在患有持续的左上静脉患者中,心房移除的技术和结果
Ting-Wei Ernie Liao1, Lingyu Xu1, Mirmilad P Khoshknab1
1Section of Cardiac Electrophysiology, Division of Cardiovascular Medicine, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Journal of cardiovascular electrophysiology
|November 11, 2024
概括
在患有持续左上静脉 (PLSVC) 的患者中,用于心房动 (AF) 的导管切除具有挑战性. 量身定制的策略显示出希望,但复发率仍然很高,需要进一步的研究.
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:
- 持续的左上静脉空腔 (PLSVC) 由于其心律失常的潜力和解剖学变化,使心房动 (AF) 的消退复杂化.
- 了解这些挑战对于优化除结果至关重要.
研究的目的:
- 调查在经过AF切除的PLSVC患者中量身定制的导管切除方法和结果.
- 评估这些专业技术的安全性和有效性.
主要方法:
- 对16名PLSVC患者进行了21次AF切除手术的回顾性分析.
- 采用了剥离前成像,3D电解剖绘图和针对性剥离策略,专注于PLSVC.
- 主要终点包括程序安全性和AF复发.
主要成果:
- 在66.7%的手术中发现了PLSVC的AF触发因素.
- 定制切除在隔离PLSVC连接或准触发器方面取得了85%的成功率.
- AF复发率为46.7% (基于患者) 和65% (基于程序);没有出现重大并发症.
结论:
- PLSVC是引发AF的重要潜在来源,需要特别考虑废除.
- 目前单一手术的成功率低于没有PLSVC的患者.
- 需要进一步的研究来改善这一复杂的患者群体的治疗结果.
更多相关视频
相关概念视频
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...
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...


