右侧房室旁道导管射频消融治疗的体会  

Experience on radiofrequency catheter ablation of right-sided accessory pathway

作　　者：高连君[1] 张树龙[1] 林治湖[1] 杨延宗[1] 丛培欣[1] 王莹琦[1] 黄立萍[1] 朱皓[1] 郑晓群[1] 李贵海[1] 苗卫华[1] 吕家兰[1] 刘少稳[1] 宋道岭[1] 

机构地区：[1]大连医科大学附属第一医院心内科

出　　处：《临床心血管病杂志》1996年第3期154-156,共3页Journal of Clinical Cardiology

基　　金：辽宁省教委资助

摘　　要：采用导管射频消融术（ＲＦＣＡ）阻断右侧房室旁道治疗房室折返性心动过速５０例，其中单旁道４５例，双旁道４例，三旁道１例，共５６条旁道。首次消融成功率９４％，二次消融成功率１００％。平均随访９个月，３例复发（６％），均经再次消融成功，其余病例未服用任何抗心律失常药物无心动过速复发，术后除１例右后间隔旁道消融后出现一过性Ⅲ°房室传导阻滞外无其它并发症发生。就右侧旁道消融的体会进行了讨论。Fifty patients with 56 right-sided atrioventricular accessory pathways(APs) were treated by radiofrequency catheter ablation. Among them, 44 patients had no organic heart diseases. The APs were menifested in 46, and concealed in 4 cases. At the mean follow-up of 9 months, 3 patients(6%) had recurrence of preexcitation which were ablated successfully by second procedures. All the other patients were free from any kind of tachyarrhythmias on no medications.The factors associated with success rate of right-sided APs ablation were analyzed.

关 键 词：导管射频消融 右侧房室 心律失常 

分 类 号：R541.705[医药卫生—心血管疾病]