经导管射频消融心房扑动
马长生,胡大一,丁燕生,王乐信,李毅刚,李宜富
摘要(Abstract)：
经导管射频消融心房扑动2例,均使持续性心房扑动终止并不能再诱发.本文根据Ⅰ型房扑的右房折返环机制,免去术前心房内标测,直接在低位右房间隔区域放电消融,2例病人分别在第6次放电和第1次放电时房扑终止,并不能再诱发,射频消融术全过程分别为80和60分钟,随访5个月和1周均无任何心动过速复发.本研究表明经导管射频消融术可能为难治性心房扑动提供新的治疗选择.
关键词(KeyWords)： 导管消融;射频电流;心房扑动
基金项目(Foundation):
作者(Author): 马长生,胡大一,丁燕生,王乐信,李毅刚,李宜富
参考文献(References)：
- [1] Klein GJ,Guiradon Gm,Sharma AD,et al.Demontstration of macroreentry and feasibility of operative therapy in the common type of atrial flutter.Am J Cardiol 1986;57:587
- [2] Touboul P,Saoudi N,Georges A,et al.Electrophysiologic basis of catheter ablation in atrial flutter.Am J Cardiol 1989;64:79J
- [3] Cosio FG,LoPez-Gil M,Goicolea A,et al.Radiofrequency ablation of the inferior vena cavatricuspid vdlve isthmus in common atrial flutter.Am J Cardiol 1993;71:705
- [4] Interian A,Cox MM,Jimenez RA,et al.A shared pathway in atrioventricular nodal reentrant tachycardia and atrial flutter:implications for pathophysiology and therapy.Am J codiol 1993;71:297