一种新型标测系统结合远程磁导航用于室性早搏导管消融的可行性
Feasibility of a novel mapping system combined with remote magnetic navigation for catheter ablation of premature ventricular contractions.
作者信息
Dang Shipeng, Jons Christian, Jacobsen Peter Karl, Pehrson Steen, Chen Xu
机构信息
Department of Cardiology The Heart Centre Rigshospitalet Copenhagen University Hospital Copenhagen Denmark.
Department of Cardiology The Affiliated Wuxi People's Hospital of Nanjing Medical University Wuxi China.
出版信息
J Arrhythm. 2019 Jan 31;35(2):244-251. doi: 10.1002/joa3.12157. eCollection 2019 Apr.
BACKGROUND
Remote magnetic navigation (RMN) is often used in combination with a 3-dimensional mapping system to perform catheter ablations. This study aim to investigate the feasibility and effectiveness of a novel 3D-mapping system, EnSite Precision, combined with RMN for catheter ablation of premature ventricular contractions (PVCs), and compared it to the procedures performed by CARTO3 with RMN.
METHODS
Forty-three consecutive PVC patients were either ablated with the guidance of EnSite Precision (n = 22) or CARTO (n = 21) navigated by RMN. Procedure-related details, acute and long-term success were assessed.
RESULTS
Patient characteristics between both the groups were similar (age: 47.1 ± 19.8 vs 47.1 ± 12.7, female: 63.6% vs 57.1%). No significant difference was found in the procedure time (99.5 ± 30.4 vs 92.9 ± 24.8 min, =0.436), mapping time (18.6 ± 12.8 vs 15.5 ± 10.2 min, =0.390), radiofrequency ablation time (333.4 ± 267.0 vs 469.3 ± 343.1 s, =0.154), fluoroscopy time (4.0 ± 1.9 vs 3.8 ± 2.0 min, =0.635), and X-ray dose (1.8 ± 1.4 vs 2.0 ± 1.2 Gycm, =0.649) between the two groups. No significant procedural complication occurred in either group. In addition, there was no significant differences regarding the acute success rate (90.9% vs 90.5%, =0.961) and long-term success rate (86.4% vs 81.0%, =0.631) after 16.2 ± 6.2 months of follow-up between the two groups.
CONCLUSIONS
RMN combined with EnSite Precision mapping system is effective and safe for catheter ablation of PVCs.
背景
远程磁导航（RMN）常与三维标测系统联合用于导管消融。本研究旨在探讨新型三维标测系统EnSite Precision联合RMN用于室性早搏（PVC）导管消融的可行性和有效性，并将其与采用CARTO3联合RMN进行的手术进行比较。
方法
连续43例PVC患者，分别在EnSite Precision（n = 22）或CARTO（n = 21）引导下，由RMN进行消融。评估与手术相关的细节、急性和长期成功率。
结果
两组患者的特征相似（年龄：47.1±19.8岁 vs 47.1±12.7岁，女性：63.6% vs 57.1%）。两组在手术时间（99.5±30.4分钟 vs 92.9±24.8分钟，P = 0.436）、标测时间（18.6±12.8分钟 vs 15.5±10.2分钟，P = 0.390）、射频消融时间（333.4±267.0秒 vs 469.3±343.1秒，P = 0.154）、透视时间（4.0±1.9分钟 vs 3.8±2.0分钟，P = 0.635）和X线剂量（1.8±1.4 Gycm vs 2.0±1.2 Gycm，P = 0.649）方面均无显著差异。两组均未发生明显的手术并发症。此外，两组在随访16.2±6.2个月后的急性成功率（90.9% vs 90.5%，P = 0.961）和长期成功率（86.4% vs 81.0%，P = 0.631）方面也无显著差异。
结论
RMN联合EnSite Precision标测系统用于PVC导管消融是有效且安全的。
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