Nielsen Jan Møller, Kristiansen Steen Buus, Gerdes Jens Christian, Eiskjær Hans, Jensen Henrik Kjærulf
Hjertemedicinsk Afdeling, Aarhus Universitetshospital, Brendstrupgaardsvej 100, 8200 Aarhus N.
Ugeskr Laeger. 2015 Feb 2;177(6).
Ventricular tachycardia (VT) occurs in up to 59% of patients with left ventricular assist devices (LVAD). In some of these patients, the VT cannot be managed medically or by implantable cardioverter-defibrillator. In this case, a 66-year-old male was successfully treated with radiofrequency ablation of intractable VT that developed months after implantation of an LVAD (Heartware). The LVAD provided haemodynamical support during mapping and did not interfere with the ablation.
高达59%的左心室辅助装置(LVAD)患者会发生室性心动过速(VT)。在其中一些患者中,室性心动过速无法通过药物治疗或植入式心脏复律除颤器进行处理。在此病例中,一名66岁男性患者因植入LVAD(Heartware)数月后出现顽固性室性心动过速,经射频消融成功治疗。在标测过程中,LVAD提供了血流动力学支持,且未干扰消融操作。