Boulé Stéphane, Garret Gauthier, Souissi Zouheir, Klug Didier
Lille University Hospital, Department of Electrophysiology, Lille, France; Lille University Hospital, Cardiac Intensive Care Unit, Lille, France.
Lille University Hospital, Department of Electrophysiology, Lille, France; Nice University Hospital, Department of Cardiovascular medicine, Nice, France.
J Electrocardiol. 2017 Sep-Oct;50(5):694-695. doi: 10.1016/j.jelectrocard.2017.05.004. Epub 2017 May 18.
Endocardial mapping is typically considered as the first step of VT ablation procedures. Nevertheless, when the electrocardiogram is highly suggestive of an epicardial VT, a minimally invasive procedure performed exclusively via the coronary sinus might be considered. This straightforward approach avoids all potential complications associated with access to the left ventricular endocardium, the aortic root, and the pericardial space.
心内膜标测通常被视为室性心动过速（VT）消融手术的第一步。然而，当心电图高度提示为心外膜室性心动过速时，可考虑仅通过冠状窦进行的微创手术。这种直接的方法避免了与进入左心室心内膜、主动脉根部和心包腔相关的所有潜在并发症。
