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基于电解剖标测引导的接触力感知射频导管消融治疗小儿永久性交界性反复性心动过速：病例系列

Contact force sensing radiofrequency catheter ablation guided by electroanatomic mapping in pediatric patients with permanent junctional reciprocating tachycardia: A case series.

作者信息

Ciriello Giovanni Domenico, Colonna Diego, Romeo Emanuele, Russo Maria Giovanna, Sarubbi Berardo

机构信息

Adult Congenital Heart Disease Unit Monaldi Hospital Naples Italy.

Pediatric Cardiology Unit "L. Vanvitelli" University - Monaldi Hospital Naples Italy.

出版信息

J Arrhythm. 2023 May 28;39(4):653-657. doi: 10.1002/joa3.12877. eCollection 2023 Aug.

DOI:10.1002/joa3.12877
PMID:37560264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10407187/
Abstract

Limited data are available on the use of irrigated contact force (CF) catheters for radiofrequency (RF) ablation of permanent junctional reciprocating tachycardia (PJRT) in children. We considered five consecutive pediatric patients with diagnosis of PJRT who underwent RF ablation with irrigated CF catheter guided by electroanatomic mapping, obtaining a low number of RF pulses and minimal fluoroscopy exposure. High CF values are not necessary to obtain effective RF lesions and successful ablation.

摘要

关于使用灌注接触力（CF）导管对儿童永久性交界性反复性心动过速（PJRT）进行射频（RF）消融的可用数据有限。我们纳入了5例连续诊断为PJRT的儿科患者，他们在电解剖标测引导下使用灌注CF导管进行RF消融，获得了较少的RF脉冲次数和最小的透视暴露。获得有效的RF损伤和成功消融并不需要高CF值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7cf/10407187/2436dc2d8744/JOA3-39-653-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7cf/10407187/f9d81e7bde18/JOA3-39-653-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7cf/10407187/c71a007104b9/JOA3-39-653-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7cf/10407187/2436dc2d8744/JOA3-39-653-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7cf/10407187/f9d81e7bde18/JOA3-39-653-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7cf/10407187/c71a007104b9/JOA3-39-653-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7cf/10407187/2436dc2d8744/JOA3-39-653-g003.jpg

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本文引用的文献

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2
Contact force ablation of accessory pathways in pediatric patients.经导管接触消融治疗小儿旁路。
J Cardiovasc Electrophysiol. 2021 Feb;32(2):370-375. doi: 10.1111/jce.14817. Epub 2020 Nov 25.
3
Electrophysiologic approach to diagnosis and ablation of patients with permanent junctional reciprocating tachycardia associated with complex anatomy and/or physiology.
采用电生理方法诊断和消融与复杂解剖结构和/或生理有关的永久性结折返性心动过速患者。
J Cardiovasc Electrophysiol. 2020 Dec;31(12):3232-3242. doi: 10.1111/jce.14788. Epub 2020 Nov 3.
4
Usefulness of Electroanatomical Mapping with Contact Force Monitoring for Accessory Pathways Ablation in Pediatric Population.带有接触力监测的电解剖标测在儿科人群房室旁道消融中的应用价值
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5
Force-Sensing Catheters During Pediatric Radiofrequency Ablation: The FEDERATION Study.
J Am Heart Assoc. 2017 May 17;6(5):e005772. doi: 10.1161/JAHA.117.005772.