三尖瓣下移畸形合并预激综合征的射频消融治疗  

Radiofrequency catheter ablation of accessory pathways in patients with Ebstein anomaly

作　　者：陈元秀[1] 江洪[1] 黄从新[1] 唐其柱[1] 杨波[1] 

机构地区：[1]湖北医科大学附属第一医院心内科,武汉430061

出　　处：《临床内科杂志》2000年第6期344-345,共2页Journal of Clinical Internal Medicine

摘　　要：目的　探讨三尖瓣下移畸形合并预激综合征射频消融的临床效果。方法　对 7例预激综合征患者行三尖瓣环处射频消融治疗。结果　并三尖瓣下移畸形的预激综合症射频消融与心脏结构正常的右侧旁道消融相比成功率无差异 ,消融导管选择、操作方法及过程亦无特殊。平均消融时程和 X光曝光时间略有延长 ,但差异无显著性 (P>0 .0 5 )。随访 3～ 5 8个月 ,平均 (34± 11)个月 ,1例术后 4个月复发 ,经再次消融成功。结论　三尖瓣下移畸形合并预激综合征可行射频消融治疗。objective To study the radiofrequency catheter ablation of accessory passway in patients with Ebstein anomaly.Methods 7 cases of ebstein anomaly with preexcitation syndrome were treated by raidiofrequency catheter ablation.Results All patients with preexcitation syndrome were ablated successfully.No specificity existed in the selection of ablation catheter,procedure and process.The mean procedure time and x-ray exposure time in patients with ebstein anomaly were slightly longer than those in aptients with normal heart(P>0.05).Conclusion Radio frequency catheter ablation is safe and effective in patients of Ebstein anomaly with for preexcitation syndrome. [

关 键 词：三尖瓣下移畸形 预激综合征 射频消融 治疗 

分 类 号：R542.510.6[医药卫生—心血管疾病] R541.770.5[医药卫生—内科学]