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二尖瓣周围房扑患者左房前间隔线的双极导管消融：一例报告

Bipolar catheter ablation of a left atrial anteroseptal line in a patient with peri-mitral atrial flutter: a case report.

作者信息

Martins Nadja, Landmesser Ulf, Attanasio Philipp, Huemer Martin

机构信息

Department of Cardiology, Angiology and Intensive Care, Deutsches Herzzentrum der Charité-Charité Campus Benjamin Franklin, Hindenburgdamm 30, 12203 Berlin, Germany.

出版信息

Eur Heart J Case Rep. 2024 Sep 2;8(9):ytae455. doi: 10.1093/ehjcr/ytae455. eCollection 2024 Sep.

DOI:10.1093/ehjcr/ytae455
PMID:39286728
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11404515/
Abstract

BACKGROUND

Treatment of recurring atrial flutter can be challenging due to anatomical obstacles preventing complete conduction block of linear ablation lesions. Epicardial or bipolar ablation can be used as an alternative to create deeper ablation lesions but is still limitedly used in patients with atrial flutter.

CASE SUMMARY

We describe a case of a 54-year-old patient with recurring peri-mitral flutter treated with ablation of an anteroseptal line using bipolar ablation to achieve a complete conduction block.

DISCUSSION

As conventional ablation cannot always achieve, complete conduction block in linear ablation lesions alternatives may be used to create deeper lesions. In this, case bipolar ablation was used successfully for an anteroseptal line in a patient with recurring peri-mitral flutter.

摘要

背景

由于解剖学障碍妨碍线性消融病灶的完全传导阻滞，复发性心房扑动的治疗可能具有挑战性。心外膜或双极消融可作为一种替代方法来产生更深的消融病灶，但在心房扑动患者中的应用仍然有限。

病例摘要

我们描述了一例54岁复发性二尖瓣周围扑动患者，采用双极消融对前间隔线进行消融以实现完全传导阻滞的病例。

讨论

由于传统消融不能总是实现线性消融病灶的完全传导阻滞，可使用替代方法来产生更深的病灶。在本病例中，双极消融成功用于一名复发性二尖瓣周围扑动患者的前间隔线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11404515/aa8447370646/ytae455f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11404515/f6cc042cde68/ytae455il2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11404515/e8ecfa57734f/ytae455f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11404515/28ca6275f94b/ytae455f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11404515/a4a21cc4e313/ytae455f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11404515/aa8447370646/ytae455f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11404515/f6cc042cde68/ytae455il2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11404515/e8ecfa57734f/ytae455f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11404515/28ca6275f94b/ytae455f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11404515/a4a21cc4e313/ytae455f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11404515/aa8447370646/ytae455f4.jpg

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J Am Heart Assoc. 2023 Sep 5;12(17):e029651. doi: 10.1161/JAHA.123.029651. Epub 2023 Aug 29.
2
Epicardial connections and bi-atrial tachycardias: From anatomy to clinical practice.心外膜连接与双房性心动过速：从解剖学至临床实践
Pacing Clin Electrophysiol. 2023 Aug;46(8):895-903. doi: 10.1111/pace.14778. Epub 2023 Jul 11.
3
Left atrial anterolateral linear ablation for biatrial tachycardia via Bachmann's bundle, interatrial septum, and left atrial anterior wall under mitral isthmus block.
在二尖瓣峡部阻滞下，经Bachmann束、房间隔和左心房前壁行左心房前外侧线性消融治疗双房性心动过速。
J Arrhythm. 2023 Apr 24;39(3):470-473. doi: 10.1002/joa3.12850. eCollection 2023 Jun.
4
Epicardial mapping and ablation of biatrial macroreentrant tachycardia via Bachmann's bundle.经 Bachmann 束行心外膜标测和消融治疗双侧心房大折返性心动过速。
J Cardiovasc Electrophysiol. 2023 Jun;34(6):1477-1481. doi: 10.1111/jce.15934. Epub 2023 May 20.
5
Impact of technical aspects of vein of Marshall ethanol infusion on mitral isthmus block for persistent atrial fibrillation ablation.马歇尔静脉乙醇注入的技术因素对持续性心房颤动消融术中二尖瓣峡部阻滞的影响
Front Cardiovasc Med. 2022 Oct 4;9:1031673. doi: 10.3389/fcvm.2022.1031673. eCollection 2022.
6
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