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CartoUnivu™系统用于机械人工瓣膜患者心房颤动消融的实用性和可行性。

Utility and feasibility of the CartoUnivu™ system for atrial flutter ablation in patients with mechanical prosthetic valves.

作者信息

Gutiérrez Ballesteros Guillermo, Jiménez Jáimez Juan, Sánchez Millán Pablo, Macías Ruiz Rosa, Molina Lerma Manuel, Tercedor Sánchez Luis, Álvarez López Miguel

机构信息

Cardiac Arrhythmia and Electrophysiology Section, Department of Cardiology, Hospital Universitario Virgen de Las Nieves, Granada, Spain.

Cardiac Arrhythmia and Electrophysiology Section, Department of Cardiology, Hospital Universitario Virgen de Las Nieves, Granada, Spain.

出版信息

Indian Pacing Electrophysiol J. 2021 Jan-Feb;21(1):51-53. doi: 10.1016/j.ipej.2020.11.015. Epub 2020 Nov 27.

DOI:10.1016/j.ipej.2020.11.015
PMID:33249128
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7854365/
Abstract

Ablation of macroreentrant atrial tachycardia in patients with mechanical prosthetic valves represents a challenge for electrophysiologists, because of the complexity of the procedure and the potential complications. Moreover, the need for fluoroscopy in this type of procedure is greater, due to the risk of interference between the prosthetic valve and the ablation or mapping catheter. We present two cases of patients with mechanical prosthetic valves and atrial flutter who underwent successful ablation with no complications using the CartoUnivu™ tool, which integrates the electroanatomical map and the fluoroscopy image.

摘要

对于机械人工瓣膜患者,消融大折返性房性心动过速对电生理学家来说是一项挑战,这是由于手术的复杂性和潜在并发症。此外,由于人工瓣膜与消融或标测导管之间存在干扰风险,这类手术对荧光透视的需求更大。我们报告了两例机械人工瓣膜合并心房扑动的患者,他们使用整合了电解剖图和荧光透视图像的CartoUnivu™工具成功进行了消融,且无并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3a2/7854365/1be5ac5f1cf9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3a2/7854365/d6216899873e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3a2/7854365/1be5ac5f1cf9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3a2/7854365/d6216899873e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3a2/7854365/1be5ac5f1cf9/gr2.jpg

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本文引用的文献

1
Radiofrequency ablation of the cavotricuspid isthmus for management of atrial flutter in patients with congenital heart disease after tricuspid valve surgery: A single-center experience.射频消融三尖瓣峡部治疗三尖瓣手术后先天性心脏病患者的心房扑动:单中心经验。
Heart Rhythm. 2019 Nov;16(11):1621-1628. doi: 10.1016/j.hrthm.2019.04.045. Epub 2019 Apr 29.
2
Evaluation of a near-zero fluoroscopic approach for catheter ablation in patients with congenital heart disease.先天性心脏病患者导管消融的近零透视方法评估
J Interv Card Electrophysiol. 2019 Dec;56(3):259-269. doi: 10.1007/s10840-018-0467-3. Epub 2018 Oct 30.
3
PentaRay entrapment in a mechanical mitral valve during catheter ablation of atrial fibrillation.
心房颤动导管消融期间Pentaray导管被困于机械二尖瓣内。
HeartRhythm Case Rep. 2015 Dec 9;2(2):200-201. doi: 10.1016/j.hrcr.2015.11.006. eCollection 2016 Mar.
4
Postoperative atrial tachycardias after mitral valve surgery: Mechanisms and outcomes of catheter ablation.二尖瓣手术后的术后房性心动过速:导管消融的机制与结果
Heart Rhythm. 2017 Apr;14(4):520-526. doi: 10.1016/j.hrthm.2016.12.002. Epub 2016 Dec 3.
5
Safety and Feasibility of a Minimally Fluoroscopic Approach for Ventricular Tachycardia Ablation in Patients With Structural Heart Disease: Influence of the Ventricular Tachycardia Substrate.结构心脏病患者室性心动过速消融的最小透视方法的安全性和可行性:室性心动过速基质的影响
Circ Arrhythm Electrophysiol. 2016 Feb;9(2):e003706. doi: 10.1161/CIRCEP.115.003706.
6
Feasibility of catheter ablation of mitral annular flutter in patients with prior mitral valve surgery.经二尖瓣手术治疗后的患者行二尖瓣环型房扑导管消融术的可行性。
Heart Rhythm. 2011 Jun;8(6):809-14. doi: 10.1016/j.hrthm.2011.01.019. Epub 2011 Jan 12.