双球囊静脉乙醇消融术治疗源于心肌内下基底部间隔的重复性单形性室性早搏：一例报告
Double-balloon venous ethanol ablation for treatment of repetitive monomorphic ventricular complexes from intramural infero-basal septum: a case report.
作者信息
Rossi Andrea, Mirizzi Gianluca, Todiere Giancarlo, Gimelli Alessia, Nesti Martina
机构信息
Tuscany Foundation 'Gabriele Monasterio', via Moruzzi, 1, 56100 Pisa, Italy.
出版信息
Eur Heart J Case Rep. 2024 Apr 24;8(5):ytae216. doi: 10.1093/ehjcr/ytae216. eCollection 2024 May.
BACKGROUND
Ablation failures are common in case of intramural location of the arrhythmogenic substrate.
CASE SUMMARY
We report the case of a patient with cardiomyopathy contributed by frequent monomorphic ventricular arrhythmias (VAs) from intramural basal interventricular septum treated with double-balloon venous ethanol ablation (VEA) after a previous failed endocardial radiofrequency (RF) ablation.
DISCUSSION
Double-balloon VEA represents a safe and effective therapeutic option in case of intramural VAs also in the absence of venous collaterals joining selectively an intramural arrhythmic substrate.
背景
对于致心律失常基质位于心肌内的情况，消融失败很常见。
病例摘要
我们报告了一例心肌病患者的病例，该患者因心肌内室间隔基部频繁出现单形性室性心律失常（VA），在先前心内膜射频（RF）消融失败后接受了双球囊静脉乙醇消融（VEA）治疗。
讨论
双球囊VEA是一种安全有效的治疗选择，即使在没有静脉侧支选择性连接心肌内心律失常基质的情况下，对于心肌内VA也有效。
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