经过修改的心内回声学 (ICE) 引导的穿越性穿刺在切除导管指导下
Pan Hou1, Jiayu Dai1,2, Rong Wang1
1Department of Cardiology, General Hospital of Central Theater Command, Wuhan, Hubei, 430070, China.
BMC cardiovascular disorders
|December 23, 2025
概括
使用心内回声学 (ICE) 指导的经过修改的穿越腔穿刺技术显著减少了穿刺尝试和心房动移除的持续时间. 这种零光学方法为电生理学程序提供了安全有效的替代方案.
科学领域:
- 电力生理学 电力生理学
- 心血管干预 心血管干预
- 医疗成像医学成像
背景情况:
- 零光镜手术在电生理外科手术中越来越受欢迎.
- 根据心内回声学 (ICE) 的指导,传统的跨septal穿刺 (TSP) 具有限制,阻碍其广泛采用.
- 一种新的修改TSP技术旨在解决这些局限性.
研究的目的:
- 引入并评估修改后的ICE指导TSP技术的有效性和安全性.
- 为了比较修改后的技术与传统的ICE指导TSP在接受心房移除的患者.
主要方法:
- 一项涉及77名因心房动而接受射频除的患者的比较研究.
- 患者被分为两组:传统的ICE引导TSP (44名患者) 和修改的ICE引导TSP (33名患者).
- 记录的关键指标包括成功率,穿孔尝试,穿孔持续时间,理想的穿孔位置和并发症.
主要成果:
- 与传统组相比,修改TSP组的刺穿尝试数量显著降低 (1.06对1.25) 和刺穿持续时间更短 (2.52分钟对3.94分钟).
- 两组之间在TSP成功率,理想的穿孔位置或并发症发生率方面没有发现显著差异.
- 两个组的基线特征在两组之间是可比的.
结论:
- 经过修改的ICE指导TSP技术,使用消化导管作为指导,简化了程序,并消除了ICE视图跟踪的需要.
- 这种技术表现出高成功率,良好的安全性和简单易用,学习曲线很短.
- 修改后的TSP技术被推用于临床推广和应用在电生理干预中.
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