双极导管消融左心房前隔线，用于一名窦房扑动患者：病例报告。

Pub Date : 2024-09-02 eCollection Date: 2024-09-01 DOI:10.1093/ehjcr/ytae455

Nadja Martins, Ulf Landmesser, Philipp Attanasio, Martin Huemer

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引用次数: 0

摘要

背景：由于解剖障碍阻碍了线性消融病灶的完全传导阻滞，复发性心房扑动的治疗具有挑战性。病例摘要：我们描述了一例 54 岁的复发性窦房结周围患者的病例，患者使用双极消融术消融了前隔线，实现了完全的传导阻滞：由于传统消融术并不总能在线性消融病灶中实现完全传导阻滞，因此可采用其他方法创建更深的病灶。在本病例中，双极消融术成功用于一名复发性窦房结周围扑动患者的前隔线。

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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Bipolar catheter ablation of a left atrial anteroseptal line in a patient with peri-mitral atrial flutter: a case report.

Background: Treatment of recurring atrial flutter can be challenging due to anatomical obstacles preventing complete conduction block of linear ablation lesions. Epicardial or bipolar ablation can be used as an alternative to create deeper ablation lesions but is still limitedly used in patients with atrial flutter.

Case summary: We describe a case of a 54-year-old patient with recurring peri-mitral flutter treated with ablation of an anteroseptal line using bipolar ablation to achieve a complete conduction block.

Discussion: As conventional ablation cannot always achieve, complete conduction block in linear ablation lesions alternatives may be used to create deeper lesions. In this, case bipolar ablation was used successfully for an anteroseptal line in a patient with recurring peri-mitral flutter.

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