with group A, the procedure time (135.0 ± 28.3 min vs. 106.3 ± 37.9 min, p = 0.02) in group B was significantly decreased, while the X-ray exposure time (6.0 ± 2.6 min vs. 6.5 ± 3.6 min, p = 0.705) and dose (3.2 ± 2.4 gycm2 vs. 3.9 ± 2.7 gycm2 ,p = 0.208) had no significant difference. Group B had a more than twofold number of points acquired (66.9 ± 23.0 vs. 143.9 ± 68.3, p < 0.001) and required a shorter radiofrequency ablation time (13.2 ± 3.5 min vs. 8.1 ± 2.9 min, p < 0.001). There were no serious complications in either group. The acute success rate was similar [90.0% (18/20) vs. 87.8% (86/98), p = 1.000] in two groups, and the success rate was also similar in the long-term follow-up [83.3% (15/18) vs. 87.2% (75/86), p = 0.776]. CONCLUSIONS: The ablation of PVCs guided by RMN is safe and effective. Combined with the functional capability of PMF, both procedure time and radiofrequency ablation time were significantly decreased.


Asunto(s)
Ablación por Catéter , Ablación por Radiofrecuencia , Procedimientos Quirúrgicos Robotizados , Complejos Prematuros Ventriculares , Humanos , Complejos Prematuros Ventriculares/diagnóstico , Complejos Prematuros Ventriculares/cirugía , Estudios Retrospectivos , Procedimientos Quirúrgicos Robotizados/efectos adversos , Resultado del Tratamiento , Ablación por Catéter/efectos adversos , Ablación por Catéter/métodos , Fenómenos Magnéticos
14.
Diabetes Metab Syndr Obes ; 16: 3045-3056, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37810573

RESUMEN

Purpose: Diabetes mellitus is an independent risk factor for atrial fibrillation (AF), which may be related to accumulation of advanced glycation end products (AGEs). However, the mechanisms involved are not completely clear. Abnormality of gap junction proteins, especially connexin 43 (Cx43) and connexin 40 (Cx40) in atrial myocytes, is an important cause of increased susceptibility of AF. The aim of our work is to investigate the mechanism of dysregulated Cx43 and Cx40 in atrial myocytes of diabetic rats. Methods: We established a type 1 diabetic rat model by intraperitoneal injection of streptozotocin. HL-1 cells and primary rat atrial myocytes were treated with AGEs in vitro. Using Western blotting, immunofluorescence staining, immunohistochemistry, and lucifer yellow diffusion measurements, we investigated dysregulation of Cx43 and Cx40 and its mechanism in atrial myocytes of diabetic rats. Results: Accumulation of AGEs was found in diabetic rats. The expression of Cx43 and Cx40 was reduced in the atrium of diabetic rats, accompanied by the decrease of phosphorylated Adenosine 5'-monophosphate-activated protein kinase (p-AMPK). Similar results were found in cultured HL-1 cells and primary rat atrial myocytes, suggesting a role of AGEs on gap junction proteins. An AMPK agonist, 5-Aminoimidazole-4-carboxamide ribonucleoside (AICAR), reversed the down-regulated Cx43 expression induced by AGEs stimulation. More importantly, lucifer yellow diffusion assay showed that AGEs significantly affected gap junctional function, and these changes were reversed by AICAR. Conclusion: Thus, we conclude that AGEs cause dysregulation of Cx43 and Cx40 in diabetic atria via the AMPK pathway, thereby leading to gap junction dysfunction, which may contribute to the increased AF susceptibility in diabetes.

15.
Nat Commun ; 14(1): 6636, 2023 Oct 20.
Artículo en Inglés | MEDLINE | ID: mdl-37857622

RESUMEN

Higher-order Weyl semimetals are a family of recently predicted topological phases simultaneously showcasing unconventional properties derived from Weyl points, such as chiral anomaly, and multidimensional topological phenomena originating from higher-order topology. The higher-order Weyl semimetal phases, with their higher-order topology arising from quantized dipole or quadrupole bulk polarizations, have been demonstrated in phononics and circuits. Here, we experimentally discover a class of higher-order Weyl semimetal phase in a three-dimensional photonic crystal (PhC), exhibiting the concurrence of the surface and hinge Fermi arcs from the nonzero Chern number and the nontrivial generalized real Chern number, respectively, coined a real higher-order Weyl PhC. Notably, the projected two-dimensional subsystem with kz = 0 is a real Chern insulator, belonging to the Stiefel-Whitney class with real Bloch wavefunctions, which is distinguished fundamentally from the Chern class with complex Bloch wavefunctions. Our work offers an ideal photonic platform for exploring potential applications and material properties associated with the higher-order Weyl points and the Stiefel-Whitney class of topological phases.

