心房颤动低温球囊消融中使用BeeAT导管监测膈肌复合运动电位的新技术

IF 1.7 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Arrhythmia Pub Date : 2025-07-28 DOI:10.1002/joa3.70155

Keigo Yamamoto, Takeshi Goto, Masaomi Kimura

{"title":"心房颤动低温球囊消融中使用BeeAT导管监测膈肌复合运动电位的新技术","authors":"Keigo Yamamoto, Takeshi Goto, Masaomi Kimura","doi":"10.1002/joa3.70155","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Diaphragmatic compound motor action potential (CMAP) monitoring helps prevent phrenic nerve palsy during cryoballoon ablation (CBA) for atrial fibrillation.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This retrospective analysis included 95 patients who had undergone CBA. Phrenic nerve pacing was performed via the distal electrode of a BeeAT catheter positioned in the right subclavian vein, with CMAPs recorded from the most proximal electrode in the subdiaphragmatic inferior vena cava.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>CMAP amplitude was unaffected by patient body habitus (mean: 1.14 ± 0.58 mV; CMAP-to-ventricular wave ratio: 8.76).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>This technique provides stable, well-defined signals with minimal artifacts, enhancing the reliability of CMAP monitoring during CBA.</p>\n </section>\n </div>","PeriodicalId":15174,"journal":{"name":"Journal of Arrhythmia","volume":"41 4","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/joa3.70155","citationCount":"0","resultStr":"{\"title\":\"A Novel Technique for Diaphragmatic Compound Motor Action Potential Monitoring Using the BeeAT Catheter During Cryoballoon Ablation for Atrial Fibrillation\",\"authors\":\"Keigo Yamamoto, Takeshi Goto, Masaomi Kimura\",\"doi\":\"10.1002/joa3.70155\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Diaphragmatic compound motor action potential (CMAP) monitoring helps prevent phrenic nerve palsy during cryoballoon ablation (CBA) for atrial fibrillation.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This retrospective analysis included 95 patients who had undergone CBA. Phrenic nerve pacing was performed via the distal electrode of a BeeAT catheter positioned in the right subclavian vein, with CMAPs recorded from the most proximal electrode in the subdiaphragmatic inferior vena cava.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>CMAP amplitude was unaffected by patient body habitus (mean: 1.14 ± 0.58 mV; CMAP-to-ventricular wave ratio: 8.76).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>This technique provides stable, well-defined signals with minimal artifacts, enhancing the reliability of CMAP monitoring during CBA.</p>\\n </section>\\n </div>\",\"PeriodicalId\":15174,\"journal\":{\"name\":\"Journal of Arrhythmia\",\"volume\":\"41 4\",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-07-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/joa3.70155\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Arrhythmia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/joa3.70155\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Arrhythmia","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/joa3.70155","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

摘要

背景膈复合运动动作电位（CMAP）监测有助于预防心房颤动冷冻球囊消融（CBA）期间膈神经麻痹。方法回顾性分析95例行CBA的患者。膈神经起搏通过放置在右侧锁骨下静脉的BeeAT导管的远端电极进行，并从膈下下腔静脉的最近端电极记录CMAPs。结果CMAP振幅不受患者体质影响(平均：1.14±0.58 mV；cmap -ventricular wave ratio: 8.76)。结论该技术提供稳定、清晰的信号和最小的伪影，提高了CBA期间CMAP监测的可靠性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

A Novel Technique for Diaphragmatic Compound Motor Action Potential Monitoring Using the BeeAT Catheter During Cryoballoon Ablation for Atrial Fibrillation

查看原文本刊更多论文

A Novel Technique for Diaphragmatic Compound Motor Action Potential Monitoring Using the BeeAT Catheter During Cryoballoon Ablation for Atrial Fibrillation

Background

Diaphragmatic compound motor action potential (CMAP) monitoring helps prevent phrenic nerve palsy during cryoballoon ablation (CBA) for atrial fibrillation.

Methods

This retrospective analysis included 95 patients who had undergone CBA. Phrenic nerve pacing was performed via the distal electrode of a BeeAT catheter positioned in the right subclavian vein, with CMAPs recorded from the most proximal electrode in the subdiaphragmatic inferior vena cava.