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"醒来和消化":第一次使用无波醇的气球在篮子PFA系统的经验

Roland Richard Tilz^1,2, Jan-Per Wenzel^1,2, Charlotte Eitel¹

¹University Heart Center Lübeck, Department of Rhythmology, University Hospital Schleswig-Holstein, Campus Lübeck, Germany.

Heart rhythm O2

|February 25, 2026

概括

在有意识的镇静下使用气球在篮子系统的脉冲场切除 (PFA) 对于肺静脉隔离是安全的和可行的. 这种方法带来了高的患者满意度,并简化了程序.

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:

脉冲场切除 (PFA) 是一种新兴的肺静脉隔离 (PVI) 在心房的技术.
篮子中的气球 (BiB) -PFA系统可促进周边PVI,增强组织接触.
传统的PFA通常需要深度镇静或全身麻醉,造成程序风险和后勤挑战.

研究的目的:

评估BiB-PVI在有意识镇静下进行的安全性,可行性和患者体验.
为了评估BiB-PVI的耐受性,而不需要常规使用propofol.
为了确定有意识的镇静能否保持患者的舒适性和程序的成功.

主要方法:

连续接受新的PVI患者的未来招募.
有意识的镇静方案涉及芬太尼,米达佐拉姆,甲米和利多卡因; 预留给心脏转变的普罗波.
患者报告的结果包括疼痛,呼吸不全,焦虑,满意度和通过问卷评估的建议.

主要成果:

14名患者 (86%是男性,平均年龄为70.6岁) 完成了这项研究.
平均手术持续时间为54.5分钟,平均LA停留时间为23分钟.
切除后疼痛得分显著降低 (P < .002);报告的呼吸障碍和焦虑水平较低. 观察到高满意度 (95%) 和推 (100%) 的比率.

结论:

在有意识的镇静下,BiB-PFA是PVI的安全和可行的选择.
这种方法被患者容忍得很好,导致高满意度.
使用BiB-PFA进行有意识镇静可以简化程序,并可能降低与深度镇静相关的风险.

关键词:

心房动是一种心房动.气球在篮子中的导管.有意识的镇静剂.患者报告的结果肺静脉隔离肺静脉隔离肺静脉隔离脉冲场消去是脉冲场消去的一种方法.

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