Onishi Yoshimi, Asano Taku, Arai Shuhei, Nakamura Yuya, Shinke Toshiro
Division of Cardiology, Department of Medicine Showa University School of Medicine Shinagawa-ku Tokyo Japan.
J Arrhythm. 2024 Oct 10;40(6):1514-1518. doi: 10.1002/joa3.13159. eCollection 2024 Dec.
Epicardial ablation in patients with pericardial adhesions is challenging. This case is the first report of successful epicardial ventricular tachycardia ablation by combining hydrodissection with the previously reported blunt dissection techniques for pericardial adhesions. This approach demonstrates a promising technique for managing similar cases where traditional methods may fail, providing a safer and more effective solution for epicardial ablation in patients with pericardial adhesions.
对于有心包粘连的患者,心外膜消融具有挑战性。本病例是首例通过水分离法结合先前报道的用于心包粘连的钝性分离技术成功进行心外膜室性心动过速消融的报告。这种方法为处理传统方法可能失败的类似病例展示了一种有前景的技术,为有心包粘连的患者的心外膜消融提供了更安全、更有效的解决方案。