用CT指导的左星状团缩神经溶解用于耐火性心室失常症
Ningcheng Li1, Junman Kim1, Anshul M Patel1
1From the Department of Radiology, Division of Interventional Radiology (N.L., N.J.R.), Department of Medicine, Division of Interventional Cardiology (Y.R.), and Department of Medicine, Division of Cardiovascular Medicine (Y.R., G.S., M.G.), UMass Memorial Medical Center and Chan Medical School, 55 Lake Ave N, S2-817A, Worcester, MA 01655; Department of Radiology and Imaging Sciences, Division of Interventional Radiology and Image-Guided Medicine, Emory University School of Medicine, Atlanta, Ga (J.K.); Division of Cardiology, Division of Electrophysiology, Emory Heart & Vascular Center at Saint Joseph's Hospital, Atlanta, Ga (A.M.P., C.M.T.); Department of Heart Failure/Transplant Cardiology, Piedmont Heart Institute, Piedmont Healthcare, Atlanta, Ga (D.W.M.); and Franklin College of Arts and Sciences, University of Georgia, Athens, Ga (F.J.P.).
通过CT指导的左星结晶神经溶解 (SGC) 在耐火性心室失常症 (VA) 患者中显著降低了除. 这种创新的治疗方法显示出有前途的安全性和有效性,为具有挑战性的VA病例提供了新的选择.
科学领域:
- 心脏病学 心脏病学
- 干预性放射学 干预性放射学
- 神经学 神经学
背景情况:
- 耐火性心室失常症 (VAs) 由于高发病率和死亡率而带来了重大挑战.
- 现有的治疗方法对于持久性VA患者来说往往是不够的.
研究的目的:
- 评估CT指导的左恒星神经解 (SGC) 治疗耐火性静脉动脉瘤的安全性和有效性.
主要方法:
- 对17名耐火性静脉动脉患者进行CT导向左SGC的回顾性分析.
- 术前和术后除频率的比较.
- 对临床成功和不良事件的评估.
主要成果:
- 在CT指导的左SGC显著降低了手术后24小时内从中位数3到0的除率 (P < .001).
- 临床成功 (免除除动脉动) 在24小时后达到82%,在72小时后达到88%.
- 没有观察到中度或高度不良事件;轻度事件包括神经不良和暂时的霍纳综合征.
结论:
- 通过CT指导的左侧SGC是一种对耐火性VA的有前途且安全的治疗方法.
- 在VA的多学科治疗策略中,应考虑SGC.
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