导管式冷治疗可以永久治愈常见心房的患者
Randy Manusama1, Carl Timmermans, Froylan Limon
1Department of Cardiology, Academic Hospital Maastricht, Maastricht, The Netherlands.
Circulation
|March 17, 2004
概括
洞穴脊峡的冷化有效地治疗了长期的心房. 这种冷剥离程序的成功率很高,与射频剥离相美.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗器械 医疗器械
背景情况:
- 结冷处理为心房 (AFL) 提供了短期的成功,但缺乏长期疗效数据.
- 这项研究评估了对常见的AFL的洞穴脊峡 (CTI) 化治疗的长期结果.
研究的目的:
- 评估CTI冷治疗在患有常见AFL的患者的长期有效性和安全性.
- 为了确定冷剥离是否在CTI实现永久导电阻.
主要方法:
- 35名患有常见AFL的患者使用6毫米尖端电极导管对CTI进行了冷.
- 一个点对点的技术在 -80°C的平均温度下提供了3-5分钟的应用.
- 主要终点是双向地峡导电阻和AFL非诱导性.
主要成果:
- 在35名患者中,34名患者 (97%) 取得了急性成功.
- 平均随访时间为17.6个月后,31名患者 (89%) 仍然没有AFL复发.
- 三名复发的患者经历了成功的重复手术.
结论:
- 在CTI的冷化过程中,形成了永久的双向导电块.
- 长期CTI冷切除的成功率与AFL的射频切除相美.
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