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房颤消融术中持续性左上腔静脉的分离

Isolation of persistent left superior vena cava during atrial fibrillation ablation.

作者信息

Ozcan Emin E, Szeplaki Gabor, Merkely Bela, Geller Laszlo

机构信息

Semmelweis University, Heart Center, Budapest, Hungary.

出版信息

Indian Pacing Electrophysiol J. 2015 Jul 29;15(2):130-2. doi: 10.1016/j.ipej.2015.07.011. eCollection 2015 Mar-Apr.

DOI:10.1016/j.ipej.2015.07.011
PMID:26937100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4750143/
Abstract

Persistent left superior vena cava is a rarely seen anomaly but it may be an arrhythmogenic source for paroxysmal atrial fibrillation. Furthermore, the complex anatomicregion between the left superior vena cava and the pulmonary veins may leads to misinterpretation of the pulmonary vein recordings during atrial fibrillation ablation. Approaches that might be helpful to overcome these problems are discussed in this case report.

摘要

永存左上腔静脉是一种罕见的异常情况，但它可能是阵发性心房颤动的致心律失常源。此外，左上腔静脉与肺静脉之间复杂的解剖区域可能导致在心房颤动消融过程中对肺静脉记录的误解。本病例报告讨论了可能有助于克服这些问题的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f720/4750143/41eee9fc2fe7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f720/4750143/e6e1098f241e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f720/4750143/41eee9fc2fe7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f720/4750143/e6e1098f241e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f720/4750143/41eee9fc2fe7/gr2.jpg

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引用本文的文献

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本文引用的文献

1
A novel method of placing right ventricular leads in patients with persistent left superior vena cava using a conventional j stylet.一种使用传统J形探针在永存左上腔静脉患者中放置右心室导线的新方法。
Indian Pacing Electrophysiol J. 2014 Mar 12;14(2):65-74. doi: 10.1016/s0972-6292(16)30731-8. eCollection 2014 Mar.
2
Catheter ablation of atrial fibrillation in patients with persistent left superior vena cava is associated with major intraprocedural complications.持续性左上腔静脉患者行导管消融术治疗心房颤动与主要术中并发症相关。
Heart Rhythm. 2010 Dec;7(12):1755-60. doi: 10.1016/j.hrthm.2010.08.005. Epub 2010 Aug 11.
3
Electrogram-guided isolation of the left superior vena cava for treatment of atrial fibrillation.
电信号引导下隔离左上腔静脉治疗心房颤动。
Europace. 2007 Sep;9(9):775-80. doi: 10.1093/europace/eum118. Epub 2007 Jun 8.
4
Atrial fibrillation originating from persistent left superior vena cava.源于持续性左上腔静脉的心房颤动
Circulation. 2004 Feb 24;109(7):828-32. doi: 10.1161/01.CIR.0000116753.56467.BC. Epub 2004 Feb 2.
5
Thoracic veins and the mechanisms of non-paroxysmal atrial fibrillation.胸段静脉与非阵发性心房颤动的机制
Cardiovasc Res. 2002 May;54(2):295-301. doi: 10.1016/s0008-6363(01)00554-5.