下腔静脉-三尖瓣环连线射频消融治疗Ⅰ型心房扑动  

Radiofrequency catheter ablation in eliminating type I atrial flutter

作　　者：潘伟民[1] 孙静[1] 叶红华[1] 杜为平[1] 陈晓敏[2] 江隆福[2] 陈玉峰[2] 

机构地区：[1]宁波市第一医院,315010 [2]宁波市第二医院,315010

出　　处：《心脑血管病防治》2002年第1期10-10,共1页CARDIO-CEREBROVASCULAR DISEASE PREVENTION AND TREATMENT

摘　　要：目的 观察连线射频消融对治疗心房扑动的效果。方法 对4例Ⅰ型心房扑动(房扑)患者用解剖标志法从下腔静脉口(IVC)～三尖瓣环(TA)进行多次连线消融、结果4例均成功终止房扑,平均放电6.5±2.8次,每靶点平均消融1.86min,无手术相关井发症发生。随访2～5个月无复发。结论 采用IVC～TA连线射频消融可有效地阻断房扑,其远期效果有待观察。Objective To evaluate the clinical efficiency of radiofrequency catheter ablation in right atrium in 4 patients with type I atrial flutter. Methods The linear ablation by using of anatomy sign from tricuspid annuclus (TA) to inferior vena cave (IVC) was repeated many times in eliminating type I atrial flutter. Results Atrail flutter in 4 cases was all terminated successfully, mean ablation frequencies: 6. 5 + 2. 8 times, mean ablation time per target: 1. 86min, and without complication. After ablation, during of 2-5 months follow-up, atrial flutter was no recurrence in all 4 patients. Conclusions Atrial flutter can be terminated successfully by the way of linear ablation from TA to IVC. Long-term outcome should be followed up.

关 键 词：连线射频消融 治疗 Ⅰ型心房扑动 下腔静脉-三尖瓣环 

分 类 号：R541.7[医药卫生—心血管疾病]