中华心律失常学杂志
中華心律失常學雜誌
중화심률실상학잡지
CHINESE JOURNAL OF CARDIAC ARRHYTHMIAS
2008年
4期
267-270
,共4页
陈岗%汪芳%孟伟栋%张锋%严轶文%诸葛萦%张彩凤%庄文燕%薛吉祥
陳崗%汪芳%孟偉棟%張鋒%嚴軼文%諸葛縈%張綵鳳%莊文燕%薛吉祥
진강%왕방%맹위동%장봉%엄질문%제갈영%장채봉%장문연%설길상
心房颤动%冷冻消融%肺静脉电隔离
心房顫動%冷凍消融%肺靜脈電隔離
심방전동%냉동소융%폐정맥전격리
Artial fibrillation%Transvenous catheter cryoablation%Electric isolation of pulmonary vein
目的 探讨使用冷冻直导管节段消融肺静脉治疗心房颤动(房颤)的可行性和短期治疗效果.方法 选择临床确诊阵发性房颤患者11例,采用6 mn冷冻直导管、Lasso导管标测肺静脉电位,节段消融电隔离肺静脉,肺静脉电位消失30 min为消融隔离成功.结果 平均消融术时间(252.55±51.99)min,曝光时间(35.65±9.88)min.共隔离36根肺静脉,平均每根静脉冷冻(7.9±4.1)次.消融即刻成功率100%.平均随访(8.73±4.15)个月,短期成功率81.8%.结论 冷冻直导管节段消融肺静脉治疗房颤的短期效果较好.
目的 探討使用冷凍直導管節段消融肺靜脈治療心房顫動(房顫)的可行性和短期治療效果.方法 選擇臨床確診陣髮性房顫患者11例,採用6 mn冷凍直導管、Lasso導管標測肺靜脈電位,節段消融電隔離肺靜脈,肺靜脈電位消失30 min為消融隔離成功.結果 平均消融術時間(252.55±51.99)min,曝光時間(35.65±9.88)min.共隔離36根肺靜脈,平均每根靜脈冷凍(7.9±4.1)次.消融即刻成功率100%.平均隨訪(8.73±4.15)箇月,短期成功率81.8%.結論 冷凍直導管節段消融肺靜脈治療房顫的短期效果較好.
목적 탐토사용냉동직도관절단소융폐정맥치료심방전동(방전)적가행성화단기치료효과.방법 선택림상학진진발성방전환자11례,채용6 mn냉동직도관、Lasso도관표측폐정맥전위,절단소융전격리폐정맥,폐정맥전위소실30 min위소융격리성공.결과 평균소융술시간(252.55±51.99)min,폭광시간(35.65±9.88)min.공격리36근폐정맥,평균매근정맥냉동(7.9±4.1)차.소융즉각성공솔100%.평균수방(8.73±4.15)개월,단기성공솔81.8%.결론 냉동직도관절단소융폐정맥치료방전적단기효과교호.
Objective To investigate the short-term effect of transvenous catheter pulmonary vein seg-mental cryoisolation.Methods Eleven patients with paroxysmal atrial fibrillation,underwent pulmonary vein segmental cryoisolation using a 6mm cryo-catheter.Results A total of 36 pulmonary veins were isolated by ab-lating for(7.9±4.1)times.Procedual time was(252.55±51.99)min,and X-ray explosion time was (35.65±9.88)min.During follow-up of(8.73 4-4.15)months,the clinical efficacy rate was 81.8%.Con-dusion Transvenous catheter pulmonary vein segmental cryoisolation for treatment of atrial fibrillation is ef-fective.
