三维标测指导心房颤动环肺静脉线性消融130例分析  

Clinical research of circumferential pulmonary vein linear ablation in guided by 3-D mapping system in patients with atrial fibrillation

作　　者：王勇[1] 任澎[1] 

机构地区：[1]新疆维吾尔自治区人民医院心内科,新疆乌鲁木齐市830001

出　　处：《心血管康复医学杂志》2010年第4期414-416,407,共4页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨三维标测系统指导下行心房颤动(房颤)环肺静脉线性消融的临床效果。方法:2006年6月至2009年8月对新疆维吾尔自治区人民医院收治的130例房颤患者进行三维标测系统(CARTO系统)指导下的环肺静脉线性消融,消融的主要终点为肺静脉电学隔离。随访3个月症状性快速性房性心律失常消失视为成功。结果:129例(99.2%)实现肺静脉电隔离,阵发性房颤消融成功率为84.5%,持续性、永久性单次房颤消融成功率71.1%。严重并发症包括心脏压塞1例,心包穿刺引流后痊愈;肺栓塞1例,治疗后康复;无死亡病例。结论:三维标测指导下心房颤动环肺静脉线性消融是安全、有效的。Objective： To investigate the efficacy of circumferential pulmonary vein linear ablation in guided by 3-D mapping system in patients with atrial fibrillation. Methods： From June 2006 to August 2009, 130 consecutive patients with atrial fibrillation underwent circumferential pulmonary vein linear ablation in guided by 3-D mapping system （CART（：） system）. Success was definited as symptomatic atrial tachyarrhythmia free after 3 months washout period. Results： The 129 of the 130 patients attained the ablation endpoint （99.20%）. clinical success achieved 84. 5% in patients with paroxysmal atrial fibrillation and 71.1 % in patients with persistent / permanent atrialfibrillation. The 20 of the 28 patients with recurrent atrial fibrillation underwent ablation again. Severe complications included 1 case of pericardial tamponade and 1 cases of pulmonary artery embolism. Pericardial tamponades were relieved by pericardiocentesis. The Patients with pulmonary artery embolism recovered well without any lingering effects. There was no death case. Conclusion： Circumferential pulmonary vein linear ablation in guided by 3-D mapping system is an effective therapy and safety for atrial fibrillation patients.

关 键 词：成像 三维 心房颤动 导管消融术 

分 类 号：R541.75[医药卫生—心血管疾病]