伴下腔静脉滤器经上腔静脉路径成功消融右侧旁路1例  

A case with inferior vena cava filter of right accessory pathway ablation through superior vena cava approach

作　　者：陈东 冯俊[1] 江永进 高玉[1] 周高亮[1] 卢冬雨 CHEN Dong;FENG Jun;JIANG Yongjin;GAO Yu;ZHOU Gaoliang;LU Dongyu(Department of Cardiology,The Second People's Hospital of Hefei,Hefei Hospital Affiliated to AnHui Medical University,Hefei,230011,China)

机构地区：[1]合肥市第二人民医院(安徽医科大学附属合肥医院)心血管内科,合肥230011

出　　处：《临床心血管病杂志》2024年第1期78-80,共3页Journal of Clinical Cardiology

基　　金：2020年度蚌埠医学院自然科学基金重点项目(No:2020byzd297);2020年度安徽医科大学校科研基金项目(No:2020xkj073)。

摘　　要：患者因反复胸闷胸痛7年、心悸2 h入院。临床诊断为阵发性室上性心动过速(PSVT)。患者于20年前植入下腔静脉滤器。电生理检查明确诊断为右侧隐匿性旁道介导的房室折返性心动过速(顺向性)。后通过上腔静脉入路成功消融。对于难以通过下腔静脉入路消融的患者来说,上腔静脉入路可能是一种安全、有效和可行的方法。A patient was admitted to the hospital with a history of repeated chest tightness and pain for 7 years,accompanied by palpitations lasting 2 hours.Clinical diagnosis revealed paroxysmal supraventricular tachycardia(PSVT).The patient had an inferior vena cava filter implanted 20 years ago.A clear diagnosis was established through electrophysiological examination,indicating right concealed accessory pathway-mediated atrioventricular reentrant tachycardia(anterograde).Successful ablation was performed through the superior vena cava approach.Therefore,the superior vena cava approach may be considered a safe,effective,and feasible method for patients who are challenging to ablate via the inferior vena cava approach.

关 键 词：下腔静脉滤器 上腔静脉入路 导管消融 右侧隐匿性旁道 

分 类 号：R541.7[医药卫生—心血管疾病]