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左上肺静脉冷冻球囊消融术中左侧膈神经损伤

Left phrenic nerve injury during cryoballoon ablation of the left superior pulmonary vein.

作者信息

Andrié René P, Schrickel Jan W, Nickenig Georg, Lickfett Lars

机构信息

Department of Cardiology, University of Bonn, Bonn, Germany.

出版信息

Pacing Clin Electrophysiol. 2012 Nov;35(11):e334-6. doi: 10.1111/j.1540-8159.2012.03470.x. Epub 2012 Jul 30.

DOI:10.1111/j.1540-8159.2012.03470.x
PMID:22845556
Abstract

Transcatheter ablation of the pulmonary veins (PVs) has been established as a therapeutic option for patients with symptomatic atrial fibrillation. Cryothermal energy is an alternative energy source that has been developed to overcome some of the disadvantages of radiofrequency ablation. The major complication of the cryoballoon technique seems to be right-sided phrenic nerve injury (PNI) following ablation of the right superior PV. This case report describes a left-sided PNI after cryoballoon ablation of the left superior PV.

摘要

经导管肺静脉(PVs)消融已成为有症状心房颤动患者的一种治疗选择。冷冻热能是一种替代能源,其开发旨在克服射频消融的一些缺点。冷冻球囊技术的主要并发症似乎是右上肺静脉消融后右侧膈神经损伤(PNI)。本病例报告描述了左上肺静脉冷冻球囊消融术后的左侧PNI。

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Left phrenic nerve injury during cryoballoon ablation of the left superior pulmonary vein.左上肺静脉冷冻球囊消融术中左侧膈神经损伤
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Left phrenic nerve injury after cryoballoon ablation of the pulmonary veins.肺静脉冷冻球囊消融术后左侧膈神经损伤
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Pulmonary vein measurements on pre-procedural CT/MR imaging can predict difficult pulmonary vein isolation and phrenic nerve injury during cryoballoon ablation for paroxysmal atrial fibrillation.在阵发性心房颤动的冷冻球囊消融术中,术前CT/MR成像上的肺静脉测量可预测肺静脉隔离困难和膈神经损伤。
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引用本文的文献

1
Acute Procedural Complications of Cryoballoon Ablation: A Comprehensive Review.冷冻球囊消融术的急性操作并发症:一项全面综述。
J Atr Fibrillation. 2019 Oct 31;12(3):2208. doi: 10.4022/jafib.2208. eCollection 2019 Oct-Nov.
2
Positioning an ECG electrode to the dorsal side can record higher amplitude of CMAPs during cryoballoon ablation.在冷冻球囊消融期间,将心电图电极放置于背侧可记录到更高振幅的复合肌肉动作电位(CMAPs)。
J Arrhythm. 2020 Feb 13;36(2):328-334. doi: 10.1002/joa3.12314. eCollection 2020 Apr.
3
How to Prevent, Detect and Manage Complications Caused by Cryoballoon Ablation of Atrial Fibrillation.
如何预防、检测及处理冷冻球囊消融心房颤动引起的并发症
Arrhythm Electrophysiol Rev. 2018 Mar;7(1):18-23. doi: 10.15420/aer.2017.32.1.
4
Comparison of Phrenic Nerve Injury during Atrial Fibrillation Ablation between Different Modalities, Pathophysiology and Management.不同方式心房颤动消融术中膈神经损伤的比较、病理生理学及处理
J Atr Fibrillation. 2015 Dec 31;8(4):1314. doi: 10.4022/jafib.1314. eCollection 2015 Dec.
5
MRI Reconstructions of Human Phrenic Nerve Anatomy and Computational Modeling of Cryoballoon Ablative Therapy.人类膈神经解剖结构的MRI重建及冷冻球囊消融治疗的计算建模
Ann Biomed Eng. 2016 Apr;44(4):1097-106. doi: 10.1007/s10439-015-1379-3. Epub 2015 Jul 14.