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采用双球囊技术并结合楔形伯曼导管经马歇尔静脉桥侧支成功注入乙醇

Successful Ethanol Infusion of Vein of Marshall With Bridge Collateral Using the Double-Balloon Technique Incorporating a Wedged Berman Catheter.

作者信息

Kasai Yuhei, Kitai Takayuki, Morita Junji, Murakami Kei, Fujita Tsutomu

机构信息

Department of Cardiology Sapporo Heart Center, Sapporo Cardiovascular Clinic Sapporo Japan.

出版信息

J Arrhythm. 2025 Jul 22;41(4):e70152. doi: 10.1002/joa3.70152. eCollection 2025 Aug.

DOI:10.1002/joa3.70152
PMID:40697718
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12280225/
Abstract

We describe a novel double-balloon technique incorporating a wedged Berman catheter to manage distal collateral drainage from the vein of Marshall (VOM) via a bridge collateral to the great cardiac vein, thereby enabling effective ethanol infusion. This technique may represent a viable alternative for anatomically challenging VOM ethanol infusion cases.

摘要

我们描述了一种新颖的双球囊技术，该技术结合了楔形伯曼导管，通过与心大静脉的桥侧支来管理来自马歇尔静脉（VOM）的远端侧支引流，从而实现有效的乙醇注入。对于解剖结构具有挑战性的VOM乙醇注入病例，该技术可能是一种可行的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b932/12280225/01957123007d/JOA3-41-e70152-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b932/12280225/48403c76126b/JOA3-41-e70152-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b932/12280225/01957123007d/JOA3-41-e70152-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b932/12280225/48403c76126b/JOA3-41-e70152-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b932/12280225/01957123007d/JOA3-41-e70152-g002.jpg

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1
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本文引用的文献

1
Double-balloon distal protection for vein of Marshall ethanol infusion in presence of persistent left superior vena cava.
J Interv Card Electrophysiol. 2025 Oct;68(7):1379-1380. doi: 10.1007/s10840-024-01957-x. Epub 2024 Nov 27.
2
Left Atrial Appendage Sparing During Vein of Marshall Ethanol Infusion: Double-Balloon Technique.在Marshall静脉乙醇注射期间保留左心耳：双球囊技术
JACC Clin Electrophysiol. 2024 Jul;10(7 Pt 1):1517-1519. doi: 10.1016/j.jacep.2024.03.010. Epub 2024 May 8.
3
Efficacy and feasibility of vein of Marshall ethanol infusion during persistent atrial fibrillation ablation: A systematic review and meta-analysis.Marshall 静脉乙醇注射在持续性心房颤动消融中的疗效和可行性：系统评价和荟萃分析。
Clin Cardiol. 2024 Jan;47(1):e24178. doi: 10.1002/clc.24178. Epub 2023 Nov 6.
4
Vein of Marshall Collateralization during Ethanol Infusion in Atrial Fibrillation: Solution for Effective Myocardium Staining.乙醇注入心房颤动时的马歇尔静脉侧支循环：有效心肌染色的解决方案
J Clin Med. 2022 Dec 30;12(1):309. doi: 10.3390/jcm12010309.