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使用圆形多电极脉冲场导管进行ICE导向的腔管径道切除:一步一步的策略

Masatsugu Nozoe¹, Hiroshi Mannoji¹, Takeru Ikenaga¹

¹Division of Cardiology, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Fukuoka, Japan.

Pacing and clinical electrophysiology : PACE

|November 25, 2025

概括

心内回声心脏成像 (ICE) 对于优化腔脊峡 (CTI) 的脉冲场切除 (PFA) 是至关重要的. ICE有助于确保适当的导管接触,并适应解剖学变异,从而导致持久的导电阻塞,并可能防止重复手术.

科学领域:

电子生理学电子生理学
医疗成像医学成像
心血管干预心血管干预

背景情况:

脉冲场移除 (PFA) 是一种用于洞椎间盘 (CTI) 移除的新技术.
在CTI切除中对PFA的最佳程序策略尚未得到充分确立.
内心心电回声学 (ICE) 在心脏手术过程中提供实时可视化.

研究的目的:

突出ICE指南在PFA期间实现持久导电块的重要作用,用于CTI切除.
为了证明ICE如何克服PFA程序中的光学的局限性.
强调ICE指导方法在复杂的CTI解剖学中优化PFA的价值.

主要方法:

关于两名接受PFA进行CTI切除的患者的病例报告.
利用ICE进行实时可视化和指导.
用光镜指导对ICE结果进行比较.
基于ICE成像的导管定位和配置的调整.

主要成果:

ICE确定了光学检查中错过的亚最佳导管接触.
以ICE为指导的调整导致了病变传递的改善,并防止了导电间隙.
在两个报告的案例中,成功实现了持久导电阻.
证明ICE能够像CTI袋一样处理解剖学挑战的能力.

结论:

为了优化CTI的PFA,ICE指导是必不可少的.
以ICE为指导的逐步方法提高了病变的有效性和耐久性.
ICE促进了对解剖学变异的适应,提高了程序成功率.
这种方法可以减少对重复切除手术的需要.

关键词:

洞穴状脊峡的移除循环的多电极阵列导管.内心心电回声心脏成像 (Intracardiac Echocardiography) 是一种内心心电回声心脏成像.脉冲场消去法是一种脉冲场消去法.

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