射频导管消融术治疗老年人心房扑动的临床研究  

Clinical Evaluation of Radiofrequency Catheter Ablation Treating Atrial Flutter in Elderly Patients

作　　者：孙英贤[1] 马长生[2] 赵安乐[1] 陈惠斌[1] 曾定尹[1] 赵卫华[1] 杨光[1] 于亚媛[1] 吴大庆[1] 张子新[1] 

机构地区：[1]中国医科大学第一临床学院心内科,辽宁省沈阳市110001 [2]中日友好医院心内科

出　　处：《中国循环杂志》1999年第4期228-229,共2页Chinese Circulation Journal

摘　　要：目的：分析采用从下腔静脉至三尖瓣环线性消融方法治疗老年人心房扑动的临床价值。　　方法：对１８例老年人心房扑动（男１２例，女６例，平均年龄６４ 岁）患者采用多电极记录心房激动，分析激动顺序的方法及隐匿拖带的方法确定折返环部位。采用从下腔静脉至三尖瓣环线性消融的方法治疗心房扑动。　　结果：１８ 例均为典型心房扑动。１７ 例（９４．４％ ）消融成功。１例伴有病态窦房结综合征者消融成功后安置永久起搏器。随访１～２５个月，１ 例复发，再次导管消融成功。　　结论：射频导管消融术是治疗老年人心房扑动的安全有效的方法。Objective:To evaluate the method of inferior venacava tricuspid valve isthmus linear radiofrequengcy catheter abalation treating atrial flutter in elderly patients. Methods: Radiofrequency ablation was performed in 18 elderly patients with atrial flutter,12 males and 6 females with average age of 64 years old. Multi electodes were used to record the atrial activation sequence and both methods of the activation sequence and concealed entrainment were used to determine the reentry circuit. Inferior venacava tricuspid valve isthmus linear radiofrequency catheter ablation was used to treat atrial flutter. Results: Eighteen cases were all enffered from typical atrial flutter and successful radiofrequency ablation was performed in 17 cases.one case with sick sinus syndrome was implanted with pace maker after successful ablation.They were followed up for 1～25 months.AF recurred in 1 case and was successfully ablated by second session. Conclusion: Radiofrequency ablation is a safe and effective method to treat atrial flutter of elderly patient.

关 键 词：导管消融术 心房扑动 老年人 

分 类 号：R541.750.5[医药卫生—心血管疾病]