16.
Sci Bull (Beijing) ; 68(4): 417-423, 2023 Feb 26.
Artículo en Inglés | MEDLINE | ID: mdl-36740530

RESUMEN

The bulk-boundary correspondence is a critical concept in topological quantum materials. For instance, a quantum spin Hall insulator features a bulk insulating gap with gapless helical boundary states protected by the underlying Z2 topology. However, the bulk-boundary dichotomy and distinction are rarely explored in optical experiments, which can provide unique information about topological charge carriers beyond transport and electronic spectroscopy techniques. Here, we utilize mid-infrared absorption micro-spectroscopy and pump-probe micro-spectroscopy to elucidate the bulk-boundary optical responses of Bi4Br4, a recently discovered room-temperature quantum spin Hall insulator. Benefiting from the low energy of infrared photons and the high spatial resolution, we unambiguously resolve a strong absorption from the boundary states while the bulk absorption is suppressed by its insulating gap. Moreover, the boundary absorption exhibits strong polarization anisotropy, consistent with the one-dimensional nature of the topological boundary states. Our infrared pump-probe microscopy further measures a substantially increased carrier lifetime for the boundary states, which reaches one nanosecond scale. The nanosecond lifetime is about one to two orders longer than that of most topological materials and can be attributed to the linear dispersion nature of the helical boundary states. Our findings demonstrate the optical bulk-boundary dichotomy in a topological material and provide a proof-of-principal methodology for studying topological optoelectronics.

17.
Zhonghua Xin Xue Guan Bing Za Zhi ; 40(9): 770-4, 2012 Sep.
Artículo en Zh | MEDLINE | ID: mdl-23141091

RESUMEN

OBJECTIVE: To investigate the changes of open probability (Po) of large conductance Ca(2+)-activated K(+) channel (BK channel) in diabetic coronary smooth muscle cells and elucidate the underlying cellular electrophysiology mechanisms of coronary dysfunction. METHODS: Rat coronary smooth muscle cells were isolated from control group and diabetic group. BK single channel currents were recorded by patch clamp technique in inside-out configuration. Open probabilities were calculated and compared between two groups. After exposure to DHS-1, a specific BK channel activator, Po at 0.2 and 1 µmol/L free Ca(2+) were compared between control and diabetic groups. RESULTS: In the presence of 0.2 µmol/L free Ca(2+), the Po at baseline was significantly lower in diabetic rats than in control rats (0.0032 ± 0.0012 vs. 0.095 ± 0.036, P < 0.05). Cytoplasmic application of DSH-1 significantly increased the Po to 0.335 ± 0.096 (P < 0.05 vs. baseline) in control rats, whereas DSH-1 had no effect in diabetic rats (Po = 0.022 ± 0.018, P > 0.05 vs. baseline). In the presence of 1 µmol/L free Ca(2+), the Po at baseline was also significantly lower in diabetic rats than in control rats (0.210 ± 0.055 vs. 0.458 ± 0.077, P < 0.05). Cytoplasmic application of DHS-1 further robustly enhanced Po to 0.823 ± 0.019 (P < 0.05 vs. baseline) in control rats and to 0.446 ± 0.098 in diabetic rats (P < 0.05 vs. baseline of diabetic rats; P < 0.05 vs. control rats with DHS-1). CONCLUSION: The decrease of Po of BK single channel in coronary smooth muscle cells may be a potential cause for coronary dysfunction in diabetic rats.


