高功率环肺静脉电隔离常规联合高功率上腔静脉电隔离治疗阵发性心房颤动的临床效果  

Clinical efficacy of high-power circumferential pulmonary vein isolation combined with high-power superior vena cava isolation in treatment of paroxysmal atrial fibrillation

作　　者：白雪洋[1,3] 魏华 白中乐 王琎[1] 陈晓伟 李凌[1] 董建增[1,2] Bai Xueyang;Wei Hua;Bai Zhongle;Wang Jin;Chen Xiaowei;Li Ling;Dong Jianzeng(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;不详)

机构地区：[1]郑州大学第一附属医院心血管内科,郑州450052 [2]首都医科大学附属北京安贞医院心血管内科,北京100029 [3]哈密市中心医院心血管内科,哈密839000

出　　处：《中国循证心血管医学杂志》2024年第5期552-555,共4页Chinese Journal of Evidence-Based Cardiovascular Medicine

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20190099)。

摘　　要：目的探讨高功率环肺静脉电隔离常规联合高功率上腔静脉电隔离治疗阵发性心房颤动的有效性和安全性。方法选取100例阵发性心房颤动患者,其中50例行单纯高功率环肺静脉电隔离术(对照组);另50例在高功率环肺静脉电隔离术基础上常规行高功率上腔静脉电隔离(试验组),比较两组手术操作时间、1年后心房颤动复发率及并发症发生情况。结果高功率环肺静脉电隔离常规联合高功率上腔静脉电隔离的试验组较对照组手术操作时间延长(P<0.05),但1年后心房颤动复发率降低(P<0.05)。两组各出现1例心包积液,试验组和对照组均未出现窦房结及膈神经损伤。结论高功率环肺静脉电隔离常规联合高功率上腔静脉电隔离治疗阵发性心房颤动是安全的,且与单纯行环肺静脉电隔离相比可有效降低心房颤动术后1年的复发率。Objective To investigate the efficacy and safety of high-power circumferential pulmonary vein isolation(CPVI)combined with high-power superior vena cava(SVC)isolation in treatment of paroxysmal atrial fibrillation(PAF).Methods PAF patients(n=100)were chosen and divided into control group given only highpower CPVI and test group given routine high-power SVC isolation based on high-power CPVI(each n=50).The time of operation,AF recurrence rate 1 y later and incidence of complications were compared between 2 groups.Results The operation time was longer(P<0.05),and AF recurrence rate 1 y later was lower(P<0.05)in test group than those in control group.There was 1 case of pericardial effusion in each group,and there were no injuries of sinus node and phrenic nerve in 2 groups.Conclusion The high-power SVC isolation combined with high-power CPVI is safe in PAF treatment,and can effectively reduce AF recurrence rate 1 y after the operation compared with only high-power CPVI.

关 键 词：心房颤动 射频消融 环肺静脉电隔离 上腔静脉电隔离 

分 类 号：R541.75[医药卫生—心血管疾病]