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被误诊为心房扑动的心房切口性心动过速的导管消融术

Catheter ablation of atrial incisional tachycardia mistaken for atrial flutter.

作者信息

Ottaviano L, Muto C, Carreras G, Canciello M, Tuccillo B

机构信息

Department of Cardiology, S. M. Loreto Mare Hospital, Naples, Italy.

出版信息

Indian Pacing Electrophysiol J. 2007 Apr 1;7(2):134-8.

PMID:17538704
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1877831/
Abstract

Incisional sustained tachycardias are frequent in patients who have undergone a surgical repair of interatrial defect. A 43-year-old woman with drug refractory, highly symptomatic, persistent atrial tachycardia in the last year, was referred to our unit for catheter ablation. The patient had undergone a cardiac operation for repairing interatrial secundum ostium type defect with a patch five years before. A previous radiofrequency ablation procedure had been performed for common atrial flutter. We describe a case of incisional atrial tachycardia ablation guided by the new EnSite NavX system equipped with a new electroanatomic mapping system.

摘要

切口性持续性心动过速在接受房间隔缺损手术修复的患者中很常见。一名43岁女性,去年患有药物难治性、症状严重的持续性房性心动过速,被转诊至我院进行导管消融治疗。该患者五年前曾接受过心脏手术,用补片修复继发孔型房间隔缺损。此前曾因常见房扑进行过一次射频消融手术。我们描述了一例在配备新型电解剖标测系统的新型EnSite NavX系统引导下进行切口性房性心动过速消融的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2b/1877831/6c74a7e0e30e/ipej070134-04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2b/1877831/43c8837d87aa/ipej070134-01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2b/1877831/47333ea67e7d/ipej070134-02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2b/1877831/be8645809f65/ipej070134-03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2b/1877831/6c74a7e0e30e/ipej070134-04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2b/1877831/43c8837d87aa/ipej070134-01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2b/1877831/47333ea67e7d/ipej070134-02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2b/1877831/be8645809f65/ipej070134-03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2b/1877831/6c74a7e0e30e/ipej070134-04.jpg

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本文引用的文献

1
A new nonfluoroscopic navigation system to guide pulmonary vein isolation.一种用于指导肺静脉隔离的新型非荧光透视导航系统。
Pacing Clin Electrophysiol. 2005 Jan;28 Suppl 1:S102-5. doi: 10.1111/j.1540-8159.2005.00047.x.
2
Catheter ablation of common-type atrial flutter guided by three-dimensional right atrial geometry reconstruction and catheter tracking using cutaneous patches: a randomized prospective study.三维右心房几何结构重建及使用皮肤贴片进行导管追踪引导下的普通型心房扑动导管消融:一项随机前瞻性研究。
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Delineation of intra-atrial reentrant tachycardia circuits after mustard operation for transposition of the great arteries using biatrial electroanatomic mapping and entrainment mapping.
使用双房电解剖标测和拖带标测法描绘大动脉转位Mustard手术后房内折返性心动过速环路。
J Cardiovasc Electrophysiol. 2003 Dec;14(12):1302-10. doi: 10.1046/j.1540-8167.2003.03292.x.
4
Supraventricular arrhythmia before and after surgical closure of atrial septal defects: spectrum, prognosis and management.房间隔缺损手术闭合前后的室上性心律失常:范围、预后及处理
Europace. 2003 Apr;5(2):133-8. doi: 10.1053/eupc.2002.0294.
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Role of catheter and surgical ablation in congenital heart disease.导管及手术消融在先天性心脏病中的作用。
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Endocardial mapping and ablation of tachycardia guided by noncontact balloon catheter mapping system.非接触式球囊导管标测系统引导下的心内膜标测及心动过速消融
Chin Med J (Engl). 2002 Jun;115(6):909-13.
7
Bystander cavo-tricuspid isthmus activation during post-incisional intra-atrial reentrant tachycardia.切口后房内折返性心动过速期间旁观者腔静脉 - 三尖瓣峡部激动
Europace. 2002 Jan;4(1):91-7. doi: 10.1053/eupc.2001.0206.
8
Atrial reentrant tachycardia after surgery for congenital heart disease: endocardial mapping and radiofrequency catheter ablation using a novel, noncontact mapping system.先天性心脏病手术后的房性折返性心动过速:使用新型非接触式标测系统进行心内膜标测和射频导管消融
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9
Electroanatomic characterization of conduction barriers in sinus/atrially paced rhythm and association with intra-atrial reentrant tachycardia circuits following congenital heart disease surgery.先天性心脏病手术后窦性/心房起搏心律下传导屏障的电解剖特征及其与房内折返性心动过速环路的关联
J Cardiovasc Electrophysiol. 2001 Jan;12(1):17-25. doi: 10.1046/j.1540-8167.2001.00017.x.
10
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