心中静脉与左室心内膜间双极射频消融术治疗起源于左室基底间隔的室性室性心动过速。

IF 1.7 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-07-01 Epub Date: 2023-11-27 DOI:10.1111/pace.14889

Emir Baskovski, Omer Akyurek, Timucin Altin

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引用次数: 0

摘要

室性心动过速消融在术后患者是复杂的心外膜通道困难。仅心内膜消融可能导致失败，这可以通过冠状静脉系统内的定位和消融来预防。冠状静脉系统内射频消融取决于解剖和生物物理因素。在此，我们报告一例室性心动过速病例，需要在心中静脉和左心室心内膜之间进行双极消融。

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Bipolar radiofrequency ablation between middle cardiac vein and left ventricular endocardium for intramural ventricular tachycardia originating from the left ventricular inferobasal septum.

Ventricular tachycardia ablation in the post-surgical patients is complicated by difficult epicardial access. Endocardial-only ablation may lead to failure which can be prevented by mapping and ablating inside the coronary venous system. Radiofrequency ablation inside the coronary venous system is dependent on anatomical and biophysical factors. Herein we report a ventricular tachycardia case necessitating bipolar ablation between the middle cardiac vein and the left ventricular endocardium.

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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.