杨宇帆,刘启明,李旭平,刘振江,吴智鸿,阳辉,周胜华

• 1:中南大学湘雅二医院心血管内科

摘要(Abstract)：

目的总结肺动脉窦源性室性心律失常的消融方法,为肺动脉窦源性室性心律失常的消融治疗提供可以借鉴的经验。方法回顾性分析和总结2013年1月至2016年3月在中南大学湘雅二医院进行射频消融的19例肺动脉窦源性室性心律失常患者的临床资料。结果 19例肺动脉窦源性室性心律失常患者的起源点均位于肺动脉窦底部,5例起源于肺动脉右瓣窦,7例起源于左瓣窦,7例起源于前瓣窦。对于12例起源于右瓣窦及前瓣窦,采用导管倒"U"型方法成功消融;而对起源于左瓣窦的7例,采用常规方法(非导管倒"U"型)成功消融。随访6~31个月,无复发及并发症发生。结论导管倒"U"型消融方法适合应用于肺动脉右瓣窦及前瓣窦起源的室性心律失常。而起源点位于肺动脉左瓣窦时采用常规方法消融较安全。

关键词(KeyWords)： 室性心律失常;肺动脉窦;射频消融;导管倒“U”型

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 杨宇帆,刘启明,李旭平,刘振江,吴智鸿,阳辉,周胜华

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