房颤和流出道室性早搏导管消融术后出现的复发性难治性室性心动过速的双侧心脏交感神经去神经支配。
Bilateral cardiac sympathetic denervation of a recurrent refractory ventricular tachycardia occurring after catheter ablation of atrial fibrillation and outflow tract premature ventricular contractions.
作者信息
Yagishita Atsuhiko, Goya Masahiko, Takahashi Yoshihide, Ishibashi Hironori, Akiyoshi Kikou, Sekigawa Masahiro, Maeda Shingo, Kawabata Mihoko, Okubo Kenichi, Hirao Kenzo
机构信息
Department of Cardiovascular Medicine/Heart Rhythm Center Tokyo Medical and Dental University Bunkyoku Tokyo Japan.
Department of Thoracic Surgery Tokyo Medical and Dental University Tokyo Japan.
出版信息
J Arrhythm. 2019 Jan 30;35(2):287-289. doi: 10.1002/joa3.12159. eCollection 2019 Apr.
Recent studies have demonstrated the utility of cardiac sympathetic denervation (CSD) in patients with ventricular tachycardia (VT) refractory to antiarrhythmic drugs and catheter or surgical ablation. We present our experience with bilateral CSD in a patient with a recurrent VT despite attempts at treatment with catheter ablation and antiarrhythmic drugs, and this is the first description of the successful management of an idiopathic refractory VT with a bilateral CSD and concomitant oral amiodarone, occurring after catheter ablation of persistent atrial fibrillation and idiopathic outflow tract premature ventricular contractions.
近期研究已证实，心脏交感神经去神经支配术（CSD）对于对抗心律失常药物、导管消融或手术消融难治的室性心动过速（VT）患者具有实用性。我们介绍了一例复发性VT患者接受双侧CSD的经验，尽管此前尝试了导管消融和抗心律失常药物治疗，这也是首次描述在持续性心房颤动和特发性流出道室性早搏导管消融术后，双侧CSD联合口服胺碘酮成功治疗特发性难治性VT的情况。
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