射频消融希氏束旁旁道的回顾性分析  

Retrospective analysis of radiofrequency catheter ablation of His bundle accessory pathways

作　　者：肖春晖[1] 赵玲[1] 韩明华[1] 刘中梅[1] 郭涛[1] 

机构地区：[1]昆明医学院第一附属医院心内科,昆明市650032

出　　处：《岭南心血管病杂志》2002年第1期27-29,共3页South China Journal of Cardiovascular Diseases

摘　　要：目的　对 10名希氏 (His)束旁旁道 (Ap)致顺向型房室折返性心动过速 (O -AVRT)患者进行射频消融 (RF CA)治疗 ,综合分析X线曝光时间、操作时间、术后复发率和严重并发症发生率等因素 ,指出 ,His束电极的准确放置、尽量避免大头电极导管重复使用、术者丰富的射频消融手术经验 :包括介入操作技术和靶点图的识别 。Objective Ten patients with His bundle accessory pathways (APs) induced O-AVRT treated by radiofrequency catheter ablation (RFCA) were analyzed retrospectively. The main reason for the failure about two cases was much used ablation-catheter, unskilfulness of the manipulation of catheter ablation and misguided recognition of local electrogram of Ap. After analyzing these factors, which were duration of fluoroscopy exposure, successful rate of operation, recurrent rate and serious complications, it was pointed out that correct position of His bundle catheter, using new large-tip catheter and a operator with rich experience were the key to ablated His bundle Aps successfully.

关 键 词：希氏束 旁道 房室折返性心动过速 射频消融 

分 类 号：R654.2[医药卫生—外科学] R541.71[医药卫生—临床医学]