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使用三维电生理标测系统以最小辐射剂量成功消融妊娠期间持续性房性心动过速。

Successful catheter ablation of incessant atrial tachycardia in pregnancy using three-dimensional electroanatomical mapping with minimal radiation.

机构信息

Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia.

出版信息

Intern Med J. 2012 Jun;42(6):709-12. doi: 10.1111/j.1445-5994.2012.02812.x.

Abstract

Arrhythmias during pregnancy are not an infrequent problem and present a difficult therapeutic challenge to physicians. Anti-arrhythmic medication is used with some trepidation given concerns for the unborn foetus. Catheter ablation is typically avoided due to concerns regarding foetal exposure to radiation and delayed until the post-partum period. With the availability of three-dimensional mapping systems, catheter ablation may be performed with minimal radiation. We report a pregnant woman who underwent successful ablation of focal atrial tachycardia using three-dimensional electroanatomical mapping with minimal radiation exposure.

摘要

妊娠期心律失常并不少见,给医生带来了治疗上的难题。由于担心对胎儿的影响,抗心律失常药物的使用存在一些顾虑。由于担心胎儿暴露于辐射和延迟至产后期间的问题,通常避免导管消融。随着三维标测系统的出现,导管消融可以在最小辐射的情况下进行。我们报告了一位孕妇,她在接受最小辐射的三维电生理标测引导下成功进行了局灶性房性心动过速消融。

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