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典型心房的导管切除: 随机比较2种方法来确定完全的双向地峡阻塞

F Anselme¹, A Savouré, A Cribier

¹Hôpital Charles Nicolle, Rouen, France. frederic.anselme@chu-rouen.fr

|March 14, 2001

概括

在现场进行完整的双向静脉导电阻 (CBIB) 的心房电位分析是可行的,但不如激活映射那么可靠. 结合这两种方法,可以在心房移除过程中对静脉导电进行最佳评估.

科学领域:

电子生理学电子生理学
通过心脏切除术 (Cardiac Ablation) 进行心脏切除.
耳前的动是什么意思

背景情况:

完整的双向静脉导电阻塞 (CBIB) 对于成功的心房移除至关重要.
传统上通过详细的激活映射进行评估.
在现场进行心房电位分析是一种新的,更简单的方法.

研究的目的:

为了前性地比较激活映射和现场心房潜力分析来诊断CBIB.
评估每个技术的诊断准确性和潜在的模两可.

主要方法:

76名接受典型心房移除的患者的前性研究.
第一个组:激活映射技术.
第二组:在现场进行心房潜能分析 (双心房潜能).

主要成果:

只有54%的患者在两种方法之间得到一致的CBIB结果.
在39%的现场分析中观察到模两可/非典型的双重潜能.
在现场分析小组中,射频持续时间更长.

结论:

现场心房电位分析低于激活映射,因为电图解读的模两可.
两种方法的联合使用提供了额外的信息.
最佳的评估需要同时使用这两种技术.

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