我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

CARTO标测下导管消融治疗房性心律失常的效果

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2014年第5期
页码:
544-546,553
栏目:
临床研究
出版日期:
2014-05-25

文章信息/Info

Title:
Clinical efficacy of CARTO-guided radiofrequency catheter ablation in treatment of atrial arrhythmia
作者:
王 永; 方五旺; 林丙来; 李 俊; 柏 战; 阮爱兵; 何友权
(芜湖市第二人民医院心血管内科，安徽 芜湖 241000)
Author(s):
WANG Yong;  FANG Wu-wang;  LIN Bing-lai;  LI Jun;  BO Zhan;  RUAN Ai-bing;  HE You-quan
(Department of Cardiac Medicine, Wuhu Second People’s Hospital, Wuhu 241000, Anhui, China)
关键词:
三维电磁导管定位系统; 心律失常; 导管消融
Keywords:
CARTO;  arrhythmia;  catheter ablation;  3D mapping technology
分类号:
R541.6
DOI:
-
文献标识码:
A
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。
Abstract:
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.

参考文献/References

[1]Morillo CA,Verma A,Connolly SJ,et al.Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of paroxysmal atrial fibrillation(RAAFT-2):a randomized trial[J].JAMA,2014,311(7):692-700.
[2]Mont L,Bisbal F,Hernández-Madrid A,et al.Catheter ablation vs.antiarrhythmic drug treatment of persistent atrial fibrillation:a multicentre,randomized,controlled trial(SARA study)[J].Eur Heart J,2014,35(8):501-507.
[3]Kistler PM,Roberts-Thomson KC,Haqqani HM,et al.P-wave morphology in focal atrial tachycardia: development of an algorithm to predict the anatomic site of origin[J].J Am Coll Cardiol,2006,48(5):1010-1017.
[4]Hachiya H,Ernst S,Ouyang F,et al.Topographic distribution of focal left atrial tachycardias defined by electrocardiographic and electrophysiological data[J].Circ J,2005,69(2):205-210.
[5]Kistler PM,Fynn SP,Haqqani H,et al.Focal atrial tachycardia from the ostium of the coronary sinus: electrocardiographic and electrophysiological characterization and radiofrequency ablation[J].J Am Coll Cardiol,2005,45(9):1488-1493.
[6]王 洪,洪 浪,赖珩莉,等.三维标测系统指导下多环心房扑动的射频消融治疗[J].中国心脏起搏与心电生理杂志,2011,25(5):401-405.
[7]Calkins H,Brugada J,Packer DL,et al.HRS/EHRA/EACS expert consensus statement on catheter and surgical ablation of atrial fibrillation:recommendations for personnel, policy, procedures and follow-up.A report of the Heart Rhythm Society(HRS)Task force on catheter and surgical ablation of atrial fibrillation[J].Europace,2007,4(6):816-861.
[8]Wann LS,Curtis AB,January CT,et al.2011 ACCF/AHA/HRS focused update on the management of patients with atrial fibrillation (updating the 2006 guideline):a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[J].Circulation,2011,123(1):104-123.
[9]Imazio M,Hoit BD.Post-cardiac injury syndromes.An emerging cause of pericardial diseases[J].Int J Cardiol,2013,168(2):648-652.

备注/Memo

备注/Memo:
收稿日期：2014-02-23.
通讯作者：方五旺，主任医师，主要从事心脏疾病介入治疗研究 Email：fangwuwang@sina.com
作者简介：王永，主治医师，硕士 Email：hongpingguo2046@sina.com
更新日期/Last Update: 2014-06-05