| 射频消融治疗儿童快速性心律失常100例 |
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| 引用本文： | 李虹,曾国洪,王慧深.射频消融治疗儿童快速性心律失常100例[J].中国心脏起搏与心电生理杂志,1998,12(3):141-142. |
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| 作者姓名： | 李虹 曾国洪 王慧深 |
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| 作者单位： | Department of Pediatrics，Guangdong Cardiovascular Disease Institute，Guangzhou，510100 |
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| 摘 要： | 探讨射频导管消融（ＲＦＣＡ）在治疗儿童快速性心律失常中的临床价值，采用ＲＦＣＡ治疗儿童室上性心动过速（ＳＶＴ）９３例、特发性室性心动过速（ＩＶＴ）７例。结果：ＳＶＴ消融成功率为９１．４％，右侧旁道消融成功率低于左侧旁道及房室结慢径路消融的成功率（８１．８％ｖｓ９６．８％及９６．６％；Ｐ均＜０．０５）。随访３７．３±２０．７个月，８例复发，其中２例发作次数较术前减少，口服普罗帕酮可预防发作，另６例再次消融成功。ＩＶＴ首次消融均成功，随访１９．５±１０．３个月，２例复发，均再次消融成功。全组无并发症发生。结果提示ＲＦＣＡ治疗儿童快速性心律失常是有效的、安全的。
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| 关 键 词： | 导管消融.射频电流 儿童 快速性心律失常 |
Radiofrequency Catheter Ablation for Tachyarrhythmias in 100 Children |
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| Van Hare GF,Lesh MD,Scheinman M,et al..Radiofrequency Catheter Ablation for Tachyarrhythmias in 100 Children[J].Chinese Journal of Cardiac Pacing and Electrophysiology,1998,12(3):141-142. |
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| Authors: | Van Hare GF Lesh MD Scheinman M |
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| Institution: | Van Hare GF,Lesh MD,Scheinman M,et
al.Percutaneous radiofrequency catheter ablation for supraventricular arrhythmias in
children.J Am Coll Cardiol,1991,17:1 613
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| Abstract: | To investigate the clinical value of radiofrequency catheter ablation(RFCA) for tachyarrhythmias in children,RFCA was used for supraventricular tachycardia(SVT) in 93 children,idiopathic ventricular tachycardia (IVT) in 7 children.Results:The success rate of ablating SVT was 91.4%.The success rate of ablating right accessory pathway was lower than that of left accessory pathway and slow pathway (81.8% vs 96.8%,96.6%,P<0.05,respectively).Eight cases recurred,and 6 cases were undergone successful ablation again during a mean follow up of 37.3±20.7 months.The initial ablation were successful in 7 cases with IVT.Two cases recurred and were undergone successful ablation again during a mean follow up of 19.5±10.3 months.The results suggest that RFCA for tachyarrhythmias in children is effective and safe. |
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| Keywords: | Catheter ablation radiofrequency current Child Tachyarrhythmia |
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