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从室前静脉至左心室的双极消融术。

Bipolar Ablation From the Anterior Interventricular Vein to the Left Ventricle.

作者信息

Adewumi Joseph, Mann James, Tzou Wendy S, Sandhu Amneet, Aleong Ryan G

机构信息

Division of Electrophysiology, University of Colorado Hospital, Aurora, Colorado, USA.

Division of Electrophysiology, University of Cincinnati, Cincinnati, Ohio, USA.

出版信息

JACC Case Rep. 2024 Aug 21;29(16):102457. doi: 10.1016/j.jaccas.2024.102457.

DOI:10.1016/j.jaccas.2024.102457
PMID:39295813
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11405968/
Abstract

Ventricular tachycardia from the left ventricular summit can be challenging for catheter ablation due to difficult accessibility and proximity to coronary arteries. This paper presents a case of premature ventricular contraction-induced ventricular tachycardia from the left ventricular summit that was ablated using bipolar radiofrequency ablation from the anterior interventricular vein and adjacent left ventricular endocardium.

摘要

由于左心室峰部难以接近且靠近冠状动脉，源于左心室峰部的室性心动过速进行导管消融具有挑战性。本文介绍了一例源于左心室峰部的室性早搏诱发的室性心动过速病例，该病例采用经前室间静脉和相邻左心室内膜的双极射频消融进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b06/11405968/d01a35024737/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b06/11405968/c2854bce125f/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b06/11405968/d01a35024737/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b06/11405968/c2854bce125f/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b06/11405968/d01a35024737/gr1.jpg

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1
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本文引用的文献

1
Bipolar Radiofrequency Catheter Ablation of Left Ventricular Summit Arrhythmias.双极射频导管消融治疗左心室心尖部心律失常。
Card Electrophysiol Clin. 2023 Mar;15(1):57-62. doi: 10.1016/j.ccep.2022.07.001. Epub 2022 Dec 13.
2
Utility of Prolonged Duration Endocardial Ablation for Ventricular Arrhythmias Originating From the Left Ventricular Summit.左心室心尖部起源室性心律失常行延长心内膜消融的效果。
JACC Clin Electrophysiol. 2022 Apr;8(4):465-476. doi: 10.1016/j.jacep.2021.12.010. Epub 2022 Feb 23.
3
Anatomic approach with bipolar ablation between the left pulmonic cusp and left ventricular outflow tract for left ventricular summit arrhythmias.
解剖方法在左肺动脉瓣和左心室流出道之间行双极消融治疗左心室心尖部心律失常。
Heart Rhythm. 2020 Sep;17(9):1519-1527. doi: 10.1016/j.hrthm.2020.04.029. Epub 2020 Apr 26.
4
Outcomes of catheter ablation of ventricular arrhythmia originating from the left ventricular summit: A multicenter study.左心室顶起源室性心律失常导管消融的结果：一项多中心研究。
Heart Rhythm. 2020 Jul;17(7):1077-1083. doi: 10.1016/j.hrthm.2020.02.027. Epub 2020 Feb 28.
5
Novel Irrigated Temperature-Controlled Lattice Ablation Catheter for Ventricular Ablation: A Preclinical Multimodality Biophysical Characterization.新型灌流控温网格消融导管用于心室消融的临床前多模态生物物理特性评估
Circ Arrhythm Electrophysiol. 2019 Nov;12(11):e007661. doi: 10.1161/CIRCEP.119.007661. Epub 2019 Nov 11.
6
Bipolar radiofrequency ablation creates different lesion characteristics compared to simultaneous unipolar ablation.双极射频消融与同时进行的单极消融相比，会产生不同的病变特征。
J Cardiovasc Electrophysiol. 2019 Dec;30(12):2960-2967. doi: 10.1111/jce.14213. Epub 2019 Oct 13.
7
2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias.2019 年 HRS/EHRA/APHRS/LAHRS 专家共识声明：导管消融治疗室性心律失常。
Europace. 2019 Aug 1;21(8):1143-1144. doi: 10.1093/europace/euz132.
8
Use of half-normal saline irrigant with cooled radiofrequency ablation within the great cardiac vein to ablate premature ventricular contractions arising from the left ventricular summit.在大心静脉内使用半生理盐水冲洗液联合冷却射频消融术以消融源自左心室心尖的室性早搏。
Pacing Clin Electrophysiol. 2019 Mar;42(3):301-305. doi: 10.1111/pace.13527. Epub 2018 Nov 8.
9
Radiofrequency Ablation Using an Open Irrigated Electrode Cooled With Half-Normal Saline.使用半生理盐水半开放式灌流冷却的射频消融。
JACC Clin Electrophysiol. 2017 Oct;3(10):1103-1110. doi: 10.1016/j.jacep.2017.03.006. Epub 2017 May 30.
10
Bipolar irrigated radiofrequency ablation: a therapeutic option for refractory intramural atrial and ventricular tachycardia circuits.双极灌流射频消融：治疗难治性心壁内房性和室性心动过速环的一种治疗选择。
Heart Rhythm. 2012 Dec;9(12):1932-41. doi: 10.1016/j.hrthm.2012.08.001. Epub 2012 Aug 2.