非心脏手术患者围术期行导管消融治疗阵发性室上性心动过速的安全性分析  

Safety of perioperative catheter ablation for paroxysmal supraventricular tachycardia in patients undergoing non-caridac surgery

作　　者：韩昊[1] 任岚[1] 徐新娜[1] 赵颖[1] 郑梅[1] 王继红[1] 孙华毅[1] 赵兴山[1] HAN Hao;REN Lan;XU Xinna;ZHAO Ying;ZHENG Mei;WANG Jihong;SUN Huayi;ZHAO Xingshan(Department of Cardiology,Beijing Jishuitan Hospital,Beijing 100035,China)

机构地区：[1]北京积水潭医院心内科,100035

出　　处：《心肺血管病杂志》2021年第5期406-409,共4页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:分析非心脏手术围术期行导管消融治疗阵发性室上性心动过速(PSVT)的安全性和可行性。方法:对自2013年4月至2019年10月,在积水潭医院行非心脏手术,围术期发生PSVT和预激综合征的患者行导管消融治疗,分析消融成功率,并发症发生率,非心脏手术麻醉及术中发生心律失常的风险。结果:共完成导管消融20例,房室结折返性心动过速(AVNRT)6例,房室折返性心动过速(AVRT)13例,B型预激综合征伴心房扑动1例。均一次消融成功,无严重并发症,消融术后(5.3±2.6) d行非心脏手术,术中均未发作心动过速。结论:围术期行导管消融治疗PSVT安全可行,可有效预防非心脏手术术中发作心动过速。Objective:To analyze the safety and feasibility of catheter ablation for supraventricular tachycardia(PSVT)during the perioperative period of non-cardiac surgery.Methods:Patients who suffered from PSVT or WPW syndrome were treated with radiofrequency catheter ablation in Jishuitan Hospital during the perioperative period from Apr 2013 to Oct 2019.The success rate of ablation,incidence of complications,risk of arrhythmia during anesthesia and operation were analyzed.Results:20 patients were treated with catheter ablation,6 were atrioventricular nodal reentrant tachycardia(AVNRT),13 were atrioventricular reentry tachycardia(AVRT),1 was B type WPW syndrome with atrial flutter(AFL).All of them were treated success-fully at the first attempt without severe complications.Non-cardiac surgery was performed(5.3±2.6)days after ablation,and no tachycardia occurred during the operation.Conclusions:Catheter ablation of paroxysmal su-praventricular tachycardia is safe and feasible during perioperative period,and can effectively prevent tachycar-dia during non-cardiac surgery.

关 键 词：阵发性室上性心动过速 导管消融 非心脏手术 

分 类 号：R54[医药卫生—心血管疾病]