永久性心脏阻塞复杂的脉冲场移除Cavotricuspid地峡
Yuan Gao1, Zhiyong Qi1, Jiaxiong Lin1
1Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai, China.
JACC. Case reports
|March 5, 2026
概括
脉冲场除用于洞穴椎间盘 (CTI) 除通常是安全的. 然而,这个案例突出了一个罕见的并发症:不可逆转的心脏阻塞需要在CTI切除后植入心脏起器.
科学领域:
- 电子生理学 电子生理学
- 心血管医学 心血管医学
- 医疗技术 医疗技术 医学技术
背景情况:
- 使用脉冲场 (PF) 导管切除腔管 (Cavotricuspid isthmus,CTI) 是一种可行且安全的手术.
- 以前没有记录过不可逆转的心脏阻塞是CTI切除的并发症.
研究的目的:
- 报告第一个用五素PF导管进行CTI切除后不可逆转的心脏阻塞的病例.
- 为了强调在使用这项技术时需要谨慎.
主要方法:
- 一名患有持续性心房的患者接受了肺静脉隔离,随后进行了CTI切除.
- 一个pentaspline脉冲场导管被用于CTI切除.
- 持续监测心房导异常的情况.
主要成果:
- 在CTI切除后,该患者立即出现了三级心房阻塞.
- 导电暂时改善到2:1阻塞,然后恢复到完全的心脏阻塞.
- 无法逆转的导电障碍需要永久植入心脏起器.
结论:
- 不可逆转的心脏阻塞是一种新型,罕见的并发症,用于用达斯林PF导管进行CTI切除.
- 这一案例凸显了在使用这种技术进行CTI切除期间和之后保持警和仔细监测的重要性.
相关概念视频
Dysrhythmias IV: Characteristics of Bradyarrhythmias
690
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
690
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
730
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
730
Disturbances in Heart Rhythm
3.4K
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
3.4K
Antiarrhythmic Drugs: Class IV Agents as Calcium Channel Blockers
2.5K
Class IV antiarrhythmic drugs, such as verapamil and diltiazem, block calcium channels. They primarily affect the heart, slowing the conduction in calcium-dependent tissues like the SA and AV nodes. These drugs manage reentrant supraventricular tachycardia (SVT) and reduce ventricular rate in atrial flutter/fibrillation.
Verapamil, a calcium channel blocker, inhibits calcium movement across myocardial cell membranes and vascular smooth muscle. This results in the dilation of coronary and...
Verapamil, a calcium channel blocker, inhibits calcium movement across myocardial cell membranes and vascular smooth muscle. This results in the dilation of coronary and...
2.5K


