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脉冲 Field Ablation 终止了心房,由持续的左上静脉引发:一个案例报告

Yun Xie¹, Changjian Lin¹, Liqun Wu¹

¹Department of Cardiovascular Medicine, Ruijin Hospital Shanghai Jiaotong University School of Medicine Shanghai China.

Clinical case reports

|March 2, 2026

概括

这项研究表明,脉冲 Field Ablation (PFA) 在患有持续左上静脉 (PLSVC) 的患者中有效终止了心房动 (AF). 在PLSVC中的PFA切除成功地治疗了之前的手术后复发的AF.

科学领域:

心脏病学心脏病学
电力生理学电力生理学
医疗器械医疗器械

背景情况:

在切除术后的复发性心房动 (AF) 构成了临床挑战.
持续的左上静脉 (PLSVC) 是一种解剖学变异,可以使AF切除复杂化.
之前的切除程序可能无法完全解决复杂的节律失常基质.

研究的目的:

评估脉冲场消去 (PFA) 治疗PLSVC患者复发性AF的疗效.
为了证明一个圆形阵列PFA导管在PLSVC内消化中的实用性.
评估PFA在具有挑战性的解剖学中准心律失常源的能力.

主要方法:

一名73岁的患者患有阳性AF和先前的切除经历了重新干预.
术前成像 (心声扫描,CT) 发现了一个持续的左上静脉 (PLSVC).
一个圆形阵列脉冲场消化 (PFA) 导管被用于消化程序.

主要成果:

在手术过程中引发了不间断的AF.
PFA成功地终止了来自PLSVC远部的AF.
在PLSVC中确定了高频碎片式电图,指导了ablation.

结论:

圆形阵列PFA在存在PLSVC的情况下有效治疗AF.
在具有挑战性的静脉解剖学中,PFA为复杂的AF再干预提供了一个可行的选择.
在PLSVC内向PFA切除可以成功消除心律失常源.

关键词:

心房动是心房动的一种.案例报告案例报告持续的左上 vena cava 静脉脉冲场消去是脉冲场消去的一种方法.

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