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三维标测下主动脉无冠窦起源局灶性房性心动过速的射频消融效果 被引量:4
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作者 田野 殷跃辉 +1 位作者 杨龙 李安洁 《中国循环杂志》 CSCD 北大核心 2018年第5期473-475,共3页
目的:分析主动脉无冠窦起源房性心动过速(房速)的心内电生理标测特点及射频消融疗效。方法:对11例主动脉无冠窦起源房速在三维标测系统引导下行心内电生理标测及射频消融治疗。术中构建右心房、希氏束及主动脉根部电解剖模型,测量最早... 目的:分析主动脉无冠窦起源房性心动过速(房速)的心内电生理标测特点及射频消融疗效。方法:对11例主动脉无冠窦起源房速在三维标测系统引导下行心内电生理标测及射频消融治疗。术中构建右心房、希氏束及主动脉根部电解剖模型,测量最早激动点与希氏束的距离,在房速最早激动部位行射频消融治疗。结果:心内电生理检查11例房速皆为局灶起源,右心房激动标测最早激动部位均在希氏束左侧或左后上方,领先冠状窦近端参照A波(21.0±7.9)ms,距希氏束(6.9±3.4)mm。主动脉根部标测房速最早激动部位皆位于无冠窦内,领先冠状窦近端参照A波(35.0±8.6)ms,距希氏束(7.3±4.6)mm;消融终止房速,巩固消融后重复术前诱发条件刺激不能诱发出房速。术中及术后无房室阻滞发生。术后随访6个月,房速无复发。结论:无冠窦起源房速消融安全性和成功率高,标测要点为右心房房速最早激动位于希氏束左侧或左后上方时应常规于主动脉根部标测明确是否无冠窦激动最为领先。 展开更多
关键词 房性心动过速 主动脉无冠窦 三维标测 射频消融
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Safety and efficacy of polymer-free paclitaxel-eluting microporous stent in real-world practice: 1-year follow-up of the SERY-I registry 被引量:3
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作者 Zhang Rui-yan Zhang Qi +26 位作者 Zhu Jin-zhou Chen Liang-long Zhang Chen-yun Zhou Xu-chen Yuan Yong Zhong Zhi-xiong Li Lang Qiu Jian Wang Wei Chen Xi-ming Yang Zhi-jian Yan Jin-chuan Chen Shao-liang Hou Yu-qing Wu Yan-qing Luo Hai-ming Qiu Jian-ping Zhu Li Wang Yan Fu Guo-sheng Wang Jian-an Ma Kang-hua yin yue-hui Zhang Dai-fu Hu Xue-song Zhu Guo-ying Shen Wei-feng 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第21期3521-3526,共6页
Background Polymer coating on coronary stents induces vascular inflammatory response, reduces re-endothelialization, and affects long-term outcome after percutaneous coronary intervention (PCI). The SERY-1 registry ... Background Polymer coating on coronary stents induces vascular inflammatory response, reduces re-endothelialization, and affects long-term outcome after percutaneous coronary intervention (PCI). The SERY-1 registry aimed to determine whether a novel polymer-free paclitaxel-eluting microporous Yinyi stent could improve 1-year outcome after index procedure in real-world clinical practice. Methods Clinical and angiographic data and follow-up outcome were collected in 1045 patients who underwent PCI with implantation of 〉1 Yinyi stents between June 2008 and August 2009 at 27 medical centers. The primary endpoint was the cumulative rate of composite major adverse cardiac events (MACE) and the secondary endpoint was the incidence of stent thrombosis at 1 year. Results Overall, 1376 lesions were treated successfully with 1713 Yinyi stents, and 1019 (98.7%) patients received dual antiplatelet therapy for at least 12 months. During 1-year follow-up, 8 patients (0.78%) had cardiac death, 6 (0.58%) suffered non-fatal myocardial infarction, and 46 (4.46%) underwent repeat PCI due to recurrence of angina, resulting in 1-year MACE-free survival of 94.09%. Stent thrombosis occurred in 10 (0.97%) patients, and the rate of Academic Research Consortium (ARC) definite or probable stent thrombosis was 0.78%. Conclusions Polymer-free paclitaxel-eluting microporous Yinyi stent is effective and safe for interventional treatment of coronary artery disease in real-world clinical practice, without recourse to carrier polymer. Potential long-term clinical advantages of this stent deserve further investigation. 展开更多
关键词 polymer-free microporous stent paclitaxel-eluting stent stent thrombosis
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Renal denervation for "resistant ventricular tachycardia": a potential treatment option? 被引量:1
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作者 Chen Shao-jie Chen Wei-jie +3 位作者 Su Li Ling Zhi-yu Liu Zeng-zhang yin yue-hui 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第21期4199-4200,共2页
To the editor: Recent evidence shows that renal sympathetic denervation can perform a promising role in attenuating the over-activity of sympathetic nerve system and treat related diseases A 42 years old male patien... To the editor: Recent evidence shows that renal sympathetic denervation can perform a promising role in attenuating the over-activity of sympathetic nerve system and treat related diseases A 42 years old male patient suffering from 7 years history of paroxysmal palpitation was referred to our center. 展开更多
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