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一种在室性心动过速心外膜消融过程中避免膈神经损伤的方法。

An approach to avoid phrenic nerve injury during epicardial VT ablation.

作者信息

Mulder Bart A, Klinkenberg Theo J, Blaauw Yuri

机构信息

University of Groningen, University Medical Center Groningen, Department of Cardiology, Groningen, The Netherlands.

出版信息

Glob Cardiol Sci Pract. 2022 Dec 30;2022(3):e202219. doi: 10.21542/gcsp.2022.19.

DOI:10.21542/gcsp.2022.19
PMID:36660169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9840133/
Abstract

Elimination of ventricular tachycardia with epicardial substrate may be limited due to close proximity of the phrenic nerve. In this case report we illustrate the use of a decapolar catheter in a Foley catheter for deviating the prenic nerve to safely perform epicardial ventricular tachycardia ablation.

摘要

由于膈神经位置靠近，通过心外膜基质消除室性心动过速可能会受到限制。在本病例报告中，我们展示了在 Foley 导管中使用十极导管使膈神经移位，以安全地进行心外膜室性心动过速消融。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20d2/9840133/311cdd1328ee/gcsp-2022-3-e202219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20d2/9840133/311cdd1328ee/gcsp-2022-3-e202219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20d2/9840133/311cdd1328ee/gcsp-2022-3-e202219-g001.jpg

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本文引用的文献

1
Ventricular Tachycardia Ablation in Nonischemic Cardiomyopathy.非缺血性心肌病的室性心动过速消融。
JACC Clin Electrophysiol. 2018 Sep;4(9):1123-1140. doi: 10.1016/j.jacep.2018.06.014. Epub 2018 Aug 29.
2
Epicardial phrenic nerve displacement during catheter ablation of atrial and ventricular arrhythmias: procedural experience and outcomes.心外膜膈神经在心房和室性心律失常导管消融中的移位：操作经验和结果。
Circ Arrhythm Electrophysiol. 2015 Aug;8(4):896-904. doi: 10.1161/CIRCEP.115.002818. Epub 2015 May 11.
3
Phospholamban R14del mutation in patients diagnosed with dilated cardiomyopathy or arrhythmogenic right ventricular cardiomyopathy: evidence supporting the concept of arrhythmogenic cardiomyopathy.
磷酸化肌球蛋白结合蛋白 R14del 突变在诊断为扩张型心肌病或致心律失常性右室心肌病患者中的意义：支持致心律失常性心肌病概念的证据。
Eur J Heart Fail. 2012 Nov;14(11):1199-207. doi: 10.1093/eurjhf/hfs119. Epub 2012 Jul 20.