左心室辅助装置植入期间左心室的开放性消融
Open Ablation of the Left Ventricle During Implantation of a Left Ventricular Assist Device.
作者信息
Hrytsyna Yuriy, Gerds-Li Jin-Hong, Heck Roland, Lanmüller Pia, Pitts Leonard, Hohendanner Felix, Starck Christoph, Falk Volkmar, Potapov Evgenij V
机构信息
Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Berlin, Germany.
Department of Internal Medicine and Cardiology, German Heart Institute, Berlin, Germany.
出版信息
Ann Thorac Surg Short Rep. 2022 Oct 29;1(1):188-190. doi: 10.1016/j.atssr.2022.10.012. eCollection 2023 Mar.
This report describes the successful treatment of persistent ventricular tachycardia in a 66-year-old patient with ischemic cardiomyopathy during left ventricular assist device (LVAD) implantation. Recurrent episodes of ventricular tachycardia led to cardiac decompensation necessitating LVAD implantation. After opening the left ventricle, an AtriCure Isolator Synergy OLL2 radiofrequency clamp was used to perform 4 sets of transmural lesions. Transmurality was observed in all lesions. A HeartMate 3 (Abbott) LVAD was implanted in standard fashion. The lesions were connected with an epicardial ablation line using a radiofrequency catheter. The patient was discharged home without complications and with a stable rhythm.
本报告描述了一名66岁缺血性心肌病患者在植入左心室辅助装置（LVAD）期间持续性室性心动过速的成功治疗。室性心动过速反复发作导致心脏失代偿，需要植入LVAD。打开左心室后，使用AtriCure Isolator Synergy OLL2射频钳进行了4组透壁损伤。所有损伤均观察到透壁性。以标准方式植入了HeartMate 3（雅培）LVAD。使用射频导管将损伤与心外膜消融线连接。患者出院回家，无并发症，心律稳定。
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