左心室顶部的解剖学特征和射频除病变
Sainan Li1, Yu Sun2, Sanbao Chen3
1State Key Laboratory of Frigid Zone Cardiovascular Diseases, Cardiovascular Research Institute and Department of Cardiology, General Hospital of Northern Theater Command, Shenyang, 110016, China; Department of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric medicine, Chinese Academy of medical sciences & Peking Union Medical College, Beijing 100730, China.
概括
左心室顶部 (LVS) 顶部的表心脂肪最厚,导致较浅的切除病变和与内心方法相比,表心切除的更多蒸汽爆发.
科学领域:
- 心血管解剖学的心血管解剖学
- 电子生理学 电子生理学
- 心脏废除技术是指心脏的废除技术.
背景情况:
- 心室心律不整可能起源于左心室顶部 (LVS).
- 切除部位的解剖学特征影响了病变的形成和LVS心律失常的结果.
研究的目的:
- 为了研究猪心脏中LVS的解剖特征.
- 评估不同LVS部位的射频除病变特征.
主要方法:
- 对12只猪心脏进行剖析,以研究LVS解剖学.
- 在17个猪心脏的6个部位进行射频切除:大心静脉 (GCV),可访问/不可访问的LVS,左/右心室外流通道 (LVOT/RVOT) 和左冠状动脉尖端 (LCC).
主要成果:
- LVS顶部具有更厚的心上脂肪和更薄的心肌.
- 副心脏脂肪将GCV/前腔室间静脉与心肌 (2,54毫米) 分离.
- 与LVOT/RVOT (4.15-4.43毫米) 相比,射频应用显示LVS部位的蒸汽爆发发率更高 (58.6%) 和病变较浅 (1.52-2.60毫米).
结论:
- 在LVS顶部更厚的上心脂肪和更薄的心肌层影响了切除结果.
- 在LVS顶部的表心切除会导致较浅的病变和增加蒸汽爆发风险.
- 由于解剖学的考虑,内心脏切除可能对LVS心律失常更有效.
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