射频消融房室旁路治疗室上性心动过速  

Radiofrequency Ablation of Atrioventricular Accessory Pathways to Treat Supraventricular Tachycardia

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作  者:李忠诚[1] 李广平[1] 刘洪[1] 苏新华[1] 樊振旺[1] 

机构地区:[1]天津医科大学第二医院心脏科

出  处:《天津医药》1994年第12期707-709,共3页Tianjin Medical Journal

摘  要:对27例WPW综合征(13例显性,14例隐性)患者的29条旁路进行了导管射频消融,其中左侧旁路23条,右侧旁路6条。当时成功率为100%。术后检查7例CPK酶轻度增高,1例有少量心包积液,余未见任何严重并发症。随访1.5~24个月,1例复发,总成功率为96.5%。Twenty-nine atrio ventricular accessory pathways in 27 patients with WPW syndrome were ablated with, radiofrequency current. It included 15 males and 12 fameles, aged 19-63 (37.8±17.8) years old, 13 cases with overt preexcitation and 14 cases with concealed accessory pathways. There were 23 accessory pathways located on the left side of the heart, 6 pathways on the right side. The ablation was succeeded in 26 patients. (96%). After ablation procedure, plasma CPK increased moderately in 7 patients (25.9%), and a patient had a few pericrardial fluid, but there was no other severe complication. Catheter ablation, of accessory pathways with radiofrequency current is a safe and effective method for patients with supraventricular tachycardia mediated by these pathways.

关 键 词:预激综合征 心动过速 射频消融 治疗 室上性 

分 类 号:R541.720.5[医药卫生—心血管疾病]

 

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