结冷气球肺静脉隔离通过单一的右侧内管方法使用单独的光镜在双边下肢静脉闭塞的患者
Serkan Çay1, Rüstem Yılmaz1, Meryem Kara1
1Division of Arrhythmia and Electrophysiology, Department of Cardiology, University of Health Sciences, Yuksek Ihtisas Cardiovascular Building, Ankara City Hospital, Ankara, Türkiye.
概括
这项研究表明,仅使用内静脉接入,冷却气球肺静脉隔离 (PVI) 成功. 这种替代方法是有效的,当大阴茎的访问是不可能进行心房的治疗.
科学领域:
- 心脏病学 心脏病学
- 干预性电生理学 干预性电生理学
背景情况:
- 肺静脉隔离 (PVI) 是对心房的标准治疗方法,通常通过大腿静脉进入.
- 下肢静脉堵塞需要用于PVI手术的替代通道.
研究的目的:
- 描述一个成功的冷却气球PVI使用简约的,通过右侧内静脉访问,只有高级的方法.
- 评估这种替代性进入患者的可行性和有效性,这些患者无法获得下静脉通道.
主要方法:
- 该手术使用单一的右侧内静脉接入,仅在有意识的镇静和光镜下进行.
- 截面穿刺和冷热气球切除是通过双平面光学指导的,避免了透食管心电图,心内心电图,冠状动脉鼻腔导管和全身麻醉.
- 这种方法在一个患有完全双边下肢静脉封闭的患者身上被使用,该患者在失败的股骨进入后失败了.
主要成果:
- 在所有肺静脉中都取得了成功的肺静脉隔离.
- 手术没有任何并发症完成.
- 患者在第二天得到了出院,并保持了鼻节律.
结论:
- 通过内静脉接入进行冷却气球PVI的极简主义,只有高级的方法是可行的和有效的.
- 这种技术为患有标准下静脉通道的禁忌的患者提供了可行的替代方案.
- 在特定情况下,在不需要高级成像或全身麻醉的情况下,可以通过光镜引导PVI.
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