在不同的解剖部位使用焦点脉冲场切除方法切除辅助通路
Toni Brešković1, Lucija Lisica1, Zrinka Jurišić1
1Department of Cardiology, University Hospital Center Split, Split, Croatia.
Heart rhythm
|March 18, 2024
概括
脉冲场切除 (PFA) 有效地治疗沃尔夫-帕金森-怀特综合征的辅助途径. 这种新的非热能能源证明了高效率和安全性,即使在儿科患者中,复发率最小.
科学领域:
- 电子生理学 电子生理学
- 心血管医学 心血管医学
- 医疗技术 医疗技术 医学技术
背景情况:
- 辅助通路 (AP) 切除对于治疗沃尔夫 - 帕金森 - 怀特综合征和心房回流动性心力衰竭至关重要.
- 脉冲场切除 (PFA) 使用一种新的非热能源来切除心律失常基质.
研究的目的:
- 评估焦点脉冲电场废除在不同地点的AP的效率和长期结果.
主要方法:
- 进行了电生理学研究,以绘制AP插入点的地图.
- 标准的废除导管可以输送脉冲电场.
- 在冠状动脉鼻 (CS) 内部启动了左侧AP消去.
- 随访评估发生在去除后1-12个月.
主要成果:
- 所有14名患者 (包括3名儿科患者) 均完成了AP导电的终止.
- 在右自由壁,后位和左侧APs方面取得了成功的切除.
- 冠状动脉鼻切除在8个左侧AP中的7个是有效的.
- 在中位数5.5个月的随访期间没有报告任何并发症;一名患者出现了复发.
结论:
- 焦点PFA显示了对AP切除的有希望的疗效和安全性.
- 对左侧AP的冠状动脉鼻切除可能会建立一种新的标准方法.
- PFA的安全性和有效性似乎可以转移到儿科患者群体.
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