改良下位法选择性消融慢径路治疗房室结折返性心动过速Selective Ablation of the Slow Pathway by Modified Inferior Approach in Patients with Atrioventricular Node Reentrant Tachycardia
雷鸣,于世龙,曾秋棠
摘要(Abstract):
采用改良下位法选择性阻断慢径路治疗20例房室结折返性心动过速患者.改良下位法的特点是:不放冠状窦电极,在后前位透视下,以His束电极为定位标志,射频电极从His束电极下方开始消融慢径路.结果20例患者,19例慢径路阻断,术后房室结双径路跳跃现象及房室结折返性心动过速消失,成功率95%(19/20),平均手术时间3.1±1.04小时,x线曝光时间29±11.2分,随访1~13月,1例复发,本文对改良下位法的方法学和机理进行了探讨.
关键词(KeyWords): 改良下位法;慢径路;射频消融
基金项目(Foundation):
作者(Author): 雷鸣,于世龙,曾秋棠
参考文献(References):
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