射频消融治疗特发性室性心律失常的观察体会

The experience of radiofrequency ablation for diopathic ventricular arrhythmia

目的观察射频消融治疗特发性室性心律失常的效果。方法 28例室性心律失常患者,其中21例为右室流出道室早,7例为左心室特发性室速(左室后间隔起源)。分别采用起搏标测或起搏与激动顺序标测相结合的方法进行标测消融。结果消融成功25例,好转1例,失败2例,成功率89%。结论射频消融治疗特发性室性心律失常是一种安全、有效的措施。

Objective To observe the effect of radiofrequency catheter ablation of idiopathic ventricular arrhythmia.Methods Of 28 patients with ventricular arrhythmias,21 cases were right ventricular outflow tract PVCs,7 cases idiopathic left ventricular tachycardia（origined left ventricular septal）.Pace mapping or pacing and activation sequence mapping method were used to mapping ablation.Results Ablation of 25 cases were Successful,1 case improved,2 cases failure,the total success rate were 89%.Conclusion Radiofrequency ablation of idiopathic ventricular arrhythmia is a safe,effective measure.