在患有阳性心房动的患者中,冷热气球双停止和单停止之间的比较
Takashi Yamada1, Masato Murakami1, Nobuhisa Kodera1
1Department of Cardiology, Shonan Kamakura General Hospital, Kamakura, Japan.
Indian pacing and electrophysiology journal
|July 7, 2023
概括
单一停止冷气球 (CB) 解对于成功治疗心房至关重要. 与单一停止方法相比,双停止解技术可能会增加复发率.
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:
- 在单次停止后冷却气球 (CB) 解是标准做法.
- 使用单间CB的延长解时间与肺静脉组织损伤有关.
- CB解技术对临床结果的影响尚不清楚.
研究的目的:
- 调查冷气球解技术在患有心脏动症的患者中的临床意义.
- 为了比较双休止 (DS) 和单休止 (SS) CB解方法之间的临床结果.
主要方法:
- 对210名患有心脏动症的患者进行了回顾性分析,这些患者接受了CB剥离 (2018年1月 - 2019年10月).
- 患者被分为DS组 (n=99) 和SS组 (n=111).
- 在DS组中,无论神经受伤或食道温度如何,都需要双重停止CB应用.
主要成果:
- 与SS组相比 (87.4%) (p=0.045),在DS组中,两年无心律失常的存活率显著较低 (76.8%).
- 在DS组 (53.1分钟) 与SS组 (58.1分钟) (p=0.046) 中,平均程序时间较短.
- 2名DS患者出现并发症,SS组没有并发症 (p=0.13).
结论:
- 与单一停止技术相比,双重停止技术导致心房的复发率更高.
- 在DS和SS组之间没有观察到安全性的显著差异.
- 在一次停止后的解过程对于在心房动中有效的冷却气球应用至关重要.
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