导管射频消融治疗房颤36例临床分析  

Clinical analysis on radiofrequency catheter ablation in 36 patients with atrial fibrillation

作　　者：李庆宽[1] 覃绍明[1] 卢志红[1] 刘伶[1] 林英忠[1] 

机构地区：[1]广西壮族自治区人民医院心血管内科,南宁530021

出　　处：《中国临床新医学》2016年第10期888-891,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的观察Ensite3000三维标测系统指导下对无器质性心脏病的心房颤动患者行射频消融术的疗效及安全性。方法回顾性分析2013-07-2015-05行房颤消融术的患者共36例,其中阵发性房颤30例,持续性房颤6例。所有患者在Ensite3000三维标测系统指导下行消融治疗,对房颤消融术的成功率、复发率及并发症发生情况进行总结分析。结果 36例均成功完成手术,即刻成功率为100%。随访3-12个月,复发房颤3例,复发左房房速3例,手术成功率为83.3%。发生并发症3例。结论 Ensite3000三维标测系统指导下环肺静脉线性消融治疗心房颤动短至中期疗效确切,具有较高成功率,安全性高。Objective To investigate the effectiveness and safety of radiofrequency catheter ablation underthe guidance of Ensite3000 system for atrial fibrillation（ AF） without organic heart lesion. Methods Thirty-six inpatients,including 30 cases with paroxysmal atrial fibrillation and 6 cases with persistent AF were collected from July2013 to May 2015 and radiofrequency ablation was performed on them under the guidance of the Ensite3000 system.The success rate,the recurrence rate and the complications were respectively analyzed. Results All of the cases were performed the radiofrequency ablation successfully,with recurrent AF in 3 cases,recurrent with atrial tachycardia in 3 cases postoperative complications in 3 cases and a success rate of 83. 3% during the follow-up period of 3 to12 months. Conclusion Circumferential pulmonary vein ablation under the guidance of Ensite3000 system is safe and effective for AF.

关 键 词：房颤 导管射频消融 Ensite3000三维标测系统 

分 类 号：R541.7[医药卫生—心血管疾病]