特发性室性心动过速射频消融术有效性与安全性分析  

The efficacy and safety of radiofrequency ablation of idiopathic ventricular tachycardia

作　　者：李枚娟 杨亚莉[2] 林杉镱 王预立 苏文岩 黄卫斌[5] LI Meijuan;YANG Yali;LIN Shanyi(Xiamen Cardiovascular Hospital Affiliated to Xiamen University, Xiamen 361000, China)

机构地区：[1]厦门大学附属心血管病医院心内科,361000 [2]湖北省仙桃市第一人民医院心功能室 [3]福建医科大学研究生院 [4]厦门大学附属第一医院杏林分院急诊科 [5]厦门大学附属中山医院心内科

出　　处：《心电与循环》2019年第4期314-316,共3页Journal of Electrocardiology and Circulation

摘　　要：目的评价特发性室性心动过速射频消融术的有效性与安全性。方法回顾性研究2016年1月至2018年10月,因特发性室性心动过速接受心内电生理检查+射频消融术治疗的146例患者。其中,16例术中未能诱发室性心动过速,7例因术中诱发出室性心动过速不稳定或室性心动过速形态呈多源性而未行射频消融。123例室性心动过速患者实施射频消融手术。结果 123例患者中消融成功的110例,成功率89.4%。随访(17±3)个月期间复发13例,复发率为10.6%。其中右心室流出道室性心动过速复发3例,左后分支室性心动过速复发5例,左心室乳头肌室性心动过速复发4例,主动脉窦室性心动过速复发1例。1例患者术中出现心包压塞,余患者均未发生明显并发症和死亡。结论室性心动过速射频消融术安全有效。Objective To evaluate the efficacy and safety of radiofrequency ablation of idiopathic ventricular tachycardia(VT). Methods The data of 146 patients who underwent intracardiac electrophysiological examination and radiofrequency ablation for idiopathic VT from January 1, 2016 to October 31, 2018 were analyzed retrospectively. Of them,23 patients only underwent cardiac electrophysiological examination for difficult to induce VT(16 cases) or polymorphic VT(7 cases). 123 patients underwent radiofrequency ablation of VT. Results The procedure was successful in 110 cases of 123 patients underwent radiofrequency ablation(89. 4 %). During(17 ± 3)months follow-up, 13 patients had recurrence of VT(10.6%). Of them, 3 VT from right ventricular outflow tract, 5 VT from left posterior fascicular, 4 VT from left ventricular papillary muscle, and 1 VT from aortic sinus. Pericardial tamponade occurred in one patient. There was no other complication and death. Conclusion Radiofrequency ablation of idiopathic VT is safety and effective.

关 键 词：室性心动过速 射频消融 有效性 安全性 

分 类 号：R541.7[医药卫生—心血管疾病]