射频消融治疗房室折返性心动过速  

Evaluation of radiofrequency catheter ablation in treatment of patients with atrioventricular reentry tachycardia

作　　者：韩金旺[1] 杨浩[1] 曹蘅[1] 王安才[1] 俞国华[1] 芮世宝[1] 黄家胜[1] 

机构地区：[1]皖南医学院弋矶山医院心内科

出　　处：《中国临床药理学与治疗学》2003年第2期195-197,共3页Chinese Journal of Clinical Pharmacology and Therapeutics

摘　　要：目的 :对射频消融 (RFCA)治疗房室折返性心动过速进行分析 ,总结有效的消融方法。方法 :利用RFCA技术阻断房室旁道参与的折返性心动过速 4 5例 ,其中显性旁道 2 5例 ,隐性旁道 2 0例。结果 :消融总成功率为 97.8%。随访 1～ 2 0个月 ,1例左侧旁道复发 ,再次消融成功 ,复发率为 2 .2 % ,无并发症发生。结论AIM: To summarize the experience of radiofrequency catheter ablation (RFCA) in patients with atrioventricular reentry tachycardia. METHODS: The atrioventricular accessory pathway was blocked by RFCA in 45 patients with atrioventricular reentry tachycardia: manifest accessory pathways (25 cases) and recessiveness acessory pathways (20 cases). RESULTS: The total success rates of RFCA was 97.8 %. During follow up period of 1 to 20 months, the recurrence of atrioventricular reentry tachycardia (left sided accessory pathway) of 1 case was abolished by a second ablation. The recurrence rate was 2.2 %. No complications occurred. CONCLUSION: Accurate target site mapping and skillful catheter operation is the key of success for RFCA.

关 键 词：射频消融 治疗 房室折返性心动过速 心律失常 

分 类 号：R541.710.5[医药卫生—心血管疾病]