无氟 大到不能倒。
SANS FLUORO Too Big to Fail.
作者信息
L Percell Robert, E Johnson Matthew, Dendi Raghuveer
机构信息
SANS FLUORO Institute, Electrophysiology Department, Bryan Heart Institute, 1600 S 48th Street, Lincoln, NE 68506.
Bryan Heart Institute, 1600 S 48th Street, Lincoln, NE 68506.
出版信息
J Atr Fibrillation. 2021 Feb 28;13(5):2453. doi: 10.4022/jafib.2453. eCollection 2021 Feb-Mar.
Abstract
We present the first ever reported case of a super morbidly obese patient (BMI > 60) with drug refractory, symptomatic persistent atrial fibrillation who underwent an uncomplicated, but unsuccessful PVI ablation procedure and subsequently underwent AV node ablation and cardiac resynchronization therapy - pacemaker (CRT-P) insertion using a zero fluoroscopy technique. This case demonstrates the following two critical points: (1) difficulties in the treatment of massively obese patients with arrhythmias1; (2) increased use of fluoroless procedures2-4.
摘要
我们报告了首例有记录的超级病态肥胖患者（体重指数>60），该患者患有药物难治性、有症状的持续性心房颤动，接受了一次无并发症但未成功的肺静脉隔离（PVI）消融手术，随后接受了房室结消融和使用零透视技术植入心脏再同步治疗起搏器（CRT-P）。该病例展示了以下两个关键点：（1）治疗极度肥胖的心律失常患者存在困难；（2）减少透视手术的使用增加。
相似文献
1
SANS FLUORO Too Big to Fail.无氟 大到不能倒。
J Atr Fibrillation. 2021 Feb 28;13(5):2453. doi: 10.4022/jafib.2453. eCollection 2021 Feb-Mar.
2
SANS FLUORO Supersized: A case report of Fluoroless Ablation in a Super Morbidly Obese Patient.无荧光超大剂量：一例超级病态肥胖患者的无荧光消融病例报告。
J Atr Fibrillation. 2018 Dec 31;11(4):2112. doi: 10.4022/jafib.2112. eCollection 2018 Dec.
3
Catheter Ablation for Treatment of Atrial Fibrillation and Supraventricular Arrhythmias Without Fluoroscopy Use: Acute Efficacy and Safety.无透视引导下导管消融治疗心房颤动和室上性心律失常：即刻疗效和安全性。
Arq Bras Cardiol. 2020 Jun;114(6):1015-1026. doi: 10.36660/abc.20200096. Epub 2020 Jul 3.
4
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本文引用的文献
1
The Grand SANS FLUORO (SAy No Series to FLUOROsopy) Study: Examining Fluoroscopy Use in More than 1,000 Ablation Procedures.大无荧光（对荧光透视说不系列）研究：在1000多例消融手术中检查荧光透视的使用情况。
J Innov Card Rhythm Manag. 2020 Sep 15;11(9):4224-4232. doi: 10.19102/icrm.2020.1100903. eCollection 2020 Sep.
2
How to perform electroanatomic mapping-guided cardiac resynchronization therapy using Carto 3 and ESI NavX three-dimensional mapping systems.如何使用 Carto 3 和 ESI NavX 三维标测系统进行电激动标测指导下的心脏再同步治疗。
Europace. 2019 Nov 1;21(11):1742-1749. doi: 10.1093/europace/euz229.
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High-resolution/Density Mapping in Patients with Atrial and Ventricular Arrhythmias.
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4
SANS FLUORO Supersized: A case report of Fluoroless Ablation in a Super Morbidly Obese Patient.无荧光超大剂量：一例超级病态肥胖患者的无荧光消融病例报告。
J Atr Fibrillation. 2018 Dec 31;11(4):2112. doi: 10.4022/jafib.2112. eCollection 2018 Dec.
5
Physical Activity, Fitness, and Obesity in Heart Failure With Preserved Ejection Fraction.体力活动、身体适能与射血分数保留型心力衰竭伴发肥胖。
JACC Heart Fail. 2018 Dec;6(12):975-982. doi: 10.1016/j.jchf.2018.09.006.
6
Obesity is associated with impaired long-term success of pulmonary vein isolation: a plea for risk factor management before ablation.肥胖与肺静脉隔离术的长期成功率受损相关：呼吁在消融术前进行危险因素管理。
Open Heart. 2018 May 16;5(1):e000771. doi: 10.1136/openhrt-2017-000771. eCollection 2018.
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Global Obesity Epidemic Worsening.全球肥胖流行情况日益恶化。
JAMA. 2017 Aug 15;318(7):603. doi: 10.1001/jama.2017.10693.
8
Routine Implant of Biventricular Devices Guided by an Electroanatomic Mapping System - Ready for Prime-Time?在电解剖标测系统引导下双心室装置的常规植入——已准备好广泛应用了吗？
J Atr Fibrillation. 2015 Dec 31;8(4):1265. doi: 10.4022/jafib.1265. eCollection 2015 Dec.
9
Comparison of different approaches to atrioventricular junction ablation and pacemaker implantation in patients with atrial fibrillation.
Pacing Clin Electrophysiol. 2014 Dec;37(12):1686-93. doi: 10.1111/pace.12481. Epub 2014 Aug 27.
10
The Obesity Epidemic: The United States as a Cautionary Tale for the Rest of the World.肥胖流行：美国成为世界其他地区的警示故事。
Curr Epidemiol Rep. 2014 Jun 1;1(2):82-88. doi: 10.1007/s40471-014-0012-6.
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