射频电流导管切除辅助心房道的通道
K H Kuck1, M Schlüter, M Geiger
1Department of Cardiology, University Hospital Eppendorf, Hamburg, Germany.
Lancet (London, England)
|June 29, 1991
概括
射频导管切除是一种更安全,更有效的治疗由辅助心房道引起的动脉节律失常症,特别是当药物治疗失败时. 这种微创手术成功地在大多数患者中消除了通路导电,并发症最小.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 医疗器械 医疗器械
背景情况:
- 由辅助心房道介导的轻心节律失常常需要干预,当药物耐药时.
- 手术治疗已经显示出不同的成功和携带风险.
- 直接电流导管切除是早期的选择,但与重创和全身麻醉等并发症有关.
研究的目的:
- 调查内心无线电频电流导管切除对辅助心房道的疗效和安全性.
- 评估射频除作为现有治疗方法的潜在更安全的替代方案.
主要方法:
- 内心射频电流导管切除在105名附属心通路的患者身上进行.
- 患者数据包括途径位置 (左侧与右侧) 和程序结果.
- 并发症和成功率被仔细记录下来.
主要成果:
- 在105名患者中,93名 (89%) 患者的辅助通路导电被永久取消.
- 大多数通路 (79) 位于心脏左侧,32 位于右侧.
- 三名患者出现并发症:大腿动脉封闭,动脉静脉和心脏吸管;然而,没有与手术相关的死亡发生.
结论:
- 射频电流导管切除是辅助心房道介导的动脉节律失常症的有效治疗方法.
- 该程序表现出良好的安全性,使其成为对药物治疗不耐药的患者可行的选择.
- 这种技术在管理辅助路径相关的心律失常方面取得了重大进展.
更多相关视频
10:46Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
Published on: May 26, 2015
12:45Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
相关概念视频
Heart Valves
The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
Cardiac Catheterization I: Pre-Procedure Overview
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Cardiac Catheterization II: Right Heart Catheterization
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Cardiac Catheterization III: Left Heart Catheterization
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
