基于导管的心脏神经消融术治疗难治性血管迷走性晕厥：美国首例报告
Catheter-Based Cardio-Neural Ablation for Refractory Vasovagal Syncope: First U.S. Report.
作者信息
Lu Yu, Wei Wei, Upadhyay Gaurav A, Tung Roderick
机构信息
Department of Medicine, Section of Cardiology, The University of Chicago Medicine Center for Arrhythmia Care, Pritzker School of Medicine, Chicago, Illinois.
Department of Cardiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
出版信息
JACC Case Rep. 2020 Jun 10;2(8):1161-1165. doi: 10.1016/j.jaccas.2020.04.022. eCollection 2020 Jul.
We highlight the feasibility and efficacy of a new application for catheter ablation to target atrial ganglionated plexi in a patient with refractory vasovagal syncope. We describe a physiologically guided technique and demonstrate 18-month freedom from syncope with 2 tilt-table tests to objectively assess reproducible elimination of symptomatology and underlying pathophysiology. ().
我们强调了一种针对难治性血管迷走性晕厥患者进行导管消融以靶向心房神经节丛的新应用的可行性和有效性。我们描述了一种生理引导技术，并通过2次倾斜试验证明患者在18个月内未发生晕厥，以此客观评估症状学和潜在病理生理学的可重复性消除。（）
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