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心房颤动消融与右冠状动脉损伤风险

Atrial flutter ablation and risk of right coronary artery injury.

作者信息

Al Aloul Basel, Sigurdsson Gardar, Adabag Selcuk, Li Jian-Ming, Dykoski Richard, Tholakanahalli Venkatakrishna N

机构信息

Cardiac and Vascular Consultants, The Villages, FL, USA ; Cardiovascular Disease Division, University of Minnesota, Minneapolis, MN, USA.

University of Iowa Hospital and Clinics, Iowa City, IA, USA.

出版信息

J Clin Med Res. 2015 Apr;7(4):270-3. doi: 10.14740/jocmr1986w. Epub 2015 Feb 9.

DOI:10.14740/jocmr1986w
PMID:25699126
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4330022/
Abstract

Radiofrequency ablation (RFA) of atrial flutter (AFL) is a commonly performed procedure with low risk of complications. Several case reports and animal studies cautioned about the risk of right coronary artery (RCA) injury following AFL ablation. This risk is due to the anatomic proximity of the RCA to the cavo-tricuspid isthmus where ablation is performed. We present a case report that demonstrates postmortem evidence of RCA injury following RFA of AFL.

摘要

心房扑动（AFL）的射频消融术（RFA）是一种常见的手术，并发症风险较低。一些病例报告和动物研究对AFL消融术后右冠状动脉（RCA）损伤的风险提出了警示。这种风险是由于RCA与进行消融的腔静脉-三尖瓣峡部在解剖位置上接近。我们报告一例病例，该病例显示了AFL射频消融术后RCA损伤的尸检证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d98/4330022/c4556a9b4d2e/jocmr-07-270-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d98/4330022/b0d9122c1960/jocmr-07-270-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d98/4330022/69db6c4cccce/jocmr-07-270-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d98/4330022/abfe292c3c7f/jocmr-07-270-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d98/4330022/c4556a9b4d2e/jocmr-07-270-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d98/4330022/b0d9122c1960/jocmr-07-270-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d98/4330022/69db6c4cccce/jocmr-07-270-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d98/4330022/abfe292c3c7f/jocmr-07-270-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d98/4330022/c4556a9b4d2e/jocmr-07-270-g004.jpg

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本文引用的文献

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Angiographic analysis of the anatomic relation of coronary arteries to mitral and tricuspid annulus and implications for radiofrequency ablation.冠状动脉与二尖瓣和三尖瓣环解剖关系的血管造影分析及其对射频消融的意义。
Am J Cardiol. 2007 Aug 15;100(4):666-71. doi: 10.1016/j.amjcard.2007.03.082. Epub 2007 Jun 27.
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Results of catheter ablation of typical atrial flutter.
典型心房扑动的导管消融结果。
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Acute myocardial infarction after radiofrequency catheter ablation of typical atrial flutter: histopathological findings and etiopathogenetic hypothesis.典型心房扑动经导管射频消融术后急性心肌梗死：组织病理学发现及发病机制假说
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ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias--executive summary. a report of the American college of cardiology/American heart association task force on practice guidelines and the European society of cardiology committee for practice guidelines (writing committee to develop guidelines for the management of patients with supraventricular arrhythmias) developed in collaboration with NASPE-Heart Rhythm Society.美国心脏病学会/美国心脏协会/欧洲心脏病学会室上性心律失常患者管理指南——执行摘要。美国心脏病学会/美国心脏协会实践指南特别工作组与欧洲心脏病学会实践指南委员会（制定室上性心律失常患者管理指南的写作委员会）合作制定，并与北美心脏起搏和电生理学会-心律协会共同完成。
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Can radiofrequency current isthmus ablation damage the right coronary artery? Histopathological findings following the use of a long (8 mm) tip electrode.射频电流峡部消融会损伤右冠状动脉吗？使用长（8毫米）尖端电极后的组织病理学发现。
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