经导管射频消融治疗阵发性室上性心动过速21例报告

• 作 者: 许力舒 汪公亮 杨敏全 陈辉 王风秀 凃良珍 马伟 周宝兰 周玉新
• 机 构: 新疆维吾尔自治区人民医院心脏起搏介入诊治中心,新疆维吾尔自治区人民医院心脏起搏介入诊治中心,新疆维吾尔自治区人民医院心脏起搏介入诊治中心,新疆维吾尔自治区人民医院心脏起搏介入诊治中心,新疆维吾尔自治区
• 出 处: 中国介入心脏病学杂志
• 发表日期: 1994年00期
• 关键词: 房室结双径路 预激综合征 经导管射频消融 左侧旁道 房室旁道 希氏束 三尖瓣环 交界区心律 标测 消融导管

以射频消融治疗21例(22次)阵发性室上性心动过速患者,其中房室结双径路5例;附加房室旁道16例(显性A型预激综合征12例、隐匿性左侧旁道2例、B型预激综合征2例).16例附加旁道患者中共18条旁路,其中左侧壁12,中间隔左侧3,左前壁、右前间壁及右侧壁各1例.除1例右侧壁第一次消融不成功而一个月后再次消融成功外,其余首次全部消融成功(100%).5例房室结双径路患者1例阻断快通道,其余4例成功地阻断慢通道.无严重并发症.随访4—16周均未复发.

Radiofrequency ablation was performed in 21 patients (22 episodes) with paroxysmal supraventricular tachycardia, including 5 cases of atrioventricular node dual-pathways; 16 cases of accessory atrioventricular accessory pathway (12 cases of dominant A-WPW syndrome, 2 cases of the left side of the bypass and 2 cases of the pre-excitation of the B-mode) .There were 18 bypasses in 16 cases with additional bypass, of which the left wall 12, the left middle 3, the left anterior wall, the right anterior wall and the right 1 in each side of the wall, except for the successful ablation of the right side wall in 1 case and successful ablation again in one month (100%). And the remaining 4 patients successfully blocked the slow channel.No serious complications were followed up for 4-16 weeks without recurrence.