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儿童及青少年患者快速性心律失常的射频消融治疗(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2004年第5期
页码:
449-451
栏目:
临床研究
出版日期:
2004-09-01

文章信息/Info

Title:
Radiofrequency cather ablation on treatment of infant and youth rapid arrhythmia
作者:
刘　兵; 张　清; 王海昌; 张殿新; 程何祥; 李　伟; 李　媛; 王晓燕
第四军医大学西京医院心脏内科,陕西西安710032
Author(s):
LIU Bing ;  ZHANG Qing ;  WANG Hai-chang ;  ZHANG Dian-xin ;  CHENG He-xiang ;  LI Wei ;  LI Yuan ;  WANG Xiao-yan
Department of Cardiology , Xijing Hospital , Fourth Military Medical University , Xi’an ,Shaanxi 710032 ,China
关键词:
心律失常;  射频消融; 治疗
Keywords:
arrhythmia ;  radiofrequency cather ablation ; treatment
分类号:
R54117
DOI:
-
文献标识码:
A
摘要:
目的:观察射频消融术(RFCA) 在儿童及青少年快速性心律失常治疗中的成功率及安全性。方法:西京医院住 院行RFCA 治疗的148 例患者(其中右侧显性旁道并发左侧隐匿旁道者2 例,左侧隐匿旁道并发AVNRT者1 例) ,年 龄14. 1 ±2. 3 (6～18) 岁,病史2. 6 ±2. 5 (0. 1～12) 年。室上性心动过速(SVT) 141 例;特发性室性心动过速( IVT) 7 例。结果:房室折返型心动过速(AVRT) 93 例,房室结折返型心动过速(AVNRT) 51 例,特发性室性心动过速( IVT) 7 例。RFCA 成功率93. 4 % ,其中AVRT左侧旁道、AVNRT成功率达97 %、96 %。复发11 例再次消融均成功。术后无 手术相关并发症。结论:RFCA 是治疗儿童及青少年快速性心律失常安全、有效方法。
Abstract:
AIM: To investigate the ratio of success and security on application of radiofrequency cather ablation (RFCA) on treatment of infant and youth rapid arrhythmia. METHODS: Of the 148 cases of patients treated by RFCA , age is 14. 1 ±2. 3 (6 ±18) ,with a history of 2. 6 ±2. 5 (0. 1 ±12) years ,including 141 cases of SVT ,7 cases of IVT. RESULTS : The cases of AVRT is 93 ,AVNRT is 51 ,IVT is 7. The success ratio of RFCA is 93. 4 %. The left byway in AVRT and AVNRT is 97 %. ,96 %. 11 recurrence are successful in melting. No complication after operation. CONCLUSION: RFCA is the secure and effective method on treatment of infant and youth rapid arrhythmia.

参考文献/References

[1 ] Calkins H. Electrophysiology : Radiofrequency catheter ablation of supraventricular arrhythmias[J ] . Heart , 2001 , 85 ( 5) :594 - 601.

[2 ] Calkins H , Yong P , Miller J , et al . Catheter ablation of accessory pathways , atrioventricular nodal reentrant tachycardia , and the atrioventricular junction : final results of a prospective , multicenter clinical trial [J ] . Circulation , 1999 , 99 ( 2) : 262.

[3 ] Lemery R , Talajic M, Roy D , et al . Catheter ablation using radiofrequency or lowenergy direct current in pediatric patients with the Wolff Parkinson - white syndrome[J ] . Am J Cardiol , 1994 , 73 (1) :191.

[4 ] Kay GN , Epstein AE , Dailey SM, et al . Selective radiofrequency ablation of the slow pathway for the treatment of atrioventricular nodal reentrant tachycardia. Evidence for involvement of perinodal myocardium within the reentrant circuit [J ] . Circulation , 1992 , 85 (5) :1675.

[5 ] 郑昌柱, 张代富. 室性心律失常的射频治疗[J ] . 心脏杂志,2003 , 15 (3) : 247 - 248.

[6 ] Friedman RA , Fagan T , Naomi J , et al . Thermal - guided radiofrequency catheter ablation in children and adolescents [J ] . J Electrocardiol , 1997 , 30 : 75 - 77.

[7 ] Wen MS , Yeh SJ , Wang CC , et al . Radiofrequency ablation therapy in idiopathic left ventricular tachycardia with no obvious structural heart disease [J ] . Circulation , 1994 , 89 :1690.

[8 ] Coggins DL , Lee FRJ , Sweeney J , et al . Radiofrequency catheter ablation as a cure for idiopathic tachycardia of both left and right ventricular origin [J ] . J Am Coll Cardiol , 1994 , 23 : I333.

备注/Memo

备注/Memo:
收稿日期：2003-12-1
更新日期/Last Update: 2004-09-01