摘要
目的：探讨三维电磁导管定位系统（CARTO）指导下3种常见房性心律失常（房性心动过速、心房扑动和心房颤动）导管消融临床的疗效及电生理特征。方法：2008年7月～2013年7月在我院行CARTO指导下导管消融治疗的166例房性心律失常患者的临床应用和电生理资料进行回顾性分析。结果：①166例房性心律失常患者，其中32例为房性心动过速，26例心房扑动，108例心房颤动（阵发性心房颤动78例、持续性房颤30例）；②消融及随访结果：共计162例即刻消融成功，4例失败（房速3例、房扑1例），总成功率为97．6％；随访6—60个月，复发30例，其中房速、房扑各2例，均再次消融成功；心房颤动复发24例（阵发性心房颤动14例、持续性心房颤动10例），再次消融后8例成功，二次房颤消融成功率为85％；均未出现心包填塞、心房食管瘘等严重并发症。结论：CARTO三维标测下导管消融治疗房性心动过速、心房扑动、心房颤动等房性心律失常是安全有效的。
AIM： To investigate the effectiveness, safety and electrophysiological characteristics of CARTO-guided catheter ablation in the treatment of atrial arrhythmia. METHODS： Treatments of 166 atrial arrhythmia patients in the Department of Cardiology in our hospital from July 2008 to July 2013 were analyzed retrospectively, among whom 93 cases were male and 73 cases were female, with an average age of 54 ±16 years. RESULTS： Among the 166 cases, 32 cases were atrial tachycardia, 26 cases of atrial flutter and 108 cases of atrial fibrillation （AF） （including 78 cases of paroxysmal AF and 30 cases of persistent AF）. Ablation and follow-up results showed that ablation achieved immediate success in 162 cases （97.6%） and failed in four cases. During the follow-up of 6 -60 months in the 166 cases, recurrence was found in 30 cases, including two cases of atrial flutter and two cases of atrial tachycardia. Ablation achieved success in all the cases. Recurrence was found in 24 cases of AF （ including 14 cases of paroxysmal AF and ten cases of persistent AF） and ablation achieved success in eight cases （85%）. No serious complications such as atrial esophageal fistula were found. CONCLUSION： CARTO-guided catheter ablation is safe and effective in the treatment of atrial arrhythmia including atrial tachycardia, atrial flutter and AF.
出处
《心脏杂志》
CAS
2014年第5期544-546,553,共4页
Chinese Heart Journal
