当低度不够低时:使用VARIPULSETM脉冲场系统进行零光学心房动移除 - - 一项前性单中心研究
1Department of Cardiology, Institut Mutualiste Montsouris, Paris, France. edouard.simeon@rythmopole.paris.
概括
这项研究表明,使用VARIPULSETM脉冲场移除系统的零光镜心房动移除是可行的和安全的. 该程序以最小的并发症实现了高成功率,证明了高效的工作流.
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:
- 脉冲场切除 (PFA) 提供组织选择性,非热性心房动 (AF) 治疗,可能减少附带损伤.
- 与CARTOTM 3映射集成的VARIPULSETM PFA系统允许实时可视化,使减少或零光镜程序.
- 评估使用该系统的零光镜AF切除的可行性和安全性对于临床采用至关重要.
研究的目的:
- 评估执行零光镜AF导管切除的可行性和急性安全性.
- 评估VARIPULSETM PFA系统与CARTOTM 3系统结合用于肺静脉隔离 (PVI) 和额外的切除.
- 为了确定一年的无光学工作流程的成功率和并发症概况.
主要方法:
- 一项前性单中心研究包括121名连续接受AF切除 (PVI ±线性) 的患者.
- 程序使用VARIPULSETM PFA系统,仅由CARTOTM 3系统指导,不包括光镜和心内心声谱 (ICE).
- 程序数据,包括时间,成功率和并发症,都被精心收集和分析.
主要成果:
- 这项研究包括了121名患者,其中60%患有阳性肌痛; 76.9%接受了额外的切除 (CTI/后壁).
- 零光镜成功率高达98.4%,平均手术时间为44.5分钟.
- 发生了两种急性并发症:一种是暂时性缺血性发作 (TIA) 和一种是心脏性休克.
结论:
- 使用VARIPULSETM PFA系统的标准化,无光学工作流程对于AF切除是可行的,安全的和时间高效的.
- 使用跨食道心声学 (TEE) 而不是ICE提高了成本效益,可能增加协议的采用.
- 局限性包括单中心设计和缺乏光学引导的比较组.
相关概念视频
Imaging Studies for Cardiovascular System I:Echocardiography
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Imaging Studies for Cardiovascular System II:Types of Echocardiography
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...
Imaging Studies for Cardiovascular System IV: CMRI
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...


