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心内超声心动图与右位心心房颤动消融

Intracardiac Echocardiography and Ablation of Atrial Fibrillation in Dextrocardia.

机构信息

Department of Cardiovascular Medicine, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.

出版信息

Ann Noninvasive Electrocardiol. 2024 Nov;29(6):e70030. doi: 10.1111/anec.70030.

Abstract

BACKGROUND

Dextrocardia with atrial fibrillation (AF) complicates radiofrequency ablation treatment.

METHODS

A case of successful AF ablation in dextrocardia, guided by intracardiac echocardiography (ICE) and the Carto 3 high-density mapping system, is reported.

RESULTS

ICE-guided transseptal puncture and three-dimensional mapping facilitated successful pulmonary vein isolation (PVI). The patient had a good recovery with no recurrence.

CONCLUSION

ICE and Carto 3 system's high-density mapping aid in ablation for abnormal cardiac anatomy, reducing surgical complications.

摘要

背景

右位心伴心房颤动(AF)使射频消融治疗复杂化。

方法

报告了一例在经心腔内超声(ICE)和 Carto 3 高密度标测系统引导下成功进行右位心 AF 消融的病例。

结果

ICE 引导下的房间隔穿刺和三维标测有助于成功实现肺静脉隔离(PVI)。患者恢复良好,无复发。

结论

ICE 和 Carto 3 系统的高密度标测有助于消融异常心脏解剖结构,减少手术并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf9c/11536325/1e56b4a1e6cc/ANEC-29-e70030-g001.jpg

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