Ruiz-Granell Ricardo, Morell-Cabedo Salvador, Ferrero-De-Loma Angel, García-Civera Roberto
Arrhythmia Unit, Department of Cardiology, Hospital Clinico Universitario, Valencia, Spain.
J Cardiovasc Electrophysiol. 2005 Jul;16(7):793-5. doi: 10.1046/j.1540-8167.2005.40774.x.
Non-fluoroscopy AV ablation and pacemaker implantation. Fluoroscopic guidance is the standard tool used for transvenous pacemaker implantations and for electrophysiological and ablation procedures. It implies X-ray exposure, occasionally with high dose of radiation for the patient and operator. We describe the case of a 47-year-old man with uncontrollable permanent atrial fibrillation to whom ablation of the AV conduction and a permanent ventricular pacemaker implantation were successfully performed under the guidance of an electroanatomic navigation EnSite NavX system and with no use of fluoroscopy. This case illustrates the stand-alone use of one of the new non-fluoroscopic navigation systems for a complete procedure such as AV ablation and pacemaker implantation.
非透视下房室结消融及起搏器植入术。透视引导是经静脉起搏器植入以及电生理和消融手术的标准工具。这意味着患者和操作者会受到X线照射，有时辐射剂量还很高。我们描述了一名47岁男性患者的病例，该患者患有无法控制的永久性心房颤动，在EnSite NavX电解剖导航系统的引导下，成功进行了房室传导消融及永久性心室起搏器植入术，且未使用透视。该病例说明了一种新型非透视导航系统可独立用于诸如房室结消融和起搏器植入等完整手术。
