在没有下腔静脉通路的患者中进行导管消融的三维绘图和高级方法。

IF 1.7 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-11-01 Epub Date: 2024-08-27 DOI:10.1111/pace.15047

Chu-Yu Hsu, Shih-Lin Chang, Yenn-Jiang Lin, Li-We Lo, Yu-Feng Hu, Fa-Po Chung, Chin-Yu Lin, Ting-Yung Chang, Chieh-Mao Chuang, Ming-Jen Kou, Wei-Tso Chen, Chheng Chhay, Pei-Heng Kao, Ahliah E Ibrahim, Wei-Shiang Lin, Shih-Ann Chen

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引用次数: 0

摘要

导管消融术通过上腔途径治疗快速性心律失常，曾用于无法进入下腔静脉的患者，如静脉闭塞或复杂异常的病例。该方法存在导管操作困难、不稳定性、所需血管通路数量和操作者辐射暴露等问题。应用三维（3-D）映射系统通过上腔途径进行导管消融可以为引导导管导航，并提供更精确的消融。我们报告了四例因房室结返跳性心动过速、心房颤动和右室心律失常而接受导管消融术的病例，这些病例在三维映射系统的帮助下，通过上腔途径进行消融，减少了血管通路和导管。

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Three-dimensional mapping and superior approach for catheter ablation in patients without inferior vena cava access.

Catheter ablation for tachyarrhythmia via superior approach has been used in patients without possible inferior vena cava access such as in cases of venous occlusion or complex anomaly. Difficulty in catheter manipulation, instability, number of required vascular access, and radiation exposure of operator had been described in the procedure. Application of three-dimensional (3-D) mapping system in catheter ablation via superior approach could navigate the guiding catheter and provide more precise ablation. We reported four cases receiving catheter ablation due to atrioventricular nodal reentry tachycardia, atrial fibrillation, and right ventricular arrhythmia via superior approach facilitated by 3-D mapping system with fewer vascular access and catheters.

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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.