波纹图和晚期注释映射的实用性可用于可视化Koch三角形内的激活模式在患有持续左上 vena cava 患者
Takashi Kanda1, Hitoshi Minamiguchi1, Riku Iwami1
1Cardiovascular Division, Advanced Cardiac Rhythm Management Center Osaka Keisatsu Hospital Osaka Japan.
Journal of arrhythmia
|March 6, 2025
概括
高分辨率映射精确地确定了心房节点复发性心力衰竭 (AVNRT) 的移除目标,该患者患有持续的左上 vena cava (PLSVC). 这种创新技术有效地解决了解剖学复杂性,改善了对具有挑战性的AVNRT病例的治疗策略.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗成像医学成像
背景情况:
- 心室节回入性心力衰竭 (AVNRT) 是一种常见的超心室心力衰竭.
- 持续的左上静脉 (PLSVC) 对电生理学程序提出了独特的解剖学挑战.
- 在患有复杂心脏解剖学的患者中,标准的废除策略可能不那么有效.
研究的目的:
- 评估使用Ripple和LAM模块进行高分辨率映射的有效性,以识别PLSVC患者的缓慢途径废除目标.
- 在存在解剖学变异的情况下,展示一种治疗AVNRT的新方法.
主要方法:
- 使用专门的Ripple和LAM模块进行高分辨率映射.
- 执行了缓慢途径目标的精确识别,以进行切除.
- 将新方法应用于诊断为AVNRT和PLSVC的患者.
主要成果:
- 成功地确定了精确的缓慢途径除目标.
- 克服了PLSVC所带来的显著解剖挑战.
- 证明了新型绘图方法的可行性和有效性.
结论:
- 使用Ripple和LAM模块的高分辨率映射是复杂的AVNRT案例中精确识别废弃目标的有价值工具.
- 这种新的策略为PLSVC患者提供了更有效的AVNRT治疗方法.
- 这种方法通过解决解剖学的困难,提高了程序的成功.
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