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电生理实验室的噩梦:恶性室性早搏的导管消融术并发左主干损伤

EP Laboratory Nightmare: Catheter Ablation of Malignant Premature Ventricular Complex Complicated by Left Main Injury.

作者信息

Bianchini Lorenzo, Zanchi Simone, Bordignon Stefano, Tohoku Shota, Chen Shaojie, Bologna Fabrizio, Schmidt Boris, Chun K R Julian

机构信息

Bethanien Cardiology Center, Agaplesion Markus Hospital, Frankfurt am Main, Germany.

出版信息

JACC Case Rep. 2020 Nov 25;2(15):2331-2335. doi: 10.1016/j.jaccas.2020.09.053. eCollection 2020 Dec.

DOI:10.1016/j.jaccas.2020.09.053
PMID:34317166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8305064/
Abstract

We present a case of ventricular fibrillation triggered by a premature ventricular complex. During ablation from the left coronary cusp, the ablation catheter dislodged inside left main coronary artery, thus resulting in cardiac arrest. We immediately performed angioplasty and stent implantation, and the procedure was accomplished with a guiding catheter left inside the vessel. ().

摘要

我们报告一例由室性早搏触发的心室颤动病例。在从左冠状动脉窦进行消融时,消融导管在左主干冠状动脉内移位,从而导致心脏骤停。我们立即进行了血管成形术和支架植入,手术完成后引导导管留在血管内。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94cf/8305064/012ec0340ca7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94cf/8305064/07efc2583522/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94cf/8305064/a39087c8a1c5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94cf/8305064/6227cbd0ce0b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94cf/8305064/012ec0340ca7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94cf/8305064/07efc2583522/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94cf/8305064/a39087c8a1c5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94cf/8305064/6227cbd0ce0b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94cf/8305064/012ec0340ca7/gr3.jpg

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本文引用的文献

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Analysis of reported cases of left main coronary artery injury during catheter ablation: In search of a pattern.分析左主干冠状动脉损伤在导管消融治疗中的报告病例:探寻一种模式。
J Cardiovasc Electrophysiol. 2019 Mar;30(3):410-426. doi: 10.1111/jce.13833. Epub 2019 Jan 9.
2
Use of Intracardiac Echocardiography in Interventional Cardiology: Working With the Anatomy Rather Than Fighting It.介入心脏病学中心内超声心动图的应用:顺应解剖结构而非与之对抗。
Circulation. 2018 May 22;137(21):2278-2294. doi: 10.1161/CIRCULATIONAHA.117.031343.
3
Catheter ablation of tachyarrhythmias from the aortic sinuses of Valsalva--when and how?
经主动脉窦导管消融治疗室上性心动过速:何时及如何治疗?
Circ J. 2012;76(4):791-800. doi: 10.1253/circj.cj-11-1554.
4
Coronary artery pathophysiology after radiofrequency catheter ablation: review and perspectives.经导管射频消融术后冠状动脉病理生理学:综述与展望。
Heart Rhythm. 2011 Dec;8(12):1975-80. doi: 10.1016/j.hrthm.2011.07.006. Epub 2011 Jul 6.