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儿童房室结折返性心动过速慢径路消融术中急性冠状动脉狭窄

Acute coronary artery stenosis during slow pathway ablation for atrioventricular nodal reentrant tachycardia in a child.

作者信息

Blaufox Andrew D, Saul J Philip

机构信息

Children's Heart Program of South Carolina, Medical University of South Carolina, Charleston, South Carolina 29425, USA.

出版信息

J Cardiovasc Electrophysiol. 2004 Jan;15(1):97-100. doi: 10.1046/j.1540-8167.2004.03378.x.

DOI:10.1046/j.1540-8167.2004.03378.x
PMID:15028082
Abstract

Coronary injury during radiofrequency ablation is a rare but n. potentially life-threatening complication that has been reported for attempted elimination of accessory pathways. This is the first report of coronary artery injury during slow pathway ablation for AV nodal reentrant tachycardia. Manifest signs of injury may be transient or nonexistent and easily missed. Controlled studies are needed to determine the true risk of coronary artery injury during radiofrequency ablation for supraventricular tachycardia, particularly in small children.

摘要

射频消融术中的冠状动脉损伤是一种罕见但有潜在生命危险的并发症,已有报道在试图消除旁路时出现。这是关于房室结折返性心动过速慢径路消融术中冠状动脉损伤的首例报告。损伤的明显体征可能是短暂的或不存在的,容易被漏诊。需要进行对照研究以确定在室上性心动过速射频消融术中冠状动脉损伤的真正风险,尤其是在小儿患者中。

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