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[缺血性心肌病患者室性心动过速的导管消融术]

[Catheter ablation of ventricular tachycardias in patients with ischemic cardiomyopathy].

作者信息

Bourier Felix, Busch Sonia, Sommer Philipp, Maurer Tilman, Althoff Till, Shin Dong-In, Duncker David, Johnson Victoria, Estner Heidi, Rillig Andreas, Bertagnolli Livio, Iden Leon, Deneke Thomas, Tilz Roland, Metzner Andreas, Chun Julian, Steven Daniel

机构信息

Abteilung für Elektrophysiologie, Deutsches Herzzentrum München, Technische Universität München, München, Deutschland.

Medizinische Klinik, Klinikum Coburg GmbH, Coburg, Deutschland.

出版信息

Herzschrittmacherther Elektrophysiol. 2022 Mar;33(1):88-97. doi: 10.1007/s00399-022-00845-z. Epub 2022 Feb 14.

DOI:10.1007/s00399-022-00845-z
PMID:35157112
Abstract

Radiofrequency (RF) ablation is an effective treatment option of scar-related ventricular tachycardias (VT) in patients with ischemic cardiomyopathy. Several studies proved the benefit of VT catheter ablation, which has become routine in most electrophysiology laboratories. This article provides practical instructions to perform a VT catheter ablation. The authors describe conventional and substrate-based mapping and ablation strategies as well as concepts for image integration. This article continues a series of publications created for education in advanced electrophysiology.

摘要

射频(RF)消融是缺血性心肌病患者瘢痕相关室性心动过速(VT)的一种有效治疗选择。多项研究证实了VT导管消融的益处,这在大多数电生理实验室已成为常规操作。本文提供了进行VT导管消融的实用指南。作者描述了传统的和基于基质的标测与消融策略以及图像整合的概念。本文延续了一系列为高级电生理教学而创作的出版物。

相似文献

1
[Catheter ablation of ventricular tachycardias in patients with ischemic cardiomyopathy].[缺血性心肌病患者室性心动过速的导管消融术]
Herzschrittmacherther Elektrophysiol. 2022 Mar;33(1):88-97. doi: 10.1007/s00399-022-00845-z. Epub 2022 Feb 14.
2
Ablation of ventricular tachycardia in patients with nonischemic cardiomyopathy.非缺血性心肌病患者室性心动过速的消融治疗
J Cardiovasc Electrophysiol. 2008 Nov;19(11):1227-30. doi: 10.1111/j.1540-8167.2008.01268.x.
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Ablation of Stable VTs Versus Substrate Ablation in Ischemic Cardiomyopathy: The VISTA Randomized Multicenter Trial.缺血性心肌病中稳定型室性心动过速的消融与基质消融的比较:VISTA 随机多中心试验。
J Am Coll Cardiol. 2015 Dec 29;66(25):2872-2882. doi: 10.1016/j.jacc.2015.10.026.
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Substrate-modification using electroanatomical mapping in sinus rhythm to treat ventricular tachycardia in patients with ischemic cardiomyopathy.在窦性心律下使用电解剖标测进行基质改良以治疗缺血性心肌病患者的室性心动过速。
Z Kardiol. 2005 Jul;94(7):453-60. doi: 10.1007/s00392-005-0240-3.
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Epicardial ventricular tachycardia in ischemic cardiomyopathy: Prevalence, electrophysiological characteristics, and long-term ablation outcomes.缺血性心肌病中心包心室性心动过速:患病率、电生理特征和长期消融治疗结果。
J Cardiovasc Electrophysiol. 2018 Nov;29(11):1530-1539. doi: 10.1111/jce.13739. Epub 2018 Oct 8.
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J Am Coll Cardiol. 2003 Jun 18;41(12):2228-36. doi: 10.1016/s0735-1097(03)00492-3.
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引用本文的文献

1
[Catheter ablation of ventricular tachycardia-Update 2023].[室性心动过速的导管消融——2023年更新]
Herz. 2023 Jun;48(3):247-256. doi: 10.1007/s00059-023-05167-5. Epub 2023 May 2.

本文引用的文献

1
Impact of access route to the left ventricle on asymptomatic periprocedural brain injury: the results of a randomized trial in patients undergoing catheter ablation of ventricular tachycardia.经左心室入路对无症状围手术期脑损伤的影响:一项随机临床试验在接受室性心动过速导管消融术的患者中的结果。
Europace. 2021 Apr 6;23(4):610-615. doi: 10.1093/europace/euaa320.
2
Impedance, power, and current in radiofrequency ablation: Insights from technical, ex vivo, and clinical studies.射频消融中的阻抗、功率和电流:来自技术、离体和临床研究的见解。
J Cardiovasc Electrophysiol. 2020 Nov;31(11):2836-2845. doi: 10.1111/jce.14709. Epub 2020 Aug 13.
3
In silico analysis of the relation between conventional and high-power short-duration RF ablation settings and resulting lesion metrics.
计算机模拟分析常规和高功率短时间射频消融设置与产生的病变指标之间的关系。
J Cardiovasc Electrophysiol. 2020 Jun;31(6):1332-1339. doi: 10.1111/jce.14495. Epub 2020 Apr 21.
4
2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias.2019 年 HRS/EHRA/APHRS/LAHRS 专家共识声明:导管消融治疗室性心律失常。
Europace. 2019 Aug 1;21(8):1143-1144. doi: 10.1093/europace/euz132.
5
Is it feasible to offer 'targeted ablation' of ventricular tachycardia circuits with better understanding of isthmus anatomy and conduction characteristics?在更好地了解峡部解剖结构和传导特征的情况下,提供室性心动过速回路的“靶向消融”是否可行?
Europace. 2019 Jan 1;21(Supplement_1):i27-i33. doi: 10.1093/europace/euy173.
6
Substrate Mapping for Ventricular Tachycardia: Assumptions and Misconceptions.室性心动过速的基质标测:假设与误解
JACC Clin Electrophysiol. 2015 Oct;1(5):341-352. doi: 10.1016/j.jacep.2015.09.001. Epub 2015 Sep 10.
7
Cardiac magnetic resonance-aided scar dechanneling: Influence on acute and long-term outcomes.心脏磁共振辅助瘢痕去通道化:对急性和长期结局的影响。
Heart Rhythm. 2017 Aug;14(8):1121-1128. doi: 10.1016/j.hrthm.2017.05.018.
8
Long-term outcomes of different ablation strategies for ventricular tachycardia in patients with structural heart disease: systematic review and meta-analysis.结构性心脏病患者室性心动过速不同消融策略的长期疗效:系统评价和荟萃分析。
Europace. 2018 Jan 1;20(1):104-115. doi: 10.1093/europace/eux109.
9
Myocardial wall thinning predicts transmural substrate in patients with scar-related ventricular tachycardia.心肌壁变薄可预测瘢痕相关性室性心动过速患者的透壁心肌基质。
Heart Rhythm. 2017 Feb;14(2):155-163. doi: 10.1016/j.hrthm.2016.11.012.
10
Evaluation of a novel high-resolution mapping system for catheter ablation of ventricular arrhythmias.用于室性心律失常导管消融的新型高分辨率标测系统的评估
Heart Rhythm. 2017 Feb;14(2):176-183. doi: 10.1016/j.hrthm.2016.11.018. Epub 2016 Nov 17.