Clémenty J
Service de Cardiologie, Hôpital du Haut-Lévêque, Pessac.
Ann Cardiol Angeiol (Paris). 1989 Sep 15;38(7):379-83.
Fulguration of the bundle of His consists is interrupting or markedly slow-down the atrio-ventricular conduction, in order to suppress or markedly decrease the symptoms related to refractory atrial arrhythmias. With a consecutive series of 128 cases, it is possible to specify the main indications and present a simplified technique, using Josephson's catheter. At 3 months, the results are as follows: 3rd degree atrio-ventricular block in 80 p. cent of the cases, 1st degree atrio-ventricular block in 10 p. cent, with failure in 10 p. cent of the cases. The immediate complications are rare and benign. Late complications are essentially related to the type of cardiac stimulation offered to the patient. The ventricular stimulation with dependent frequency (particularly on ventilation), enables most patients to return to a normal activity.
希氏束电灼术在于中断或显著减慢房室传导，以抑制或显著减轻与难治性房性心律失常相关的症状。通过连续的128例病例，可以明确主要适应症，并使用约瑟夫森导管提出一种简化技术。在3个月时，结果如下：80%的病例出现三度房室传导阻滞，10%出现一度房室传导阻滞，10%的病例治疗失败。即刻并发症罕见且良性。晚期并发症主要与给予患者的心脏刺激类型有关。依赖频率（特别是与通气相关）的心室刺激能使大多数患者恢复正常活动。
