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[仅通过心脏手术进行室性心动过速的心外膜消融:支持/反对]

[Epicardial ablation of ventricular tachycardia with cardiac surgery only : Pro/Contra].

作者信息

Sohns Christian, Schmidt Boris

机构信息

Medizinische Fakultät OWL (Universität Bielefeld), Klinik für Elektrophysiologie/Rhythmologie, Herz- und Diabeteszentrum NRW, Universitätsklinik der Ruhr-Universität Bochum, Georgstr. 11, 32545, Bad Oeynhausen, Deutschland.

Cardioangiologisches Centrum Bethanien, Wilhelm-Epstein Str. 4, 60431, Frankfurt/Main, Deutschland.

出版信息

Herzschrittmacherther Elektrophysiol. 2024 Dec;35(4):286-289. doi: 10.1007/s00399-024-01038-6. Epub 2024 Sep 2.

DOI:10.1007/s00399-024-01038-6
PMID:39222094
Abstract

During the ablation of ventricular arrhythmias (VA) complications can occur, albeit rather rarely, and their occurrence depends on various factors. On the one hand the patient's condition and comorbidities play a role, on the other hand the access site and the procedure itself can lead to complications which have to be addressed adequately. This article will discuss whether complex ablations with epicardial access should only be performed at centres with the appropriate expertise and a cardiac surgery department.

摘要

在室性心律失常(VA)消融过程中,并发症可能会发生,尽管相当罕见,其发生取决于多种因素。一方面,患者的病情和合并症起作用,另一方面,穿刺部位和手术本身可能导致必须妥善处理的并发症。本文将讨论经心外膜穿刺的复杂消融是否仅应在具备适当专业知识和心脏外科的中心进行。

相似文献

1
[Epicardial ablation of ventricular tachycardia with cardiac surgery only : Pro/Contra].[仅通过心脏手术进行室性心动过速的心外膜消融:支持/反对]
Herzschrittmacherther Elektrophysiol. 2024 Dec;35(4):286-289. doi: 10.1007/s00399-024-01038-6. Epub 2024 Sep 2.
2
Percutaneous epicardial access for mapping and ablation is feasible in patients with prior cardiac surgery, including coronary bypass surgery.经皮心外膜入路进行标测和消融在既往心脏手术(包括冠状动脉旁路移植术)患者中是可行的。
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本文引用的文献

1
Epicardial Ventricular Tachycardia Ablation: Patient Selection, Access, and Ablation Techniques and Strategies to Manage Complications.心外膜室性心动过速消融:患者选择、入路和消融技术,以及处理并发症的策略。
JACC Clin Electrophysiol. 2024 Jan;10(1):142-164. doi: 10.1016/j.jacep.2023.09.007. Epub 2023 Nov 1.
2
Sustained Apnea for Epicardial Access With Right Ventriculography: The SAFER Epicardial Approach.右心室造影时行持续通气以获取心外膜入路:SAFER 心外膜入路。
JACC Clin Electrophysiol. 2023 Aug;9(8 Pt 2):1487-1499. doi: 10.1016/j.jacep.2023.05.016. Epub 2023 May 18.
3
Lessons learned from catheter ablation of ventricular arrhythmias in patients with a fully magnetically levitated left ventricular assist device.
从完全磁悬浮左心室辅助装置患者的室性心律失常导管消融中吸取的教训。
Clin Res Cardiol. 2022 May;111(5):574-582. doi: 10.1007/s00392-021-01958-0. Epub 2021 Oct 28.
4
Complications and mortality after catheter ablation of ventricular arrhythmias: risk in VT ablation (RIVA) score.导管消融治疗室性心律失常后的并发症和死亡率:VT 消融风险评分(RIVA 评分)。
Clin Res Cardiol. 2022 May;111(5):530-540. doi: 10.1007/s00392-021-01902-2. Epub 2021 Jul 27.
5
First-in-human high-density epicardial mapping and ablation through a left anterior minithoracotomy in an LVAD patient presenting in electrical storm: a case report.首例通过左前小切口开胸对植入左心室辅助装置且出现电风暴的患者进行高密度心外膜标测与消融:病例报告
Eur Heart J Case Rep. 2021 Jun 26;5(6):ytab248. doi: 10.1093/ehjcr/ytab248. eCollection 2021 Jun.
6
Safety and Outcomes of Ventricular Tachycardia Substrate Ablation During Sinus Rhythm: A Prospective Multicenter Registry.窦性心律时室性心动过速基质消融的安全性和结果:一项前瞻性多中心登记研究。
JACC Clin Electrophysiol. 2020 Oct 26;6(11):1435-1448. doi: 10.1016/j.jacep.2020.07.028.
7
Position paper concerning the competence, performance and environment required in the practice of complex ablation procedures.关于复杂消融手术实践所需的能力、表现和环境的立场文件。
Arch Cardiovasc Dis. 2019 Jan;112(1):67-73. doi: 10.1016/j.acvd.2018.05.006. Epub 2018 Aug 27.
8
Incidence of complications related to catheter ablation of atrial fibrillation and atrial flutter: a nationwide in-hospital analysis of administrative data for Germany in 2014.2014 年德国全国医院行政数据分析导管消融治疗心房颤动和心房扑动相关并发症的发生率。
Eur Heart J. 2018 Dec 1;39(45):4020-4029. doi: 10.1093/eurheartj/ehy452.
9
Epicardial ventricular tachycardia ablation a multicenter safety study.心外膜室性心动过速消融的多中心安全性研究。
J Am Coll Cardiol. 2010 May 25;55(21):2366-72. doi: 10.1016/j.jacc.2009.10.084.