酒精消融治疗室性心动过速
Alcohol Ablation for Ventricular Tachycardia.
作者信息
Lador Adi, Da-Wariboko Akanibo, Tavares Liliana, Valderrábano Miguel
机构信息
Houston Methodist Debakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas.
出版信息
Methodist Debakey Cardiovasc J. 2021 Apr 5;17(1):19-23. doi: 10.14797/NECT9586. Epub 2021 Mar 25.
Abstract
Catheter-based radiofrequency (RF) ablation is an effective, well-established therapy for ventricular tachycardia (VT). However, a large number of patients still have recurrences, particularly those with substrates arising from intramural locations that are inaccessible through endo- or epicardial catheter approaches. Several unconventional ablation techniques have been proposed to treat RF-refractory VT, including transarterial coronary ethanol ablation and retrograde coronary venous ethanol ablation. We review the evidence regarding the mechanisms, procedural aspects, and alcohol ablation outcomes for ventricular arrhythmias.
摘要
基于导管的射频（RF）消融是治疗室性心动过速（VT）的一种有效且成熟的疗法。然而，仍有大量患者出现复发，尤其是那些具有源自壁内位置的基质的患者，这些位置无法通过心内膜或心外膜导管方法到达。已经提出了几种非传统的消融技术来治疗射频难治性室性心动过速，包括经动脉冠状动脉乙醇消融和逆行冠状静脉乙醇消融。我们综述了有关室性心律失常的机制、操作方面以及乙醇消融结果的证据。
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本文引用的文献
1
Intramural Venous Ethanol Infusion for Refractory Ventricular Arrhythmias: Outcomes of a Multicenter Experience.
JACC Clin Electrophysiol. 2020 Oct 26;6(11):1420-1431. doi: 10.1016/j.jacep.2020.07.023. Epub 2020 Sep 30.
2
Double-balloon technique for retrograde venous ethanol ablation of ventricular arrhythmias in the absence of suitable intramural veins.
Heart Rhythm. 2020 Dec;17(12):2126-2134. doi: 10.1016/j.hrthm.2020.05.027. Epub 2020 May 26.
3
Successful ablation with ethanol infusion to coronary sinus branch in a case with scar-related ventricular tachycardia with left ventricular epicardial reentrant circuit.
HeartRhythm Case Rep. 2020 Jan 13;6(4):226-229. doi: 10.1016/j.hrcr.2020.01.002. eCollection 2020 Apr.
4
Chemical ablation of ventricular tachycardia arising from the left ventricular summit.
Clin Case Rep. 2019 Sep 19;7(11):2036-2041. doi: 10.1002/ccr3.1397. eCollection 2019 Nov.
5
Telescopic coronary sinus cannulation for mapping and ethanol ablation of arrhythmia originating from left ventricular summit.
Cardiol J. 2020;27(3):312-315. doi: 10.5603/CJ.a2019.0064. Epub 2019 Jul 1.
6
2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias.
Europace. 2019 Aug 1;21(8):1143-1144. doi: 10.1093/europace/euz132.
7
Successful transcoronary ethanol ablation of a ventricular tachycardia originating from the crux of the heart.
J Cardiovasc Electrophysiol. 2019 May;30(5):777-778. doi: 10.1111/jce.13874. Epub 2019 Feb 15.
8
Retrograde venous ethanol ablation for ventricular tachycardia.
Heart Rhythm. 2019 Mar;16(3):478-483. doi: 10.1016/j.hrthm.2018.09.010. Epub 2018 Sep 18.
9
Successful ethanol injection into the anterior interventricular cardiac vein for ventricular premature contractions arising from the left ventricular summit.
HeartRhythm Case Rep. 2018 Apr 18;4(7):310-313. doi: 10.1016/j.hrcr.2018.04.002. eCollection 2018 Jul.
10
Adjunctive Interventional Techniques When Percutaneous Catheter Ablation for Drug Refractory Ventricular Arrhythmias Fail: A Contemporary Review.
Circ Arrhythm Electrophysiol. 2017 Feb;10(2):e003676. doi: 10.1161/CIRCEP.116.003676.
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