意想不到的过渡性心房静脉阻塞和缓慢的结节节律,使用脉冲场除来缓慢修改路径:对于除器,兴奋或谨慎
Caijie Shen1, Rong Bai2, Zhenyu Jia3
1Cardiac Arrhythmia Center, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Heart rhythm
|September 20, 2024
概括
脉冲场切除 (PFA) 有效地修改了心房节回流性心力衰竭 (AVNRT) 的缓慢途径. 然而,由于在His捆附近出现过渡性心房阻塞的显着发病率,建议谨慎行事.
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:
- 有限的数据存在于脉冲场切除 (PFA) 对于心房节回流性心跳动 (AVNRT).
- 了解PFA对AVNRT双通道电生理学的影响至关重要.
研究的目的:
- 评估PFA在AVNRT中缓慢路径修饰 (SPM) 的疗效和安全性.
- 评估PFA对双通道电生理学的影响.
主要方法:
- 一组40名患有典型AVNRT的患者使用焦点PFA导管进行了SPM.
- 主要终点包括程序疗效和6个月后的安全结果.
主要成果:
- 在所有患者中都取得了急性成功,切除时间很短.
- 慢结节律 (SJR) 发生在80%的患者中,并且依赖于接触力.
- 过渡性心房静脉阻塞 (AVB) 发生在17.5%的患者中,与接近他的捆绑有关.
结论:
- 在AVNRT中,PFA对SPM非常有效.
- 暂时的AVB需要在PFA期间在His捆附近保持谨慎.
- 在SPM期间,SJR经常发生,并受到接触力的影响.
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