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高频导管消融术后阻抗升高后左主干冠状动脉急性闭塞。

Acute occlusion of the left main coronary artery following impedance rise after high-frequency catheter ablation.

作者信息

Koyama Takafumi, Murakami Masato, Kodera Nobuhisa, Mizuno Shingo, Saito Shigeru

机构信息

Department of Cardiology Shonan Kamakura General Hospital Kanagawa Japan.

出版信息

J Arrhythm. 2024 Jul 25;40(5):1171-1174. doi: 10.1002/joa3.13123. eCollection 2024 Oct.

DOI:10.1002/joa3.13123
PMID:39416248
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11474847/
Abstract

We present a case of catheter ablation of a premature ventricular complex complicated by left main injury. During ablation from the left coronary cusp, a sudden rise in impedance was followed by ST elevation on the ECG. Angioplasty and stenting were performed immediately; however, the stent subsequently developed repeated stenosis.

摘要

我们报告一例室性早搏导管消融术并发左主干损伤的病例。在从左冠状动脉窦进行消融时，阻抗突然升高，随后心电图上出现ST段抬高。立即进行了血管成形术和支架置入术；然而，该支架随后出现反复狭窄。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5f/11474847/1c7b6f2b1dbc/JOA3-40-1171-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5f/11474847/5d627b86d8f3/JOA3-40-1171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5f/11474847/b3d4789d6505/JOA3-40-1171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5f/11474847/1c7b6f2b1dbc/JOA3-40-1171-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5f/11474847/5d627b86d8f3/JOA3-40-1171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5f/11474847/b3d4789d6505/JOA3-40-1171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5f/11474847/1c7b6f2b1dbc/JOA3-40-1171-g004.jpg

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本文引用的文献

1
JCS/JHRS 2019 guideline on non-pharmacotherapy of cardiac arrhythmias.《日本循环学会/日本心律学会2019年心律失常非药物治疗指南》
J Arrhythm. 2021 Jun 2;37(4):709-870. doi: 10.1002/joa3.12491. eCollection 2021 Aug.
2
Analysis of reported cases of left main coronary artery injury during catheter ablation: In search of a pattern.分析左主干冠状动脉损伤在导管消融治疗中的报告病例：探寻一种模式。
J Cardiovasc Electrophysiol. 2019 Mar;30(3):410-426. doi: 10.1111/jce.13833. Epub 2019 Jan 9.
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Effect of Baseline Impedance on Ablation Lesion Dimensions: A Multimodality Concept Validation From Physics to Clinical Experience.
基础阻抗对消融损伤尺寸的影响：从物理学到临床经验的多模态概念验证。
Circ Arrhythm Electrophysiol. 2018 Oct;11(10):e006690. doi: 10.1161/CIRCEP.118.006690.
4
Coronary artery pathophysiology after radiofrequency catheter ablation: review and perspectives.经导管射频消融术后冠状动脉病理生理学：综述与展望。
Heart Rhythm. 2011 Dec;8(12):1975-80. doi: 10.1016/j.hrthm.2011.07.006. Epub 2011 Jul 6.
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Determinants of impedance rise during catheter ablation of bovine myocardium with radiofrequency energy.射频能量导管消融牛心肌过程中阻抗升高的决定因素。
Pacing Clin Electrophysiol. 1989 Sep;12(9):1502-13. doi: 10.1111/j.1540-8159.1989.tb06155.x.