Kim Albert M, Badhwar Nitish, Lee Randall J
UCSF Cardiac Electrophysiology, San Francisco, California 94143, USA.
J Cardiovasc Electrophysiol. 2009 Sep;20(9):1061-4. doi: 10.1111/j.1540-8167.2008.01428.x. Epub 2009 Feb 2.
We report a case of a 45-year-old man with incessant supraventricular tachycardia (SVT) in the setting of intrahepatic inferior vena cava thrombus and a left upper extremity arteriovenous fistula. A diagnostic electrophysiology study (EPS) was performed via the right internal jugular and right subclavian veins. After confirming the mechanism of SVT was atrial tachycardia (AT), mapping, and successful ablation was performed using remote catheter navigation. This case demonstrates that remote navigation can facilitate the therapy of complex arrhythmias in challenging clinical situations.
我们报告一例45岁男性患者，其患有持续性室上性心动过速（SVT），合并肝内下腔静脉血栓形成及左上肢动静脉瘘。通过右颈内静脉和右锁骨下静脉进行了诊断性电生理研究（EPS）。在确认SVT的机制为房性心动过速（AT）后，使用远程导管导航进行了标测并成功消融。该病例表明，远程导航可在具有挑战性的临床情况下促进复杂心律失常的治疗。
