序贯性单极双心室脉冲场消融治疗顽固性室壁内间隔性室性心动过速
Sequential Unipolar Biventricular Pulsed Field Ablation for Refractory Intramural Septal Ventricular Tachycardia.
作者信息
Cespón-Fernández María, Pannone Luigi, Della Rocca Domenico, La Meir Mark, Almorad Alexander, Chierchia Gian-Battista, de Asmundis Carlo, Sarkozy Andrea
机构信息
Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium.
Health Research Institute Galicia Sur, Vigo, Spain.
出版信息
JACC Case Rep. 2024 May 9;29(12):102356. doi: 10.1016/j.jaccas.2024.102356. eCollection 2024 Jun 19.
Abstract
Catheter ablation of septal ventricular tachycardia (VT) is challenging. Pulsed field ablation is a promising technology, potentially reaching deep substrates. We report the first sequential unipolar biventricular pulsed field ablation targeting refractory septal VT. Besides, we illustrate the importance of searching underlying cardiomyopathy in patients with recurrent multiple morphology VTs and normal magnetic resonance imaging.
摘要
室间隔室性心动过速（VT）的导管消融具有挑战性。脉冲场消融是一项有前景的技术，有可能作用于深部基质。我们报告了首例针对难治性室间隔VT的序贯单极双心室脉冲场消融。此外，我们阐述了在复发性多形态VT且磁共振成像正常的患者中寻找潜在心肌病的重要性。
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