整体麻醉和深度镇静用于单极脉冲场除,使用晶格尖导管与新型三维映射系统相结合
Andreas Rillig1, Jun Hirokami2,3, Fabian Moser1
1Department of Cardiology, University Heart and Vascular Center Hamburg-Eppendorf, Martinistr. 51, 20251 Hamburg, Germany.
概括
在深度镇静中使用一种新的系统进行脉冲场移除 (PFA) 是可行的,并且有效治疗心房动 (AF). 与全身麻醉 (GA) 相比,这种方法显著减少了实验室占用时间.
科学领域:
- 电子生理学 电子生理学
- 心血管干预 心血管干预
- 医疗技术 医疗技术 医学技术
背景情况:
- 一个新的3D绘图平台,配备了网状尖端导管,可以在脉冲场移除 (PFA) 和射频能量传递之间切换.
- 该系统主要用于全身麻醉 (GA),对其在深度镇静中使用的数据有限.
研究的目的:
- 评估使用新型除系统的可行性,有效性和程序特征,用于对心房动 (AF) 进行除,在深度镇静中使用格子尖导管.
- 为了比较在深度镇静下经过切除术的患者与GA之间的结果.
主要方法:
- 六十三名患有症状发作性或持续性AF的患者接受了肺静脉隔离 (PVI) 和使用PFA进行额外的线性病变.
- 在GA (n=23) 或深度镇静 (n=40) 下进行了手术.
- 在不同组之间比较了急性疗效,手术时间,实验室占用时间和辐射剂量.
主要成果:
- 在两组中,急性疗效高且可比,PVI率为100%.
- 实验室占用时间在深度镇静组 (131±35分钟) 与GA组 (165±40分钟) 相比显著缩短.
- 平均手术时间和辐射剂量在各组之间相似;在深度镇静组中发生了一次心周栓塞.
结论:
- 这种新型的切除平台和网状尖端导管是可行和有效的,用于深度镇静下AF切除.
- 使用深度镇静与GA相比,实验室占用时间明显缩短.
- 这种方法提供了一个潜在的更有效的替代AF消去程序.
关键词:
3D地图绘制 3D地图绘制麻醉 麻醉是一种麻醉.在心房动中,心房动的移除是无效的.深度镇静是一种深度镇静.一般麻醉全身麻醉.格子的尖端可以看到.这是一个断的断.脉冲场消去是脉冲场消去的一种方法.更多相关视频
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