右侧0号Swartz鞘在升主动脉迂曲延长患者射频消融术中的新用途  

The experience of using R_0 Swarts sheath in patients with tortuous and prolonged aorta

作　　者：张建军[1] 李敬田[2] 陶贵州 张传唤 李清贤[4] 高冬升 

机构地区：[1]首都医科大学附属北京朝阳医院,北京100020 [2]山东潍坊医学院附属医院 [3]辽宁锦州医学院第一附属医院 [4]山东济宁医学院附属医院

出　　处：《中国介入心脏病学杂志》2003年第2期81-82,共2页Chinese Journal of Interventional Cardiology

摘　　要：目的　总结右侧 0号Swartz鞘在升主动脉迂曲延长患者射频消融术中应用的体会。方法　对 4例升主动脉迂曲延长的患者 (其中 3例左侧旁道、1例左室特发性室性心动过速 ) ,在消融导管无法进入升主动脉或左心室时 ,选用右侧 0号Swartz鞘 ,利用其头端较小的弯度 ,使消融导管顺利地经升主动脉进入左心室。结果　 4例升主动脉迂曲延长的患者经上述方法消融成功。结论　对升主动脉迂曲延长患者 ,如果没有条件进行房间隔穿刺 ,可以使用右侧 0号Swartz鞘协助导管操作 ,有助于缩短手术时间、避免并发症。Objective To report the experience of using R 0 Swartz sheath in patients with tortuous and prolonged aorta. Methods The radiofrequency ablation procedure could not be done in 4 patients (3 patients with left side accessory pathway, and 1 with idiopathic left ventricular tachycardia) because the ablation catheter could not be put in left ventricle due to tortuous and prolonged aorta. We tried to use R 0 Swartz sheath in these patients in order to put the catheter into left ventricle via small curve of the R 0 Swartz.Results The ablation procedures were successful in these 4 patients by using R 0 Swartz.Conclusion Using R 0 Swartz sheath in patients with tortuous and prolonged aorta is helpful in making the left side ablation procedure successful.

关 键 词：右侧0号Swartz鞘 升主动脉迂曲延长 射频消融术 左室特发性室性心动过速 并发症 

分 类 号：R654.2[医药卫生—外科学]