EnSite Velocity导航与X线导航射频消融治疗阵发性室上性心动过速的随机对照研究  

Treatment of paroxysmal supraventricular tachycardia with EnSite Velocity guided or X-ray guided radiofrequency catheter ablation: a randomized controlled trial

作　　者：褚红涛[1] 贾敏[1] 陈克永[1] 徐丽娟[1] 栗林[1] 刘亚庆[1] 

机构地区：[1]枣庄市立医院内二科,枣庄277100

出　　处：《中国循证心血管医学杂志》2016年第1期88-90,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的探讨En Site-Velocity指导下导管射频消融(RFCA)治疗阵发性室上性心动过(PSVT)的有效性及安全性。方法 60例PSVT患者随机分组为X线导航组及En Site Velocity导航组各30例,分别进行电生理检查及RFCA治疗,对两组的手术时间、X线曝光时间、X射线量、成功率及并发症发生情况进行比较分析。结果与X线导航组相比,En Site Velocity导航组的患者在手术时间、X线曝光时间、X射线量时间显著降低(P<0.01)。两组手术即刻成功率、随访3个月后复发率比较差异无统计学意义(P>0.05)。结论 En Site Velocity导航RFCA治疗PSVT是安全有效的,而且可减少X线透视时间。Objective To investigate the effectiveness and safety of En Site Velocity guided radiofrequency catheter ablation（RFCA） in treatment of paroxysmal supraventricular tachycardia（PSVT）. Methods PSVT patients（n=60） were randomly divided into X-ray guided RFCA group（X-ray group） and En Site Velocity guided RFCA group（En Site Velocity group, each n=30）, and all given electrophysiological examination and RFCA treatment. The duration of RFCA, X-ray exposure time, X-ray quantity, success rate of RFCA and complication incidence were compared and analyzed in 2 groups. Results Compared with X-ray group, the duration of RFCA, X-ray exposure time and X-ray quantity decreased significantly in En Site Velocity group（P〈0.01）. The difference in immediate success rate of RFCA and recurrent rate after 3-month follow-up had no statistical significance（P〉0.05）. Conclusion En Site Velocity guided RFCA is safe and effective and can reduce X-ray exposure time in treatment of PSVT.

关 键 词：阵发性室上性心动过速 导管射频消融 ENSITE VELOCITY 

分 类 号：R541.71[医药卫生—心血管疾病]