在没有光镜的电生理程序中TEE指导的安全性和有效性
Lyuboslav Katov1, Theresa Kistner1, Yannick Teumer1
1Department of Cardiology, Ulm University Heart Center, Albert-Einstein-Allee 23, 89081 Ulm, Germany.
Journal of clinical medicine
|March 27, 2025
概括
经食道心声学 (TEE) 引导的零光镜电生理学程序 (EPs) 显著减少左心房 (LA) 剥离期间的辐射暴露. 这种安全有效的方法可以保持程序的成功,而不会增加并发症风险.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 电子生理学 电子生理学
背景情况:
- 光镜传统上有助于3D电解剖绘图 (EAM) 引导的左心房 (LA) 程序,但存在辐射风险.
- 3D EAM和成像技术的进步,如过食道心声学 (TEE),使得无辐射的剥离成为可能.
- 本研究评估了临床实践中的TEE导向,零/接近零光学LA EPs.
研究的目的:
- 评估TEE引导的零光镜/近零光镜LA电生理程序 (EP) 的安全性和有效性.
- 为了比较无辐射和光学引导的LA EPs之间的结果.
- 确定对程序成功率和并发症率的影响.
主要方法:
- 对142名连续接受LA EAM导向射频切除的患者进行分析.
- 在零/近零光镜组 (TEE引导) 的73名患者与光镜引导组的69名患者进行了比较.
- 收集有关手术持续时间,辐射暴露和并发症的数据.
主要成果:
- 两组之间手术持续时间没有显著差异 (132.0分 vs 133.0分).
- 在零/近零光镜组中,辐射暴露的中位数为0分钟,而在光镜组中为9.7分钟 (p < 0.001).
- 两组之间并发症发生率没有显著差异 (p = 0.09).
结论:
- 以TEE为导向的,无辐射的LA EP是安全有效的.
- 这种方法显著减少了辐射暴露和相关风险.
- 在没有增加并发症风险的情况下保持程序有效性.
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