阜外贾玉和等研究称,心腔内三维超声辅助房颤射频消融安全可行

2020-03-06 xunhuan 中国循环杂志

经导管射频消融已成为阵发性房颤和持续性房颤的一线治疗方法。常规射频消融使用的导管需要使用造影剂及X 线进行定位和引导。阜外医院贾玉和、孙丽娜等发表研究称,对于伴造影剂不相容的心房颤动患者,心腔内三维超声可以替代经食道超声心动图声辅助房颤射频消融。而且心腔内三维超声不延长手术时间,显着减少X 线曝光时间及剂量,可避免穿刺房间隔的并发症,提高穿刺准确性。研究选择2015 年1 月至2017 年1 月期

经导管射频消融已成为阵发性房颤和持续性房颤的一线治疗方法。常规射频消融使用的导管需要使用造影剂及X 线进行定位和引导。

阜外医院贾玉和、孙丽娜等发表研究称,对于伴造影剂不相容的心房颤动患者,心腔内三维超声可以替代经食道超声心动图声辅助房颤射频消融。

而且心腔内三维超声不延长手术时间,显着减少X 线曝光时间及剂量,可避免穿刺房间隔的并发症,提高穿刺准确性。

研究选择2015 年1 月至2017 年1 月期间中国医学科学院阜外医院收治的16 例心房颤动伴造影剂不相容的患者。

患者均未行左心房、肺静脉CT 和造影,在心腔内三维超声辅助下建立左心房及肺静脉三维模型,并指导穿刺房间隔和消融导管在心脏内的操作。

15 例患者顺利完成心房颤动射频消融,平均手术时间(96.0±14.3) min,透视时间(6.1±1.2) min,X 线透视剂量(115.8±49.3) mGy,未发生心脏压塞、脑栓塞、左心房- 食道瘘、肺静脉狭窄及动脉瘤等并发症及死亡。

1年随访结果显示,9 例患者维持窦性心律,其中阵发性心房颤动7 例,持续性心房颤动2 例。

研究者认为,对于一些特殊房颤患者的射频消融,如造影剂不相容、结构明显变异、房间隔穿刺风险大(房间隔瘤),或许适合心腔内三维超声辅助。

来源:孙丽娜,杨亚兵,常苹,等. 心腔内三维超声辅助下经导管射频消融治疗心房颤动伴造影剂不相容患者的临床分析.中国循环杂志, 2020,35: 166.

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    2020-03-06 心介

    房颤,临床上碰到很多哦

    0