| 导管射频消融术治疗特发性房颤的临床疗效和安全性分析 |
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| 引用本文： | 冯媛媛,舒茂琴,冉擘力,宋治远.导管射频消融术治疗特发性房颤的临床疗效和安全性分析[J].重庆医学,2008,37(23). |
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| 作者姓名： | 冯媛媛 舒茂琴 冉擘力 宋治远 |
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| 作者单位： | 第三军医大学西南医院心血管内科、重庆市介入心脏病学研究所,重庆,400038;第三军医大学西南医院心血管内科、重庆市介入心脏病学研究所,重庆,400038;第三军医大学西南医院心血管内科、重庆市介入心脏病学研究所,重庆,400038;第三军医大学西南医院心血管内科、重庆市介入心脏病学研究所,重庆,400038 |
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| 基金项目： | 西南医院临床创新基金
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| 摘 要： | 目的 评价导管射频消融术治疗特发性房颤的临床疗效和安全性.方法 38例房颤患者接受治疗,其中阵发性房颤29例,持续性房颤9例.6例行肺静脉电隔离术,32例行Carto指导下环肺静脉前庭隔离术,消融终点均为双侧肺静脉完全电隔离.结果 38例患者术后即刻均成功迭到消融终点,手术过程中无并发症发生.术后3～5d有8例出现了房性心律失常.2例复发患者中1例为持续性房颤转为阵发性房颤,再次行导管消融获得成功;1例阵发性房颤发作频率明显减少、口服胺碘酮可维持窦性心律.其余36例患者均无房颤复发.所有患者术后均未发生与导管消融有关的并发症.结论 导管射频消融术治疗特发性房颤是安全有效的治疗方法 .
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| 关 键 词： | 电生理学技术 心房颤动 导管射频消融术 肺静脉 |
Clinical effect and safety of catheter ablation for idiopathic atrial fibrillation |
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| FENG Yuan-yuan,SHU Mao-qin,RAN Bo-li,et al..Clinical effect and safety of catheter ablation for idiopathic atrial fibrillation[J].Chongqing Medical Journal,2008,37(23). |
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| Authors: | FENG Yuan-yuan SHU Mao-qin RAN Bo-li |
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| Institution: | FENG Yuan-yuan,SHU Mao-qin,RAN Bo-li,et al.(Department of Cardiology,Southwest Hospital,Third Military Medical University,Interventional Cardiology Institute of Chongqing,Chongqing 400038,China) |
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| Abstract: | Objective To investigate the effect and safety of catheter ablation for idiopathic atrial fibrillation(AF).Methods Thirty-eight cases were included in this study,with 29 cases of paroxysmal AF,and 9 cases of persistent AF.Pulmonary vein isolation(PVI) was performed in earlier 6 cases.Electroanatomical systems(Carto) guided circumferential pulmonary veins antrum ablation was performed in 32 cases.The endpoint of ablation was complete electro-isolation of pulmonary veins.Results Thirty-eight cases were succes... |
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| Keywords: | electrophysiology atrial fibrillation catheter ablation pulmonary veins |
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