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窦房结的转化解剖学：肌结构及其与导管消融的相关性：第二部分：临床应用

Translational Anatomy of the Sinoatrial Node: Myoarchitecture and its Relevance for Catheter Ablation: Part II: Clinical Applications.

作者信息

Jiménez Restrepo Alejandro, Razminia Mansour, Sánchez Quintana Damián, Cabrera José Ángel

机构信息

Florida Electrophysiology Associates, Atlantis, Florida, USA; University of Maryland School of Medicine, Baltimore, Maryland, USA.

Amita St Joseph Hospital, Chicago, Illinois, USA.

出版信息

JACC Case Rep. 2025 Apr 2;30(7):103681. doi: 10.1016/j.jaccas.2025.103681.

DOI:10.1016/j.jaccas.2025.103681
PMID:40185593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12046818/
Abstract

ANATOMY

Clinical applications relevant to the sinoatrial node anatomy for interventional electrophysiology procedures are reviewed.

PATHOLOGY

Inappropriate sinus tachycardia, atrial tachycardia, and superior vena cava triggers for atrial fibrillation.

IMAGING CORRELATION

Three-dimensional electroanatomic mapping, intracardiac echocardiography.

TREATMENT

Ablation guided by activation mapping and intracardiac electrograms.

TAKE-HOME MESSAGE: Understanding the anatomy of the sinoatrial node and the perinodal region provides key anatomic concepts to safely and effectively guide ablation procedures.

摘要

解剖学

回顾了与介入性电生理手术中窦房结解剖相关的临床应用。

病理学

不适当窦性心动过速、房性心动过速以及心房颤动的上腔静脉触发因素。

影像学关联

三维电解剖标测、心腔内超声心动图。

治疗

通过激动标测和心腔内电图指导消融。

要点

了解窦房结及其周围区域的解剖结构为安全有效地指导消融手术提供了关键的解剖学概念。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e042/12046818/8e08b6e3db9a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e042/12046818/366984f17151/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e042/12046818/3a27fa5318a9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e042/12046818/4eba3ab4cc95/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e042/12046818/8e08b6e3db9a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e042/12046818/366984f17151/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e042/12046818/3a27fa5318a9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e042/12046818/4eba3ab4cc95/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e042/12046818/8e08b6e3db9a/gr3.jpg

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本文引用的文献

1
Intracardiac echocardiography guided anatomical ablation of the arcuate ridge for drug refractory inappropriate sinus tachycardia.心内超声引导下解剖性消融左侧嵴治疗药物难治性不适当窦性心动过速。
J Cardiovasc Electrophysiol. 2024 Jul;35(7):1393-1400. doi: 10.1111/jce.16285. Epub 2024 May 13.
2
Superior vena cava isolation using a multielectrode pulsed field ablation catheter.使用多电极脉冲场消融导管进行上腔静脉隔离
J Interv Card Electrophysiol. 2023 Sep;66(6):1323-1324. doi: 10.1007/s10840-023-01565-1. Epub 2023 May 25.
3
Targeted Treatment of Inappropriate Sinoatrial Node Tachycardia Based on Electrophysiological and Structural Mechanisms.
基于电生理和结构机制的不适当窦性心动过速的靶向治疗
Am J Cardiol. 2022 Nov 15;183:24-32. doi: 10.1016/j.amjcard.2022.07.041. Epub 2022 Sep 17.
4
Role of empirical isolation of the superior vena cava in patients with recurrence of atrial fibrillation after pulmonary vein isolation-a multi-center analysis.上腔静脉经验性隔离在肺静脉隔离术后心房颤动复发患者中的作用：一项多中心分析。
J Interv Card Electrophysiol. 2023 Mar;66(2):435-443. doi: 10.1007/s10840-022-01314-w. Epub 2022 Aug 18.
5
Empirical superior vena cava isolation in patients undergoing repeat catheter ablation procedure after recurrence of atrial fibrillation.在心房颤动复发后再次行导管消融术的患者中经验性上腔静脉隔离。
J Interv Card Electrophysiol. 2022 Nov;65(2):551-558. doi: 10.1007/s10840-022-01301-1. Epub 2022 Jul 20.
6
Sinus node sparing novel hybrid approach for treatment of inappropriate sinus tachycardia/postural sinus tachycardia: multicenter experience.窦房结保留的新型杂交方法治疗不适当窦性心动过速/体位性窦性心动过速：多中心经验。
J Interv Card Electrophysiol. 2022 Apr;63(3):531-544. doi: 10.1007/s10840-021-01044-5. Epub 2021 Aug 23.
7
Sinus Node Sparing Hybrid Thoracoscopic Ablation Outcomes in Patients with Inappropriate Sinus Tachycardia (SUSRUTA-IST) Registry.窦房结保留杂交胸腔镜消融术治疗不适当窦性心动过速患者的结果（SUSRUTA-IST 登记研究）。
Heart Rhythm. 2022 Jan;19(1):30-38. doi: 10.1016/j.hrthm.2021.07.010. Epub 2021 Jul 30.
8
Comparison between superior vena cava ablation in addition to pulmonary vein isolation and standard pulmonary vein isolation in patients with paroxysmal atrial fibrillation with the cryoballoon technique.比较冷冻球囊技术治疗阵发性心房颤动时在上腔静脉消融联合肺静脉隔离与标准肺静脉隔离的效果。
J Interv Card Electrophysiol. 2021 Dec;62(3):579-586. doi: 10.1007/s10840-020-00932-6. Epub 2021 Jan 15.
9
The Role of Superior Vena Cava Isolation in the Management of Atrial Fibrillation.上腔静脉隔离在心房颤动管理中的作用
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10
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