射频消融治疗阵发性室上性心动过速430例临床分析  

RADIOFREQUENCY CURRENT ABLATION OF SUPRAVENTRICULAR TACHYCARDIA OF 430 PATIENTS

作　　者：胡大一[1] 王乐信[1] 丁燕生[1] 

机构地区：[1]北京医科大学第一医院心内科

出　　处：《中国循环杂志》1993年第11期644-646,共3页Chinese Circulation Journal

摘　　要：以射频消融430例阵发性室上性心动过速患者,成功率97.2%。其中房室结双径路103例。慢径消融98例,快径消融5例,全部获得成功。房室旁路327例,共计347条旁路,315例(96.3%)患者的333条旁路(96.0%)被阻断。平均随访6±4个月,10例房室旁路复发,其中3例合并心动过速者成功地进行了第2次消融。未见严重并发症。Four hundred and thirty patients with supraventricular tachycardias were ablated by radiofrequency current. In 327 patients with Wolff-Parkinson-White syndrome, 333 atrioventricular accessory pathways (96%) of 315 patients (96.3%) were abolished permanently. In 103 patients with atrioventricular nodal reentrant tachycardia, the slow pathways of 98 patients and the fast pathways of 5 patients were blocked successfully. The total success rate of the study was 97.2%. After an average follow-up of 7 months, 10 patients (3.2%) with successful accessory pathway ablation recurred. Three of them had recurrent tachycardia and were ablated successfully again. There were no severe complications. Conclusion: Radiofrequency catheter ablation is a safe and effective modality for the treatment of supraventricular tachycardia.

关 键 词：射频消融 房室结双径路 心动过速 

分 类 号：R541.71[医药卫生—心血管疾病]