Vein of Marshall Ethanol Infusion: Beware the Left Atrial Appendage Isolation.

IF 1.7 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-11-04 DOI:10.1111/pace.15097

Xiaofeng Lu, Juan Xu, Tong Wei, Lin Liang, Jun Li, Shaowen Liu, Songwen Chen

引用次数: 0

Abstract

A 58-year-old woman was referred for atrial flutter ablation after atrial fibrillation ablation. Linear and reinforcement mitral isthmus ablation failed to terminate the perimitral flutter. During vein of Marshall ethanol infusion (VOMEI), the flutter was terminated and followed by left atrial appendage (LAA) isolation. Voltage mapping showed that a large low voltage area was created in the superior and anterior wall of left atrium. During the waiting time, the LAA activation recovered. It would be necessary to keep in mind that VOMEI would lead to uncontrolled lesion of left atrium.

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马歇尔静脉乙醇输注：小心左心房阑尾隔离术

一名 58 岁的女性在心房颤动消融术后被转诊接受心房扑动消融术。线性和强化二尖瓣峡部消融术未能终止瓣周扑动。在马歇尔静脉乙醇输注（VOMEI）过程中，扑动被终止，随后进行了左心房阑尾（LAA）隔离。电压图显示，左心房上壁和前壁形成了一个大的低电压区。在等待期间，LAA 的激活恢复了。需要注意的是，VOMEI 会导致左心房病变失控。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pace-Pacing and Clinical Electrophysiology 医学-工程：生物医学

CiteScore

2.70

自引率

5.60%

发文量

209

审稿时长

2-4 weeks

期刊介绍： Pacing and Clinical Electrophysiology (PACE) is the foremost peer-reviewed journal in the field of pacing and implantable cardioversion defibrillation, publishing over 50% of all English language articles in its field, featuring original, review, and didactic papers, and case reports related to daily practice. Articles also include editorials, book reviews, Musings on humane topics relevant to medical practice, electrophysiology (EP) rounds, device rounds, and information concerning the quality of devices used in the practice of the specialty.