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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.

DOI:10.1016/j.jaccas.2024.102356
PMID:38764571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11101844/
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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77f/11101844/7f729a3fa363/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77f/11101844/e837378bb8db/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77f/11101844/e8970928b567/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77f/11101844/3a1d6da28403/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77f/11101844/7f729a3fa363/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77f/11101844/e837378bb8db/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77f/11101844/e8970928b567/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77f/11101844/3a1d6da28403/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77f/11101844/7f729a3fa363/gr3.jpg

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本文引用的文献

1
Effects of Contact Force on Lesion Size During Pulsed Field Catheter Ablation: Histochemical Characterization of Ventricular Lesion Boundaries.脉冲场导管消融过程中接触力对损伤大小的影响：心室损伤边界的组织化学特征。
Circ Arrhythm Electrophysiol. 2024 Jan;17(1):e012026. doi: 10.1161/CIRCEP.123.012026. Epub 2023 Dec 28.
2
First in human focal pulsed field ablation to treat an epicardial VT focus with an endocardial approach in non-ischemic cardiomyopathy.首例在非缺血性心肌病中采用心内膜途径进行人体局灶性脉冲场消融治疗心外膜室性心动过速病灶。
J Interv Card Electrophysiol. 2023 Aug;66(5):1057-1058. doi: 10.1007/s10840-023-01534-8. Epub 2023 Mar 21.
3
Bipolar Electroporation Across the Interventricular Septum: Electrophysiological, Imaging, and Histopathological Characteristics.
经室间隔双向电穿孔：电生理、影像学和组织病理学特征。
JACC Clin Electrophysiol. 2022 Sep;8(9):1106-1118. doi: 10.1016/j.jacep.2022.06.002. Epub 2022 Jul 27.
4
Pulsed Field Ablation of Left Ventricular Myocardium in a Swine Infarct Model.脉冲场消融左心室心肌梗死模型中的猪。
JACC Clin Electrophysiol. 2022 Jun;8(6):722-731. doi: 10.1016/j.jacep.2022.03.007. Epub 2022 Apr 28.
5
Reversible Atrioventricular Conduction Impairment Following Bipolar Nanosecond Electroporation of the Interventricular Septum.室间隔双极纳秒电穿孔后可逆性房室传导障碍
JACC Clin Electrophysiol. 2021 Feb;7(2):255-257. doi: 10.1016/j.jacep.2020.10.004.
6
Infusion Needle Radiofrequency Ablation for Treatment of Refractory Ventricular Arrhythmias.输注针射频消融治疗难治性室性心律失常。
J Am Coll Cardiol. 2019 Apr 2;73(12):1413-1425. doi: 10.1016/j.jacc.2018.12.070.
7
Prospective Multicenter Experience With Cooled Radiofrequency Ablation Using High Impedance Irrigant to Target Deep Myocardial Substrate Refractory to Standard Ablation.使用高阻抗灌流液进行冷却射频消融治疗标准消融无效的深部心肌基质的前瞻性多中心经验。
JACC Clin Electrophysiol. 2018 Sep;4(9):1176-1185. doi: 10.1016/j.jacep.2018.06.021. Epub 2018 Aug 29.
8
Arrhythmogenic Right Ventricular Cardiomyopathy.致心律失常性右室心肌病
N Engl J Med. 2017 Jan 5;376(1):61-72. doi: 10.1056/NEJMra1509267.
9
Catheter ablation of ventricular arrhythmia in nonischemic cardiomyopathy: anteroseptal versus inferolateral scar sub-types.非缺血性心肌病患者室性心律失常的导管消融：前间隔与下外侧瘢痕亚型。
Circ Arrhythm Electrophysiol. 2014 Jun;7(3):414-23. doi: 10.1161/CIRCEP.114.001568. Epub 2014 May 1.
10
Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the Task Force Criteria.致心律失常性右室心肌病/发育不良的诊断：工作组标准的拟议修改。
Eur Heart J. 2010 Apr;31(7):806-14. doi: 10.1093/eurheartj/ehq025. Epub 2010 Feb 19.