非接触标测系统指导间歇性B型预激综合征消融一例
A case of localization and ablation of intermittent type B Wolff-Parkinson-White syndrome guided by non-contact mapping system after failure of conventional strategy
摘要
传统二维及三维接触标测下右侧旁路消融的成功率相对较低（67％-100％），复发率相对较高（9％～16．7％），可能与右侧旁路及周围组织特殊解剖学结构导致标测误差及消融导管贴靠不良有关。非接触式标测系统可在单个心动周期内同时超高密度采集心内膜电位，便于快速高效地处理机制复杂的心律失常。本文介绍1例间歇性B型预激综合征右侧旁路患者经传统标测消融治疗失败后应用非接触标测系统成功精确定位且消融的病例。
出处
《中华心律失常学杂志》
2013年第6期468-470,共3页
Chinese Journal of Cardiac Arrhythmias
参考文献10
-
1Wood MA. Ablation of free wall accessory pathways.In : Huang SKS,Wood MA,ed. Catheter ablation of cardiac arrhythmias. Philadel-phia :Elsevier Inc,2006 : 371 -398.
-
2Kumagai K,Nakashima H.Noncontact mapping-guided catheter ab-lation of atrial fibrillation. Circ J, 2009,73 : 223-241.
-
3Liew R,Catanchin A,Behr ER,et al.Use of non-contact mapping inthe treatment of right atrial tachycardias in patients with and with-out congenital heartdisease.Europace,2008,10:972-981.
-
4Bella PD,Pappalardo A,Riva S,et al.Non-contact mapping to guidecatheter ablation of untolerated ventricular tachycardia.Eur Heart J,2002,23-.742-752.
-
5Karolyi L, Ebert HH, Otto T, et al.First clinical experience with anovel non-contact mapping system.Progr Biomed Res,1999,4:427-430.
-
6Nishida T,Nakajima T, Kaitani K, et al.Non-contact mapping sys-tem accurately localizes right-sided accessory pathways in type BWolff-Parkinson-White syndrome.Europace,2012,14 : 752-760.
-
7Wong T,Hussain W,Markides V,et al.Ablation of difficult right-si-ded accessory pathway aided by mapping of tricuspid annularactiva-tion using a Halo Catheter: Halo-Mapping of right sided accessorypathways.J Inverv Card Electrophysiol,2006,16: 175-182.
-
8Shah MJ,Jones TK,Cecchin F.Improved localization of right-sidedaccessory pathways with microcatheter-assisted right coronary arterymapping in children. J Cardiovasc Electrophysiol, 2004,15 : 1238-1243.
-
9Worley SJ.Use of a real-time three-dimensional magnetic navigation system for radiofrequency ablation of accessory pathways. Pacing Clin Electrophysiol 1998,21 : 1636-1645.
-
10Haissaguerre M, Dartigues JF, Warin JF,et al. Electrogram pat-terns predictive of successful catheter ablation of accessory path-ways :value of unipolar recording mode. Circulation, 1991, 84:188-202.
-
1余志华,韩宏伟,程光辉,李振,张劲林,邓成钢,苏晞.非接触式标测指导起源于His束附近室性期前收缩的射频消融[J].临床心血管病杂志,2014,30(1):53-56.
-
2周聊生.预激综合征房室旁路的射频消融[J].山东医药,2003,43(28):53-54.
-
3何鹏义,木胡牙提,马依彤,汤宝鹏,侯月梅,张燕一,姚焰.50例室性心律失常导管射频消融治疗临床分析[J].临床心血管病杂志,2011,27(9):691-695. 被引量：5
-
4陈明龙,杨兵,单其俊,邹建刚,陈椿,曹克将.窦性心律下非接触式标测指导线性消融治疗特发性左心室室性心动过速[J].中华心律失常学杂志,2004,8(2):75-78. 被引量：5
-
5吴晓羽,曲秀芬,谭震,梁兆光,谷宏越,王召军,李为民,姚焰.右室流出道室性心律失常的射频导管消融体会[J].中国心脏起搏与心电生理杂志,2007,21(4):304-307. 被引量：7
-
6姚焰,陈新.室性心动过速的射频导管消融治疗[J].中华心律失常学杂志,2004,8(2):69-70. 被引量：4
-
7苏浩,严激,徐健,孙贤林,范西真.非接触标测系统指导下射频消融治疗典型心房扑动[J].安徽医学,2012,33(11):1436-1438. 被引量：1
-
8杨兵,曹克将,陈明龙,单其俊,邹建刚,陈椿,李闻奇.非接触标测系统用于典型心房扑动的右房标测和导航消融[J].中国心脏起搏与心电生理杂志,2002,16(6):424-429. 被引量：3
-
9何斌,储慧民,丰明俊,郁一波,杜先锋,刘晶,陈晓敏.接触式与非接触标测在术中偶发性右室流出道室性期前收缩射频消融中的作用[J].现代实用医学,2016,28(11):1443-1444.
-
10俞建,杨兵,陈洪武,居维竹,陈明龙.特发性右心室流出道室性心律失常起源部位的三维分布[J].南京医科大学学报（自然科学版）,2010,30(11):1623-1625.
