优化冠状动脉鼻转管中的辅助途径切除,使用3D绘图的内道路线.
Romana Pirah1, Arshad Ali1, Faisal Qadir1
1Department of Cardiac Electrophysiology, National Institute of Cardiovascular Diseases, Karachi, Pakistan.
JACC. Case reports
|January 20, 2026
概括
在之前的尝试失败后,通过使用3D导向映射和内静脉方法,在冠状动脉鼻分离体内成功地切除了具有挑战性的后面垂体辅助通路 (APs).
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:
- 在冠状动脉鼻腔 (CS) 偏心管内,前后位辅助通路 (APs) 呈现出显著的切除挑战.
- 由于解剖学复杂性,对这些特定的AP的先前切除尝试可能没有成功.
研究的目的:
- 描述一个成功的废除策略,在一个CS分离体内的具有挑战性的后位AP.
- 在复杂的切除病例中突出显示3D导向映射和替代静脉接入的实用性.
主要方法:
- 一名患有沃尔夫 - 帕金森 - 怀特综合征的患者,有失败的废除病史,接受了3D导向映射.
- 切除术是使用内静脉 (IJV) 方法进行的,以访问CS分离体.
主要成果:
- 成功地切除了位于CS分离体内的右后位AP.
- 3D导向映射精确地识别了最早的和融合的信号,用于除向.
结论:
- 在CS分离体中,后塞巴尔AP是除失败的原因.
- 冠状动脉鼻腔静脉扫描有助于理解分离体解剖学.
- 优越的IJV方法为导管稳定性和在困难情况下的映射提供了替代方案.
- 3D导向映射对于详细的AP映射和成功的切除部位定位至关重要.
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