Yamanturk Yakup Yunus, Teker Muhammed Emin, Ozerdem Emre, Sertdemir Ahmet Lutfi, Candemir Basar
Cardiology Clinic Artvin State Hospital Artvin Turkey.
Department of Cardiology Ankara University Ankara Turkey.
J Arrhythm. 2025 Apr 11;41(2):e70056. doi: 10.1002/joa3.70056. eCollection 2025 Apr.
Successful rhythm control by standard endocardial methods may become quite challenging in some atrial tachycardia cases, very few of which may need extraordinarily different approaches after the initial failure of extensive endocardial ablation, such as epicardial ablation after subxiphoid puncture, or venous alcohol injection inside the vein of Marshall. With a good understanding of the structures nearby the LA, endocardially failed epicardial ATs can still be successfully ablated without directly entering the pericardial space.
在某些心房心动过速病例中，通过标准的心内膜方法成功实现节律控制可能会变得颇具挑战性，在广泛的心内膜消融初始失败后，其中极少数病例可能需要极为不同的方法，例如剑突下穿刺后进行心外膜消融，或在Marshall静脉内注射酒精。在充分了解左心房附近结构的情况下，对于心内膜消融失败的心外膜房性心动过速，仍可在不直接进入心包腔的情况下成功进行消融。
