体外膜肺氧合在心脏手术后电风暴患者行保护性导管消融中的应用。
Extracorporeal Membrane Oxygenation for Protected Catheter Ablation in A Post-Cardiotomy Patient With Electrical Storm.
机构信息
Cardiothoracic Anaesthesia and Intensive Care, Manchester Royal Infirmary, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre and University of Manchester, Manchester, UK.
Department of Anaesthesiology, Division of Critical Care Medicine, University of Florida College of Medicine, Gainesville, FL, USA.
出版信息
Ann Card Anaesth. 2024 Jul 1;27(3):256-259. doi: 10.4103/aca.aca_180_23. Epub 2024 Jul 4.
An electrical storm (ES) refers to multiple occurrences of ventricular arrhythmias within a short time. Catheter ablation is a treatment option for ES but can be challenging in unstable cardiovascular patients. We present the case of a 50-year-old patient with poor left ventricular function who experienced ES after emergency coronary artery bypass grafting (CABG). Despite maximal antiarrhythmic therapy, the patient had recurrent ventricular tachycardia and fibrillation (VT/VF), hindering catheter ablation. Elective venoarterial extracorporeal membrane oxygenation (ECMO) support was established, allowing a successful second catheter ablation attempt without complications. The patient was weaned off ECMO the following day and remained in normal sinus rhythm.
电风暴是指短时间内多次出现室性心律失常。导管消融是电风暴的一种治疗选择，但在不稳定的心血管患者中可能具有挑战性。我们报告了一例 50 岁左心室功能不佳的患者，该患者在紧急冠状动脉旁路移植术（CABG）后发生电风暴。尽管进行了最大程度的抗心律失常治疗，但该患者仍反复发作室性心动过速和心室颤动（VT/VF），阻碍了导管消融。建立了选择性静脉动脉体外膜肺氧合（ECMO）支持，这使得第二次导管消融尝试得以成功进行，没有出现并发症。患者次日成功撤下 ECMO，恢复窦性心律。
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