浅析右侧房室旁路射频消融术后复发原因  

Analysis of the factors for recurrence of right atrioventricular accessory pathway after radiofrequency catheter ablation

作　　者：任寅[1] 朱莉[1] 阮中宝[1] 殷屹岗[1] 王小斌[1] 陈各才[1] 陈铭[1] 朱俊国[1] 

机构地区：[1]泰州市人民医院心内科,江苏泰州225300

出　　处：《现代医学》2013年第2期116-118,共3页Modern Medical Journal

摘　　要：目的:分析右侧房室旁路射频消融术后复发的原因,探讨如何提高右侧房室旁路射频消融术的成功率。方法:回顾性分析392例行射频消融术治疗房室旁路患者的临床资料。结果:通过3～24个月的随访,右侧房室旁路的复发率(10/68例,14.71%)明显高于左侧(9/324例,2.78%),P<0.01。结论:右侧房室旁路射频消融术后复发率高与其解剖部位、定位标测不准确、消融导管的稳定性、旁路阻断时间有关。Objective： To analyze the factors for recurrence of right atrioventricular accessory pathway after radiofrequency catheter ablation（RFCA）in order to explore how to improve the right atrioventricular accessory pathway ablation success rate.Methods： We retrospectively analyzed the clinic features of patients who were cured by RFCA with atrioventricular accessory pathway.Results： Through 3 to 24 months follow-up,the recurrence rate of right atrioventricular accessory pathway（10/68cases,14.71%） was significantly higher than that of the left（9/324cases,2.78%）,P〈0.01.Conclusion： The high recurrence in the patients with right atrioventricular accessory pathway after RFCA is related to the anatomical position,difficult to get to the target sites,catheter stability and the blocking time of pathway.

关 键 词：导管射频消融 右侧房室旁路 复发 

分 类 号：R816.2[医药卫生—放射医学]