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经主动脉逆行操作后发生急性缺血性卒中

An Acute Ischemic Stroke After the Retrograde Transaortic Manipulation.

作者信息

Xu Juan, Wu Shuang, Lu Xiaofeng, Peng Shi, Li Jun, Liu Shaowen, Chen Songwen

机构信息

Department of Cardiology, School of Medicine, Shanghai General Hospital Shanghai Jiao Tong University Shanghai China.

出版信息

Clin Case Rep. 2025 Apr 14;13(4):e70386. doi: 10.1002/ccr3.70386. eCollection 2025 Apr.

DOI:10.1002/ccr3.70386
PMID:40236307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11997251/
Abstract

Acute ischemic stroke (AIS) during radiofrequency ablation of premature ventricular complexes (PVC) patients was rarely reported. This is the first case report on AIS during catheter ablation of PVC that highlighted that AIS could be encountered in some patients resulting from repeated retrograde transaortic manipulation with excessive contact force.

摘要

室性早搏（PVC）患者在射频消融过程中发生急性缺血性卒中（AIS）的情况鲜有报道。这是首例关于PVC导管消融过程中发生AIS的病例报告，该报告强调，部分患者因反复经主动脉逆行操作且接触力过大可能会发生AIS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c886/11997251/73c103bda0e7/CCR3-13-e70386-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c886/11997251/c70bed9a3221/CCR3-13-e70386-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c886/11997251/6df834fac6f4/CCR3-13-e70386-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c886/11997251/8527d9f78303/CCR3-13-e70386-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c886/11997251/73c103bda0e7/CCR3-13-e70386-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c886/11997251/c70bed9a3221/CCR3-13-e70386-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c886/11997251/6df834fac6f4/CCR3-13-e70386-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c886/11997251/8527d9f78303/CCR3-13-e70386-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c886/11997251/73c103bda0e7/CCR3-13-e70386-g004.jpg

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本文引用的文献

1
Endovascular Treatment of Acute Ischemic Stroke After Cardiac Interventions in the United States.美国心脏介入术后急性缺血性脑卒中的血管内治疗。
JAMA Neurol. 2024 Mar 1;81(3):264-272. doi: 10.1001/jamaneurol.2023.5416.
2
Stroke and Bleeding Risks of Endocardial Ablation for Ventricular Arrhythmias.室性心律失常心内膜消融的卒中与出血风险
JACC Clin Electrophysiol. 2024 Feb;10(2):193-202. doi: 10.1016/j.jacep.2023.10.011. Epub 2023 Dec 6.
3
Complete Atrioventricular Block Caused by Retrograde Transaortic Approach.经主动脉逆行途径导致的完全性房室传导阻滞
J Cardiovasc Dev Dis. 2022 Sep 3;9(9):293. doi: 10.3390/jcdd9090293.
4
Silent strokes after thoracoscopic epicardial ablation and catheter ablation for atrial fibrillation: not all lesions are permanent on follow-up magnetic resonance imaging.胸腔镜下心外膜消融和导管消融治疗心房颤动后的无症状性卒中：随访磁共振成像显示并非所有病变都是永久性的。
Quant Imaging Med Surg. 2021 Jul;11(7):3219-3233. doi: 10.21037/qims-21-35.
5
Middle cerebral artery occlusion due to cardiac tissue following catheter ablation in Wolff-Parkinson-White syndrome.预激综合征导管消融术后心脏组织导致大脑中动脉闭塞
J Surg Case Rep. 2021 Jun 29;2021(6):rjab269. doi: 10.1093/jscr/rjab269. eCollection 2021 Jun.
6
Ablation at Right Coronary Cusp as an Alternative and Favorable Approach to Eliminate Premature Ventricular Complexes Originating From the Proximal Left Anterior Fascicle.右冠状动脉瓣消融作为消除源自左前间隔支近端的室性期前收缩的一种可行且有利的方法。
Circ Arrhythm Electrophysiol. 2020 May;13(5):e008173. doi: 10.1161/CIRCEP.119.008173. Epub 2020 Apr 17.
7
Retrograde aortic access during ventricular tachycardia ablation: Indications, techniques, and challenges.逆行主动脉入路在室性心动过速消融中的应用：适应证、技术和挑战。
J Cardiovasc Electrophysiol. 2019 Nov;30(11):2629-2639. doi: 10.1111/jce.14163. Epub 2019 Sep 18.
8
Life-Threatening Complications of Atrial Fibrillation Ablation: 16-Year Experience in a Large Prospective Tertiary Care Cohort.心房颤动消融术的危及生命的并发症：大型前瞻性三级护理队列 16 年经验。
JACC Clin Electrophysiol. 2019 Mar;5(3):284-291. doi: 10.1016/j.jacep.2018.11.013. Epub 2019 Jan 30.