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在结构性心脏病中,在腹腔心动减退过程中,系统地使用半正常的盐水

Miloud Cherbi¹, Quentin Voglimacci-Stephanopoli¹, Hubert Delasnerie¹

¹Department of Cardiology, University Hospital Rangueil, Toulouse, France.

Pacing and clinical electrophysiology : PACE

|October 27, 2023

概括

在结构性心脏病患者中,系统的半正常盐水 (HNS) 除心室动脉冲动 (VT) 是安全的,复发率和并发症率与标准盐水相比较. 这种方法可能有利于耐火病例.

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:

耐火性心室动脉冲动 (VT) 的管理仍然具有挑战性.
半正常盐水 (HNS) 在较小的研究中显示出对静脉切除效率和安全性的承诺.
在静脉瘤切除中缺少HNS的较大群体评估.

研究的目的:

评估系统性HNS切除在更大的静脉瘤患者队列中的效率和安全性.
评估与VT的HNS切除相关的复发率和并发症概况.

主要方法:

从2018-2021年使用HNS对177次连续的VT废除程序进行了回顾性分析.
包括接受静脉管切除的结构性心脏病患者.
收集有关程序参数,并发症和长期随访的数据.

主要成果:

148名患者 (平均年龄64岁,64%患有缺血性心肌病) 接受了HNS切除.
有关并发症发生在9%的手术中 (2%的中风,3%的吸管,5%的AV阻塞).
在平均随访时,静脉瘤复发率为46%,在重复手术后的最终率为36%;在切除后,静脉瘤发作和ICD冲击显著减少.

结论:

在结构性心脏病患者中对静脉瘤进行系统的HNS切除表明,与标准盐水相比,长期复发和并发症的发生率相当.
对于与痕相关的常规静脉管切除,HNS似乎是安全的,对耐火性心律不整有潜在的益处.
需要进一步的受控研究来证实HNS在静脉管切除中的优越性.

关键词:

剥离剥离剥离剥离一半正常的盐水.灌灌方式无线电频率 - - 无线电频率腹腔动脉短心症是什么意思

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