Tatarskiy Roman, Garkina Svetlana, Lebedev Dmitriy
Federal Almazov North-West Medical Research Centre, Saint Petersburg, Russia.
J Atr Fibrillation. 2016 Oct 31;9(3):1476. doi: 10.4022/jafib.1476. eCollection 2016 Oct-Nov.
Tachycardias after atrial incisions represent frequent and serious problem. The majority of them are based on a re-entry electrical activation around a combination of anatomic and surgically created obstacles. Considering significant progress of cardiovascular surgery during the last decade along with potential large amount of open-heart procedures in the near future the number of incisional tachycardias has a tendency to increase. The aim of this work was to quantify the magnitude of the problem, characterize the tachycardias after different surgical operations and to analyze possible interventional treatment strategies. Nowadays evolution of mapping and ablation technologies may contribute to radically treatment of this type of arrhythmias while there are still a lot of issues that should be solved to improve the results of interventional treatment of incisional tachycardias.
心房切开术后的心动过速是一个常见且严重的问题。其中大多数是基于围绕解剖学和手术造成的障碍物组合的折返性电激活。考虑到过去十年心血管手术的显著进展以及不久的将来可能进行大量心脏直视手术，切口性心动过速的数量有增加的趋势。这项工作的目的是量化该问题的严重程度，描述不同手术操作后的心动过速特征，并分析可能的介入治疗策略。如今，标测和消融技术的发展可能有助于从根本上治疗这类心律失常，然而，要改善切口性心动过速的介入治疗效果，仍有许多问题需要解决。
