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[侵入性心脏电生理学中的穿刺技术]

[Puncture techniques in invasive cardiac electrophysiology].

作者信息

Duncker David, Sommer Philipp, Busch Sonia, Tilz Roland R, Althoff Till, Iden Leon, Metzner Andreas, Rillig Andreas, Chun K R Julian, Bourier Felix, Maurer Tilman, Shin Dong-In

机构信息

Hannover Herzrhythmus Centrum, Klinik für Kardiologie und Angiologie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Klinik für Elektrophysiologie/Rhythmologie, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Deutschland.

出版信息

Herzschrittmacherther Elektrophysiol. 2021 Jun;32(2):274-284. doi: 10.1007/s00399-021-00761-8. Epub 2021 May 19.

DOI:10.1007/s00399-021-00761-8
PMID:34009451
Abstract

Due to good results, increasing standardization and lack of equivalent alternatives, catheter ablation has been established as an increasingly common procedure in clinical routine. This article describes common and necessary puncture techniques in catheter ablation (puncture of the groin vessels, transseptal puncture, pericardial puncture) and represents a practical instruction for the catheter laboratory. This article is part of a series of manuscripts presenting topics of interventional electrophysiology in the course of electrophysiology training.

摘要

由于疗效良好、标准化程度不断提高且缺乏等效替代方法,导管消融术已成为临床常规中越来越常见的一种手术。本文介绍了导管消融术中常见且必要的穿刺技术(腹股沟血管穿刺、经房间隔穿刺、心包穿刺),并为导管实验室提供了一份实用指南。本文是在电生理培训过程中介绍介入性电生理学主题的一系列手稿的一部分。

相似文献

1
[Puncture techniques in invasive cardiac electrophysiology].[侵入性心脏电生理学中的穿刺技术]
Herzschrittmacherther Elektrophysiol. 2021 Jun;32(2):274-284. doi: 10.1007/s00399-021-00761-8. Epub 2021 May 19.
2
One-puncture, double-transseptal catheterization manoeuvre in the catheter ablation of atrial fibrillation.房颤导管消融中的单穿刺双房间隔穿刺导管操作
Europace. 2007 Jul;9(7):487-9. doi: 10.1093/europace/eum070. Epub 2007 May 9.
3
The change in the fluoroscopy-guided transseptal puncture site and difficult punctures in catheter ablation of recurrent atrial fibrillation.透视引导下经房间隔穿刺部位的改变及复发性心房颤动导管消融术中的困难穿刺
Europace. 2008 Mar;10(3):276-9. doi: 10.1093/europace/eun013. Epub 2008 Feb 1.
4
Safety of single transseptal puncture for ablation of atrial fibrillation: retrospective study from a large cohort of patients.经房间隔单次穿刺用于房颤消融的安全性:来自大量患者队列的回顾性研究
J Cardiovasc Electrophysiol. 2007 Dec;18(12):1277-81. doi: 10.1111/j.1540-8167.2007.00958.x. Epub 2007 Sep 19.
5
[Management of acute complications during electrophysiological procedures].[电生理检查过程中急性并发症的处理]
Herzschrittmacherther Elektrophysiol. 2020 Dec;31(4):381-387. doi: 10.1007/s00399-020-00698-4. Epub 2020 Jul 16.
6
Transseptal approach for left atrial arrhythmia ablation in patients with valve prostheses.人工瓣膜置换术后患者左房心律失常消融的经房间隔途径
J Cardiovasc Med (Hagerstown). 2008 Mar;9(3):273-6. doi: 10.2459/JCM.0b013e3280c8529c.
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Transseptal access for left atrial ablation: the catheter-probing techniques are not without risk.经房间隔入路行左心房消融术:导管探查技术并非没有风险。
J Cardiovasc Electrophysiol. 2014 May;25(5):479-484. doi: 10.1111/jce.12356. Epub 2014 Jan 29.
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Transseptal puncture through Amplatzer septal occluder device for catheter ablation of atrial fibrillation: use of balloon dilatation technique.经 Amplatzer 房间隔封堵器行房间隔穿刺用于房颤导管消融:球囊扩张技术的应用。
J Cardiovasc Electrophysiol. 2012 Oct;23(10):1139-41. doi: 10.1111/j.1540-8167.2012.02306.x. Epub 2012 Apr 17.
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Complicated transseptal puncture during intervention catheter ablation on atrial fibrillation concomitant with straight back syndrome.
J Interv Card Electrophysiol. 2007 Jun;19(1):41-3. doi: 10.1007/s10840-007-9126-9. Epub 2007 Jul 3.
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Optimal transseptal puncture location for robot-assisted left atrial catheter ablation.机器人辅助左心房导管消融的最佳经房间隔穿刺部位。
Int J Med Robot. 2011 Jun;7(2):193-201. doi: 10.1002/rcs.388. Epub 2011 Apr 27.