Asunto(s)
Diabetes Mellitus Experimental/metabolismo , Canales de Potasio de Gran Conductancia Activados por el Calcio/metabolismo , Músculo Liso Vascular/fisiopatología , Miocitos del Músculo Liso/metabolismo , Animales , Vasos Coronarios/metabolismo , Vasos Coronarios/fisiopatología , Diabetes Mellitus Experimental/fisiopatología , Masculino , Músculo Liso Vascular/citología , Técnicas de Placa-Clamp , Ratas , Ratas Sprague-Dawley
18.
Sci Bull (Beijing) ; 67(4): 375-380, 2022 Feb 26.
Artículo en Inglés | MEDLINE | ID: mdl-36546089

RESUMEN

The past decade has witnessed a surge of interest in exploring emergent particles in condensed matter systems. Novel particles, emerged as excitations around exotic band degeneracy points, continue to be reported in real materials and artificially engineered systems, but so far, we do not have a complete picture on all possible types of particles that can be achieved. Here, via systematic symmetry analysis and modeling, we accomplish a complete list of all possible particles in time-reversal-invariant systems. This includes both spinful particles such as electron quasiparticles in solids, and spinless particles such as phonons or even excitations in electric-circuit and mechanical networks. We establish detailed correspondence between the particle, the symmetry condition, the effective model, and the topological character. This obtained encyclopedia concludes the search for novel emergent particles and provides concrete guidance to achieve them in physical systems.

19.
Nat Commun ; 13(1): 7359, 2022 Nov 30.
Artículo en Inglés | MEDLINE | ID: mdl-36450711

RESUMEN

The hypothetical Weyl particles in high-energy physics have been discovered in three-dimensional crystals as collective quasiparticle excitations near two-fold degenerate Weyl points. Such momentum-space Weyl particles carry quantised chiral charges, which can be measured by counting the number of Fermi arcs emanating from the corresponding Weyl points. It is known that merging unit-charged Weyl particles can create new ones with more charges. However, only very recently has it been realised that there is an upper limit - the maximal charge number that a two-fold Weyl point can host is four - achievable only in crystals without spin-orbit coupling. Here, we report the experimental realisation of such a maximally charged Weyl point in a three-dimensional photonic crystal. The four charges support quadruple-helicoid Fermi arcs, forming an unprecedented topology of two non-contractible loops in the surface Brillouin zone. The helicoid Fermi arcs also exhibit the long-pursued type-II van Hove singularities that can reside at arbitrary momenta. This discovery reveals a type of maximally charged Weyl particles beyond conventional topological particles in crystals.

20.
Front Cardiovasc Med ; 8: 777355, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34926624

RESUMEN

Background: The incidence of silent cerebral embolisms (SCEs) has been documented after pulmonary vein isolation using different ablation technologies; however, it is unreported in patients undergoing with atrial fibrillation (AF) ablation using Robotic Magnetic Navigation (RMN). The purpose of this prospective study was to investigate the incidence, risk predictors and probable mechanisms of SCEs in patients with AF ablation and the potential impact of RMN on SCE rates. Methods and Results: We performed a prospective study of 166 patients with paroxysmal or persistent AF who underwent pulmonary vein isolation. Patients were divided into RMN group (n = 104) and manual control (MC) group (n = 62), and analyzed for their demographic, medical, echocardiographic, and risk predictors of SCEs. All patients underwent cerebral magnetic resonance imaging within 48 h before and after the ablation procedure to assess cerebral embolism. The incidence and potential risk factors of SCEs were compared between the two groups. There were 26 total cases of SCEs in this study, including 6 cases in the RMN group and 20 cases in the MC group. The incidences of SCEs in the RMN group and the MC group were 5.77 and 32.26%, respectively (X2 = 20.63 P < 0.05). Univariate logistic regression analysis demonstrated that ablation technology, CHA2DS2-VASc score, history of cerebrovascular accident/transient ischemic attack, and low ejection fraction were significantly associated with SCEs, and multivariate logistic regression analysis showed that MC ablation was the only independent risk factor of SCEs after an AF ablation procedure. Conclusions: Ablation technology, CHA2DS2-VASc score, history of cerebrovascular accident/transient ischemic attack, and low ejection fraction are associated with SCEs. However, ablation technology is the only independent risk factor of SCEs and RMN can significantly reduce the incidence of SCEs resulting from AF ablation. Clinical Trial Registration: ChiCTR2100046505.

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