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在植入WATCHMAN左心耳封堵装置的患者中使用FARAPULSE脉冲场消融进行肺静脉隔离的初步经验和技术见解:日本的首例报告。

Initial experiences and technical insights of pulmonary vein isolation with FARAPULSE pulsed field ablation in patients implanted with WATCHMAN left atrial appendage closure devices: The first report in Japan.

作者信息

Chatani Ryuki, Tasaka Hiroshi, Kubo Shunsuke, Yoshino Mitsuru, Kadota Kazushige

机构信息

Department of Cardiovascular Medicine Kurashiki Central Hospital Kurashiki Japan.

出版信息

J Arrhythm. 2025 Apr 15;41(2):e70065. doi: 10.1002/joa3.70065. eCollection 2025 Apr.

Abstract

We performed pulsed field ablation using FARAPULSE after left atrial appendage closure (LAAC). We should confirm flower configurations did not overlap with the LAAC device using intracardiac echocardiography and 3-D mapping system and without LAAC device artifacts by real-time electrograms. If overlapping, push the flower configuration deeper and tilt posteriorly to resolve.

摘要

我们在左心耳封堵术(LAAC)后使用FARAPULSE进行脉冲场消融。我们应使用心内超声心动图和三维标测系统确认花状结构未与LAAC装置重叠,并且通过实时心电图确认没有LAAC装置伪影。如果重叠,将花状结构进一步推送并向后倾斜以解决问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0731/11997702/0068e82d15f6/JOA3-41-e70065-g004.jpg

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