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双极射频消融治疗扩张型心肌病患者室性心动过速的间隔部应用两根 8mm 大头导管的病例报告。

Bipolar radiofrequency ablation of septal ventricular tachycardia in a patient with dilated cardiomyopathy using two 8-mm tip catheters-case report.

机构信息

Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, Sao Paulo, SP, Brazil.

出版信息

J Interv Card Electrophysiol. 2022 Jun;64(1):159-163. doi: 10.1007/s10840-022-01150-y. Epub 2022 Feb 9.

Abstract

Septal ventricular tachycardias exhibit high recurrence rates after radiofrequency ablation, which is mainly attributed to the deep intramyocardial circuits and the inability to create transmural lesions with the conventional unipolar ablation. Bipolar radiofrequency ablation is feasible and it has been reported as a valid technique in these cases, leading to deeper lesion formation, high non-inducibility rates, and acceptable recurrence rates during follow-up. Our goal is to report a successful case of bipolar ablation of a septal ventricular tachycardia using a simple bipolar ablation configuration with two 8-mm tip catheters.

摘要

间隔性室性心动过速在射频消融后复发率较高,主要归因于其深部心肌内的环行通路,以及常规的单极消融无法实现透壁性损伤。双极射频消融是可行的,已有报道称其在这类病例中是一种有效的技术,可导致更深的损伤形成、高的不可诱导率以及在随访期间可接受的复发率。我们的目标是报告一个使用两个 8mm 端电极的双极消融导管的简单双极消融配置成功消融间隔性室性心动过速的病例。

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