引用本文的文献

1
[Guideline to safe and effective atrial fibrillation ablation with pulsed-field ablation using the pentaspline PFA system as an example].[以五样条脉冲电场消融系统为例的心房颤动脉冲电场消融安全有效指南]
Herzschrittmacherther Elektrophysiol. 2025 Feb 28. doi: 10.1007/s00399-025-01071-z.
2
[Venous access routes for cardiac implantable electronic devices].[心脏植入式电子设备的静脉通路]
Herzschrittmacherther Elektrophysiol. 2023 Sep;34(3):250-255. doi: 10.1007/s00399-023-00954-3. Epub 2023 Jul 17.
3
[Practical guide for safe and efficient cryoballoon ablation for atrial fibrillation : Practical procedure, tips and tricks].

本文引用的文献

1
Epicardial access for VT ablation: analysis of two different puncture techniques, incidence of adhesions and complication management.心外膜入路在 VT 消融中的应用:两种不同穿刺技术的分析、粘连发生率及并发症处理。
Clin Res Cardiol. 2021 Jun;110(6):810-821. doi: 10.1007/s00392-020-01711-z. Epub 2020 Jul 27.
2
Ultrasound guidance for femoral venous access in electrophysiology procedures-systematic review and meta-analysis.超声引导在电生理程序中的股静脉入路:系统评价和荟萃分析。
J Interv Card Electrophysiol. 2020 Nov;59(2):407-414. doi: 10.1007/s10840-019-00683-z. Epub 2019 Dec 10.
3
Value of ultrasound for access guidance and detection of subclinical vascular complications in the setting of atrial fibrillation cryoballoon ablation.
[心房颤动安全高效冷冻球囊消融实用指南:实用操作步骤、技巧与窍门]
Herzschrittmacherther Elektrophysiol. 2021 Dec;32(4):550-562. doi: 10.1007/s00399-021-00820-0. Epub 2021 Nov 4.
超声在心房颤动冷冻球囊消融中用于引导入路和检测亚临床血管并发症的价值。
Europace. 2019 Mar 1;21(3):434-439. doi: 10.1093/europace/euy154.
4
Ultrasound-guided cannulation of the femoral vein in electrophysiological procedures: a systematic review and meta-analysis.电生理手术中超声引导下股静脉置管:一项系统评价和荟萃分析。
Europace. 2017 May 1;19(5):850-855. doi: 10.1093/europace/euw113.
5
Differences in complication rates between large bore needle and a long micropuncture needle during epicardial access: time to change clinical practice?大口径针与长微穿刺针在心外膜入路时并发症发生率的差异:是时候改变临床实践了吗?
Circ Arrhythm Electrophysiol. 2015 Aug;8(4):890-5. doi: 10.1161/CIRCEP.115.002921. Epub 2015 Jun 15.
6
Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization.锁骨下静脉或股静脉置管:超声引导与解剖标志定位的比较
Cochrane Database Syst Rev. 2015 Jan 9;1(1):CD011447. doi: 10.1002/14651858.CD011447.
7
The training and learning process of transseptal puncture using a modified technique.使用改良技术进行经房间隔穿刺的训练和学习过程。
Europace. 2013 Dec;15(12):1784-90. doi: 10.1093/europace/eut078. Epub 2013 Aug 14.