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使用五棱形导管进行脉冲场消融序贯隔离持续性左上腔静脉和右上腔静脉治疗复发性持续性心房颤动

Sequential Isolation of Persistent Left Superior Vena Cava and Right Superior Vena Cava Using Pulsed-field Ablation with a Pentaspline Catheter for Recurrent Persistent Atrial Fibrillation.

作者信息

Gupta Amulya, Sundhu Murtaza, Reddy Madhu, Sheldon Seth H, Noheria Amit

机构信息

Department of Cardiovascular Medicine, The University of Kansas Medical Center, Kansas City, KS, USA.

出版信息

J Innov Card Rhythm Manag. 2024 Sep 15;15(9):6004-6010. doi: 10.19102/icrm.2024.15092. eCollection 2024 Sep.

DOI:10.19102/icrm.2024.15092
PMID:39371449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11448739/
Abstract

Pulsed-field ablation (PFA) is a novel technology for atrial fibrillation (AF) ablation that can deliver energy precisely with a lower risk of damage to the surrounding organs. Persistent left superior vena cava (PLSVC) is a congenital variant that can act as a driver of AF, and its isolation may be required in recurrent persistent AF. We describe a case where PFA was used for isolation of the right superior vena cava, PLSVC, and posterior wall of the left atrium.

摘要

脉冲场消融（PFA）是一种用于心房颤动（AF）消融的新技术，它能够精确地传递能量，同时降低对周围器官造成损伤的风险。永存左上腔静脉（PLSVC）是一种先天性变异，可成为房颤的驱动因素，在复发性持续性房颤中可能需要对其进行隔离。我们描述了一例使用PFA对右上腔静脉、PLSVC和左心房后壁进行隔离的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2d9/11448739/cbb3efad945d/icrm-15-6004-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2d9/11448739/a06f822974cc/icrm-15-6004-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2d9/11448739/b9a9c3d39eaf/icrm-15-6004-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2d9/11448739/8fe0de76e0a5/icrm-15-6004-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2d9/11448739/cbb3efad945d/icrm-15-6004-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2d9/11448739/a06f822974cc/icrm-15-6004-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2d9/11448739/b9a9c3d39eaf/icrm-15-6004-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2d9/11448739/8fe0de76e0a5/icrm-15-6004-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2d9/11448739/cbb3efad945d/icrm-15-6004-g004.jpg

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本文引用的文献

1
Meta-analysis of pulsed-field ablation versus cryoablation for atrial fibrillation.脉冲场消融与冷冻消融治疗心房颤动的荟萃分析。
Pacing Clin Electrophysiol. 2024 May;47(5):603-613. doi: 10.1111/pace.14971. Epub 2024 Mar 25.
2
Nitroglycerin to Ameliorate Coronary Artery Spasm During Focal Pulsed-Field Ablation for Atrial Fibrillation.硝酸甘油用于减轻房颤局灶脉冲场消融术中的冠状动脉痉挛
JACC Clin Electrophysiol. 2024 May;10(5):885-896. doi: 10.1016/j.jacep.2023.12.015. Epub 2024 Feb 21.
3
Complete free wall isolation of arrhythmogenic persistent left superior vena cava.
完全游离心律失常性永存左上腔静脉。
J Cardiovasc Electrophysiol. 2024 Apr;35(4):862-866. doi: 10.1111/jce.16207. Epub 2024 Feb 7.
4
Pulsed field ablation of a persistent left superior vena cava in recurrent paroxysmal atrial fibrillation and its effect on the mitral isthmus: A case report.复发性阵发性心房颤动患者持续性左上腔静脉的脉冲场消融及其对二尖瓣峡部的影响：一例报告
HeartRhythm Case Rep. 2023 Oct 16;10(1):6-10. doi: 10.1016/j.hrcr.2023.10.009. eCollection 2024 Jan.
5
Posterior wall ablation by pulsed-field ablation: procedural safety, efficacy, and findings on redo procedures.经皮脉冲场消融后壁消融：程序安全性、疗效和再治疗发现。
Europace. 2023 Dec 28;26(1). doi: 10.1093/europace/euae006.
6
The promise of pulsed field ablation and the challenges ahead.脉冲场消融的前景与面临的挑战。
Front Cardiovasc Med. 2023 Oct 23;10:1235317. doi: 10.3389/fcvm.2023.1235317. eCollection 2023.
7
Pulsed Field or Conventional Thermal Ablation for Paroxysmal Atrial Fibrillation.脉冲场或常规热消融治疗阵发性心房颤动。
N Engl J Med. 2023 Nov 2;389(18):1660-1671. doi: 10.1056/NEJMoa2307291. Epub 2023 Aug 27.
8
Pulsed field ablation of incessant superior vena cava-triggered atrial fibrillation: watch out for the sinoatrial node.持续性上腔静脉触发的心房颤动的脉冲场消融：警惕窦房结。
J Interv Card Electrophysiol. 2023 Oct;66(7):1759-1763. doi: 10.1007/s10840-023-01624-7. Epub 2023 Aug 17.
9
Superior vena cava isolation with pulsed field ablation in the presence of defibrillator leads.在存在除颤器导线的情况下，使用脉冲场消融进行上腔静脉隔离。
J Arrhythm. 2023 Apr 18;39(3):483-485. doi: 10.1002/joa3.12848. eCollection 2023 Jun.
10
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Biomedicines. 2023 Mar 27;11(4):1022. doi: 10.3390/biomedicines11041022.