CARTO系统指导下环肺静脉前庭电学隔离治疗心房颤动的初步探讨  

Initial experience of circumferential pulmonary vein antrum isolation guided by CARTO for treatment of patients with atrial fibrillation

作　　者：李易[1] 李绍龙[1] 刘屹[1] 董建增[2] 张荣华[1] 陶四明[1] 张仪坚[1] 谢晓军[1] 

机构地区：[1]昆明医学院第四附属医院(云南省第二人民医院)心脏中心内科,云南省650021 [2]首都医科大学附属北京安贞医院心内科

出　　处：《中国心血管病研究》2008年第4期258-260,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的总结三维标测系统(CARTO)指导下环肺静脉前庭电学隔离治疗心房颤动的临床意义。方法12例患者(其中阵发性房颤8例,持续性房颤4例)接收手术,阵发房颤采用Pappone术式,持续性房颤采用联合Pappone及Nademanee术式。术后随访5～18个月。结果所有患者均成功达到消融终点,1例患者复发房颤。结论三维标测系统指导下采用Pappone及Nademanee术式治疗房颤是安全可靠的。Objective To reported initial experience of circumferential pulmonary vein antrum isolation guided by CARTO for treatment of patients with atrial fibrillation. Methods 12 patients （8 patients with paroxysmal atrial fibrillation and 4 patients with persistent atrial fibrillation） were treated. Pappone＇s method were performed in patients with paroxysmal atrial fibrillation. Combination of Pappone＇s and Nademanee＇s methods were performed in patients with persistent atrial fibrillation. All patients were followed up 5 to 18 months. Results All patients were successfully achieved the endpoint of ablation. 1 patient reeurrenee atrial fibrillation. Conclusion Pappone＇s and Nademanee＇s methods guided by CARTO is safe and effective in the treatment of patients with atrial fribrillation.

关 键 词：心房颤动 肺静脉前庭 导管消融术 

分 类 号：R541.75[医药卫生—心血管疾病]