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房颤导管消融术后肺静脉狭窄：应用非增强 CT 进行早期诊断。

Pulmonary Vein Stenosis after Catheter Ablation for Atrial Fibrillation: An Early Diagnosis Using Unenhanced Computed Tomography.

机构信息

Department of Radiology, Jichi Medical University School of Medicine, Japan.

Department of Pediatric Radiology, Jichi Children's Medical Center Tochigi, Japan.

出版信息

Intern Med. 2024 May 15;63(10):1443-1449. doi: 10.2169/internalmedicine.2289-23. Epub 2023 Oct 6.

DOI:10.2169/internalmedicine.2289-23
PMID:37813617
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11157311/
Abstract

Pulmonary vein stenosis (PVS) is a serious complication of catheter ablation (CA) for atrial fibrillation (AF). PVS generally occurs several months after CA and presents with non-specific symptoms and imaging findings. There have been reports of delayed diagnoses due to a misdiagnosis as infection, interstitial pneumonia, or organizing pneumonia. We introduced six cases of PVS after CA, all of which showed narrowing of the unilateral pulmonary vessels with or without lobar volume loss in the left lung on unenhanced computed tomography. We report these findings as important results indicating the possibility of PVS after CA for AF and contributing to the early diagnosis and management of PVS.

摘要

肺静脉狭窄（PVS）是导管消融（CA）治疗心房颤动（AF）的严重并发症。PVS 通常在 CA 后数月发生，并表现为非特异性症状和影像学表现。由于误诊为感染、间质性肺炎或机化性肺炎，曾有报道延迟诊断。我们介绍了 6 例 CA 后的 PVS 病例，所有病例在未增强 CT 上均显示单侧肺血管狭窄，左肺伴有或不伴有肺叶容积丧失。我们将这些发现报告为重要结果，提示 CA 治疗 AF 后发生 PVS 的可能性，并有助于 PVS 的早期诊断和管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e60/11157311/0d512b4044ba/1349-7235-63-1443-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e60/11157311/2c18ee2e7e87/1349-7235-63-1443-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e60/11157311/29b8a522dad3/1349-7235-63-1443-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e60/11157311/f5ca14eee076/1349-7235-63-1443-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e60/11157311/28944021f184/1349-7235-63-1443-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e60/11157311/a3ebb5d0463a/1349-7235-63-1443-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e60/11157311/0d512b4044ba/1349-7235-63-1443-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e60/11157311/2c18ee2e7e87/1349-7235-63-1443-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e60/11157311/29b8a522dad3/1349-7235-63-1443-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e60/11157311/f5ca14eee076/1349-7235-63-1443-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e60/11157311/28944021f184/1349-7235-63-1443-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e60/11157311/a3ebb5d0463a/1349-7235-63-1443-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e60/11157311/0d512b4044ba/1349-7235-63-1443-g006.jpg

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BMJ Case Rep. 2022 Dec 7;15(12):e250896. doi: 10.1136/bcr-2022-250896.
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A Rare Case of Multicentric Primary Pulmonary Artery Sarcoma: Eliminating the Masquerade with Multimodality Imaging.多中心原发性肺动脉肉瘤1例罕见病例：运用多模态成像揭开伪装
Indian J Radiol Imaging. 2022 May 29;32(2):260-265. doi: 10.1055/s-0042-1744139. eCollection 2022 Jun.
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The Japanese Catheter Ablation Registry (J-AB): Annual report in 2019.
日本导管消融注册研究（J-AB）：2019年年度报告
J Arrhythm. 2021 Oct 7;37(6):1443-1447. doi: 10.1002/joa3.12640. eCollection 2021 Dec.
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Pulmonary vein occlusion: A delayed complication following radiofrequency ablation for atrial fibrillation.肺静脉闭塞：心房颤动射频消融术后的一种迟发性并发症。
Radiol Case Rep. 2021 Oct 2;16(12):3666-3671. doi: 10.1016/j.radcr.2021.09.015. eCollection 2021 Dec.
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The diagnostic challenge in pulmonary tumour embolism in cancer: a case report and literature review.癌症患者肺肿瘤栓塞的诊断挑战：一例病例报告及文献综述
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