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经植入式起搏器患者肺静脉消融导管行射频消融术诱发室性心动过速。

Induction of ventricular tachycardia during radiofrequency ablation via pulmonary vein ablation catheter in a patient with an implanted pacemaker.

机构信息

Department of Cardiology and Intensive Care Medicine, St Vincenz-Hospital, Medical Clinic II, Am Busdorf 2, 33098 Paderborn, Germany.

出版信息

Europace. 2012 Feb;14(2):298-9. doi: 10.1093/europace/eur260. Epub 2011 Aug 15.

DOI:10.1093/europace/eur260
PMID:21846647
Abstract

Pulmonary vein isolation in a dual-chamber pacemaker patient using the pulmonary vein ablation catheter (PVAC) system resulted in perpetual induction of ventricular tachycardia (VT) during radio frequency energy application. Induction of VT was abolished by programming the PVAC-system to a pure bipolar ablation mode. Patients with implanted devices should be closely monitored when using the PVAC system in unipolar modes.

摘要

在使用肺静脉消融导管（PVAC）系统对双腔起搏器患者进行肺静脉隔离时，在应用射频能量时会导致持续性室性心动过速（VT）的诱发。通过将 PVAC 系统编程为纯双极消融模式，可消除 VT 的诱发。在使用 PVAC 系统进行单极模式时，应密切监测植入设备的患者。

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