CAJ | 학술논문

目的：探讨射频消融治疗心外膜旁道的有效性及安全性。方法选择8例经心内膜途径标测和消融失败者，经冠状静脉窦内或心中静脉内标测到A-V融合处，应用温控电极进行射频消融。结果8例患者均在冠状静脉窦或心中静脉内消融成功，无并发症发生。结论经冠状静脉窦及心中静脉内行心外膜旁道射频消融是安全和有效的。
목적：탐토사빈소융치료심외막방도적유효성급안전성。방법선택8례경심내막도경표측화소융실패자，경관상정맥두내혹심중정맥내표측도A-V융합처，응용온공전겁진행사빈소융。결과8례환자균재관상정맥두혹심중정맥내소융성공，무병발증발생。결론경관상정맥두급심중정맥내행심외막방도사빈소융시안전화유효적。
Objective To investigate the efficacy and safety of radiofrequency catheter ablation for treating epicardial accessory pathway .Methods 8 patients with unsuccessful endocardial ablation of accessory pathway were mapped within coronary venous si-nus or middle cardiac vein and the radiofrequency catheter ablation was performed by the temperature control electrode .Results Ablation in 8 cases was successfully performed within coronary sinus or middle cardiac vein .There were no complications in all pa-tients .Conclusion Radiofrequency catheter ablation of epicardial accessory pathway within coronary sinus and middle cardiac vein is safe and effective .