射频导管消融治疗室性早搏术中的监测

Monitoring in the procedures of radiofrequency ablation in premature ventricular beats

目的总结射频导管消融治疗室性早搏术中监测的经验。方法回顾性地分析2005年7月至2009年7月射频导管消融治疗室性早搏41例患者术中监测的情况。结果41例室性早搏患者中,起源于右室36例,起源于左室5例,39例消融成功,2例放弃消融。共发生迷走反射2例,异丙肾上腺素激发试验副反应2例,无心包压塞。结论术中认真做好心电图监测、放电监测、并发症监测及异丙肾上腺素激发试验监测,对提高手术的安全性具有重要意义。

Objective To evaluate intraoperative monitoring in the radiofrequency catheter ablation of premature ventricular contractions. Methods The data of patients with premature ventricular contractions who received radiofrequency catheter ablation from July 2005 to July 2009 were retrospectively analyzed. Results In all patients with premature ventricular contractions patients, there were 36 cases originated in the right ventricle and 5 cases originated in the left ventricle, Ablation was successful in 39 cases. Two cases gave up the ablation. Vagal reflex occurred in 2 cases, isoproterenol challenge test side effects in 2 cases, unintentional packet tamponade. Conclusion It is important to improve thesafety of operation of intraoperative ECG monitoring, discharge monitoring, complications monitoring and isoproterenol stimulation test monitoring.