心内直视下AtricureTM双极射频消融改良迷宫手术治疗大左房心房颤动患者的临床研究 |
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引用本文: | 曾富春,刘胜中,丛伟,冯刚,甘崇志,王雪海,薛洋. 心内直视下AtricureTM双极射频消融改良迷宫手术治疗大左房心房颤动患者的临床研究[J]. 西部医学, 2010, 22(7): 1268-1269,1271 |
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作者姓名: | 曾富春 刘胜中 丛伟 冯刚 甘崇志 王雪海 薛洋 |
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作者单位: | 四川省医学科学院,四川省人民医院心胸外科,四川成都610072 |
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摘 要: | 目的评价心内直视下AtricureTM双极射频消融(BRFA)改良迷宫手术治疗大左房(〉55mm)心房颤动(AF)患者的安全性和疗效。方法对30例大左房AF接受心内直视手术加BRFA手术患者,临床资料进行回顾性分析。结果全组手术均顺利完成,体外循环时间(108.2±25.3)min,主动脉阻断时间(69.6±23.1)min,BRFA时间(18.7±2.6)min。术后均立即恢复窦性心律。无高度房室传导阻滞发生,无手术死亡。平均住院(11.8±3.7)d。30例术后平均随访(9.3±1.7)个月,AF消除率83.3%(25/30),窦性心律恢复率76.7%(23/30)。结论 AtricureTM BRFA手术对大左房AF患者仍然安全有效。
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关 键 词: | 心房颤动 双极射频消融 改良迷宫手术 心内直视手术 |
The clinical study of AtricureTM bipolar radiofrequency ablation modified maze procedure for atrial fibrillation with large left atrium under the open-heart surgery |
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Affiliation: | ZENG Fu-chun,LIU Sheng-zhong,CONG Wei,et al(Department of Cardiothoracic Surgery,Sichuan Academy of Medical Sciences &Sichuan People's Hospital,Chengdu 610072,China) |
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Abstract: | Objective To evaluate the safety and efficacy of the AtricureTM bipolar radiofrequency ablation(BRFA) modified maze procedure for atrial fibrillation(AF) with large left atrium under the open-heart surgery.Methods 30 cases with rheumatic heart disease and AF underwent BRFA combined with open-heart surgery.The clinical data was retrospectively analyzed.Results All operation was successful.Cardiopulmonary bypass,aortic clamp and BRFA were(108.2±25.3),(69.6±23.1) and(18.7±2.6) minutes,respectively.All patients were sinus rhythm after the hearts beat again.No high degree atrioventricular block and operation death were found.Hospital stay was mean(11.8±3.7) days.The rate of freedom from AF was 83.3%(25/30) and the rate of restoration to sinus rhythm was 76.7%(23/30).Conclusion BRFA is also a safe and valid treatment in eliminating AF of large left atrium patients. |
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Keywords: | Atrial fibrillation Bipolar radiofrequency ablation Modified maze procedure Open-heart surgery |
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