Rahul Norawat, Marc O Maybauer, Niall O'Keeffe, Akbar Vohra
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引用次数: 0
摘要
摘要：电风暴（ES）是指短时间内多次发生室性心律失常。导管消融是治疗 ES 的一种方法，但对于不稳定的心血管病人来说具有挑战性。我们介绍了一例 50 岁左心室功能不佳的患者的病例，该患者在急诊冠状动脉旁路移植术（CABG）后出现 ES。尽管接受了最大限度的抗心律失常治疗，但患者仍反复出现室速和室颤（VT/VF），阻碍了导管消融。患者选择了静脉动脉体外膜肺氧合（ECMO）支持，成功地进行了第二次导管消融尝试，没有出现并发症。患者于次日脱离 ECMO，并保持正常窦性心律。
Extracorporeal Membrane Oxygenation for Protected Catheter Ablation in A Post-Cardiotomy Patient With Electrical Storm.
Abstract: An electrical storm (ES) refers to multiple occurrences of ventricular arrhythmias within a short time. Catheter ablation is a treatment option for ES but can be challenging in unstable cardiovascular patients. We present the case of a 50-year-old patient with poor left ventricular function who experienced ES after emergency coronary artery bypass grafting (CABG). Despite maximal antiarrhythmic therapy, the patient had recurrent ventricular tachycardia and fibrillation (VT/VF), hindering catheter ablation. Elective venoarterial extracorporeal membrane oxygenation (ECMO) support was established, allowing a successful second catheter ablation attempt without complications. The patient was weaned off ECMO the following day and remained in normal sinus rhythm.
期刊介绍：
Annals of Cardiac Anaesthesia (ACA) is the official journal of the Indian Association of Cardiovascular Thoracic Anaesthesiologists. The journal is indexed with PubMed/MEDLINE, Excerpta Medica/EMBASE, IndMed and MedInd. The journal’s full text is online at www.annals.in. With the aim of faster and better dissemination of knowledge, we will be publishing articles ‘Ahead of Print’ immediately on acceptance. In addition, the journal would allow free access (Open Access) to its contents, which is likely to attract more readers and citations to articles published in ACA. Authors do not have to pay for submission, processing or publication of articles in ACA.
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