临床荟萃
臨床薈萃
림상회췌
CLINICAL FOCUS
2015年
9期
1018-1021
,共4页
梁梅%郝应禄%杨明%陈鸿云
樑梅%郝應祿%楊明%陳鴻雲
량매%학응록%양명%진홍운
室性早搏复合征%心动过速,室性%导管消融术
室性早搏複閤徵%心動過速,室性%導管消融術
실성조박복합정%심동과속,실성%도관소융술
premature ventricular contractions%ventricular tachycardia%radio frequencv catheter ablation
目的：探讨左心室分支起源的室性期前收缩(premature ventricular contraction,PVC)及左心室分支起源的室性心动过速(ventriculai tachycardia,VT)的心电生理特点及导管射频消融术的疗效。方法选取左心室分支起源的室性心律失常患者36例,其中 PVC 5例,VT 31例,在 Carto-3指导下行导管射频消融术治疗。结果5例PVC 患者射频消融成功率100%,31例 VT 患者中,2例患者术后复发,最终成功34例,成功率94.4%。结论 Carto-3指导下行分支性室性心律失常的射频消融治疗成功率高、并发症少、安全可靠。
目的：探討左心室分支起源的室性期前收縮(premature ventricular contraction,PVC)及左心室分支起源的室性心動過速(ventriculai tachycardia,VT)的心電生理特點及導管射頻消融術的療效。方法選取左心室分支起源的室性心律失常患者36例,其中 PVC 5例,VT 31例,在 Carto-3指導下行導管射頻消融術治療。結果5例PVC 患者射頻消融成功率100%,31例 VT 患者中,2例患者術後複髮,最終成功34例,成功率94.4%。結論 Carto-3指導下行分支性室性心律失常的射頻消融治療成功率高、併髮癥少、安全可靠。
목적：탐토좌심실분지기원적실성기전수축(premature ventricular contraction,PVC)급좌심실분지기원적실성심동과속(ventriculai tachycardia,VT)적심전생리특점급도관사빈소융술적료효。방법선취좌심실분지기원적실성심률실상환자36례,기중 PVC 5례,VT 31례,재 Carto-3지도하행도관사빈소융술치료。결과5례PVC 환자사빈소융성공솔100%,31례 VT 환자중,2례환자술후복발,최종성공34례,성공솔94.4%。결론 Carto-3지도하행분지성실성심률실상적사빈소융치료성공솔고、병발증소、안전가고。
Objective To investigate the clinical characteristics of premature ventricular contraction(PVC)and ventriculai tachycardia(VT)from the left ventricular fascicle,and the efficacy of radiofrequency catheter ablation. Methods Analysis was performed in 36 patients with ventricular arrhythmias from the left ventricular fascicle, including 5 cases of PVC and 31 cases of VT.We did RFCA under Carto-3 guidance.Results The success rate of 5 cases with PVC was 100%.The success rate of 31 cases with VT was 94.4%.Conclusion Radiofrequency catheter ablation of VT from the left ventricular fascicle under Carto-3 guidance has the advantages of more success rate with a low incidence of complications.
