文档介绍:射频消融术在快速心律失常中的临床应用
作者:邓小军,何燕,王天勋,王殊,叶茂
【摘要】目的评价射频消融术治疗快速心律失常的临床疗效及安全性。方法分析我院施行射频消融术的19例快速心律失常病例的电生理特性、手术成功率和并发症。结果 19例快速心律失常中,房室结折返性心动过速(AVNRT)8例;房室折返性心动过速(AVRT)10例,隐性旁道7例,显性旁道3例;左侧旁道8例,右侧旁道2例;双旁道1例;房速1例。经射频消融均获成功,无明显并发症。结论经导管射频消融治疗快速心律失常成功率高,且安全可靠,为目前治疗快速心律失常的首选方法。
【关键词】快速心律失常;射频消融术
Abstract Objective To evaluate the clinical curative effect and safety of radiofrequency ablation in treating patients with rapid The electrophysiological characteristics, the essful rate of operation and plications of 19 cases with rapid arrhythmia being treated by radiofrequency ablation were Out of the 19 cases, there were 8 cases with atrioventricular nodal reentrant tachycardia(AVNRT), 10 cases with atrioventricular reentrant tachycardia(AVRT), 7 cases with concealed pathway, 3 cases with manifest pathway, 8 cases with left accessory pathway, 2 cases with right accessory pathway, 1 case with dual accessory pathway and 1 case with atrial tachycardia; radiofrequency ablation was essful in all the 19 cases and no plications Radiofrequency catheter ablation, as the first choice, is safe and reliable with high essful rate in treating patients with rapid arrhythmia.
KEYWORDS rapid arrhythmia radiofrequency ablation
射频消融术(RFCA)是快速心律失常最为安全有效的非药物治疗方法,在国内外已广泛应用。我院于2007年6月开展心律失常的射频消融术,治疗包括房室折返性心动过速(AVRT)和房室结折返性心动过速(AVNRT),共计19例患者均获成功,取得满