| 经皮导管冷冻消融治疗阵发性心房颤动的临床应用 |
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| 引用本文： | 裴晓阳,胡雪松,徐亚伟,于学靖,张新霞,颜雯,闵敏.经皮导管冷冻消融治疗阵发性心房颤动的临床应用[J].临床心血管病杂志,2009,25(4). |
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| 作者姓名： | 裴晓阳 胡雪松 徐亚伟 于学靖 张新霞 颜雯 闵敏 |
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| 作者单位： | 1. 深圳市第四人民医院心内科,广东深圳,518033
2. 上海市第十人民医院 |
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| 基金项目： | 广东省自然科学基金，广东省医学科学研究基金 |
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| 摘 要： | 目的:探讨导管冷冻消融术治疗心房颤动的有效性及安全性.方法:对12例阵发性心房颤动患者进行冷冻消融治疗.评价导管冷冻消融术治疗心房颤动的急性成功率、术后并发症以及临床长期有效性.结果:12例阵发性心房颤动患者,共对44根肺静脉进行了冷冻消融,其中29根肺静脉单用环状冷冻导管消融4～6次即能达到肺静脉的完全电隔离,15根肺静脉用环状冷冻导管消融后,需用普通射频消融导管在环形冷冻线上补点消融后才成功隔离肺静脉.随访6～10个月,9例临床症状得到改善,无心房颤动复发,其中3例需服用抗心律失常药维持窦性心律.3例患者心房颤动复发.消融后即刻选择性肺静脉造影和术后6个月核磁共振扫描检查均未发现肺静脉狭窄.结论:经皮导管冷冻消融治疗阵发性心房颤动是安全、有效的,可作为治疗心房颤动的一种有效方法.
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| 关 键 词： | 心血管病学 冷冻消融 阵发性心房颤动 安全性 有效性 |
The clinical application of percutaneous catheter cryoablation for treating patients with paroxysmal atrial fibrillation |
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| PEI Xiaoyang,HU Xuesong,XU Yawei,YU Xuejing,ZHANG Xinxia,WEN Yan,MIN Min.The clinical application of percutaneous catheter cryoablation for treating patients with paroxysmal atrial fibrillation[J].Journal of Clinical Cardiology,2009,25(4). |
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| Authors: | PEI Xiaoyang HU Xuesong XU Yawei YU Xuejing ZHANG Xinxia WEN Yan MIN Min |
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| Institution: | PEI Xiaoyang1 HU Xuesong1 XU Yawei2 YU Xuejing2 ZHANG Xinxia1 WEN Yan1 MIN Min1 |
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| Abstract: | Objective:To investigate the efficacy and safety of transcatheter cryoablation of paroxymal atrial fibrillation(PAf).Method:Twelve patients with consented to cryoablation were recruited.Acute procedural success,complications after cryoablation and long term clinical success were evaluated.Result:Cryoablation was performed in totally 44 pulmonary veins in 12 cases with PAf.Twenty-nine pulmonary veins were successfully isolated with the single use of the circular cryoablation catheter after 4-6 times of cryoa... |
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| Keywords: | cardiology catheter cryoablation paroxymal atrial fibrillation safety efficacy |
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