Zhu Ning, Lin Cong, Zhang Yizhou, Lin Wei
Department of Cardiology, The Third Affiliated Hospital of Shanghai University, The Wenzhou Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, China.
Heliyon. 2024 Sep 26;10(20):e38235. doi: 10.1016/j.heliyon.2024.e38235. eCollection 2024 Oct 30.
The utilization of the one-stop strategy for treating atrial fibrillation (AF) has been on the rise, but the combination of vein of Marshall catheter ablation with left atrial appendage occlusion has been rarely reported. In this case, a 62-year-old man with persistent AF underwent a one-stop strategy that included ethanol infusion in the vein of Marshall, radiofrequency catheter ablation, and left atrial appendage occlusion. The procedures successfully achieved ablation in the vein of Marshall, pulmonary vein isolation, and left atrial appendage occlusion. The feasibility and safety of this comprehensive strategy were evaluated during a 12-month follow-up. The dynamic ECG indicated the presence of sinus rhythm, and a cerebral CT scan confirmed the absence of silent ischemia. This case highlights a novel approach to treating atrial fibrillation and demonstrates promising outcomes for patients undergoing this combined procedure.
一站式治疗心房颤动（AF）的应用一直在增加，但马歇尔静脉导管消融与左心耳封堵相结合的情况鲜有报道。在此病例中，一名62岁的持续性AF男性接受了一站式治疗策略，包括在马歇尔静脉内注入乙醇、射频导管消融和左心耳封堵。这些操作成功实现了马歇尔静脉消融、肺静脉隔离和左心耳封堵。在12个月的随访期间评估了这种综合策略的可行性和安全性。动态心电图显示存在窦性心律，脑部CT扫描证实无隐匿性缺血。该病例突出了一种治疗心房颤动的新方法，并证明了接受这种联合手术的患者有良好的预后。
