Beukema W P, Van Dessel P F, Van Hemel N M, Kingma J H
Department of Cardiology, St Antonius Hospital, Nieuwegein, The Netherlands.
Eur Heart J. 1994 Oct;15(10):1415-8. doi: 10.1093/oxfordjournals.eurheartj.a060404.
In two patients with a symptomatic posteroseptally localized accessory atrioventricular pathway, but with distinct electrocardiographic patterns, a coronary sinus diverticulum appeared to be the site of this connection. Radiofrequency catheter ablation in the diverticulum was implemented to interrupt the pathway in both cases. This study demonstrates the necessity to perform coronary sinus angiography when ablation attempts in the posteroseptal region are not immediately successful, or optimal signals are not detected.
在两名患有症状性后间隔局部房室旁道但心电图模式不同的患者中，冠状静脉窦憩室似乎是这种连接的部位。在这两例患者中，均在憩室内进行了射频导管消融以中断旁道。本研究表明，当在后间隔区域的消融尝试未立即成功或未检测到最佳信号时，有必要进行冠状静脉窦造影。
