Estudio electrofisiológico con mínima escopia en gestante. Minimizando riesgos

Manuel S. Herruzo-Rojas, Miguel Álvarez-López, Pablo Sánchez-Millán, Luis Tercedor-Sánchez
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引用次数: 0

Abstract

Supraventricular tachycardias in pregnant affect the mother and the fetus too, being the pregnancy itself the principal conditioner for pharmacological treatment. In recurrent cases, ablation is an alternative, even more if are performed without fluoroscopy.

We report the case of a 31-week pregnant woman who undergoing to electrophysiological study assisted by a non-fluoroscopic navigation system, with recurrent tachycardias despite treatment. During the study, the presence of a left concealed accessory pathway is verified, and it's mapping and ablationed by retroaortic acces successfully, with only 6 seconds of fluoroscopy to avoid injury in the aortic arch. This case highlights the use of 3D navigation system to perform procedures zero or minimal fluoroscopy.

孕妇用最小透视进行电生理研究。减少风险
妊娠期室上性心动过速对母亲和胎儿也有影响,是妊娠期药物治疗的主要条件。在复发病例中,消融术是一种选择,如果没有透视检查,消融术甚至更多。我们报告的情况下,31周的孕妇接受电生理研究的辅助下,非透视导航系统,与复发性心动过速尽管治疗。在研究过程中,证实了左侧隐蔽性副通道的存在,并通过主动脉后通道成功地进行了测绘和消融,仅用了6秒的透视时间,避免了主动脉弓损伤。本病例强调使用3D导航系统来执行零或最小透视检查。
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