导管射频消融治疗特发性室性心动过速  

RADIOFREQUENCY CATHETER ABLATION OF IDIOPATHIC VENTRICULAR TACHYCARDIA

作　　者：周胜华 祁述善 沈向前 

出　　处：《湖南医科大学学报》1997年第4期341-343,共3页Bulletin of Hunan Medical University

摘　　要：经导管射频消融治疗１３例特发性室性心动过速（ＩＶＴ）。其中左室ＩＶＴ９例，右室ＩＶＴ４例。９例左室ＩＶＴ中６例消融成功；４例右室ＩＶＴ中位于右室流出道的２例消融成功，另２例失败，其中１例消融后ＶＴ发作频率明显减少且药物易于控制。随访３～２２个月，１例术后１月复发经再次消融成功。结果表明射频消融是治疗ＩＶＴ安全有效的方法。Thirteen consecutive patients with idiopathic ventricular tachycardia underwent radiofrequency catheter ablation. This group included 9 idopathic left ventricular tachycardia (ILVT) and 4 idiopathic right ventricular tachycardia (IRVT). Five ILVT patients with left axis deviation and one with right axis deviation were ablated successfully. By pace mapping, two IRVT patients with ventricular tachycardia originating from right ventricular out flow tract were ablated. No complications occured. By means of follow up of 3～22 months one case showed recurrence with successful reablation. It indicates that radiofrequency catheter ablation therapy is an effective and safe procedure in patients with idiopathic ventricular tachycardia.

关 键 词：心动过速 室性 消融术 射频消融 治疗 

分 类 号：R454.1[医药卫生—治疗学] R541.71[医药卫生—临床医学]