| 心脏不停跳射频消融治疗心房颤动 |
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| 引用本文： | 李香伟,陆卫军,梁胜景,周一凡. 心脏不停跳射频消融治疗心房颤动[J]. 中国综合临床, 2010, 26(11). DOI: 10.3760/cma.j.issn.1008-6315.2010.11.023 |
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| 作者姓名： | 李香伟 陆卫军 梁胜景 周一凡 |
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| 作者单位： | 广西壮族自治区人民医院胸心血管外科,南宁,530021 |
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| 摘 要： | 目的 探讨双极射频消融系统在心脏不停跳下治疗心房颤动的可行性及疗效.方法 在常温体外循环心脏不停跳下用双极射频消融系统按照迷宫手术的线路进行射频消融,每处2～6次,至心律转为窦性,然后在心脏停跳下完成二尖瓣替换或主动脉瓣替换.结果 全组18例均无死亡,消融时间平均28min,均恢复窦性心律.结论 双极射频消融系统在心脏不停跳下治疗心房颤动安全,操作间单,效果好,值得推广.
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| 关 键 词： | 心房颤动 心脏不停跳 射频消融 |
Treating atrial fibrillation in beating heart during surgery using bipolar radiofrequency ablation system |
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| LI Xiang-wei,LU Wei-jun,LIANG Sheng-jing,ZHOU Yi-fan. Treating atrial fibrillation in beating heart during surgery using bipolar radiofrequency ablation system[J]. Clinical Medicine of China, 2010, 26(11). DOI: 10.3760/cma.j.issn.1008-6315.2010.11.023 |
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| Authors: | LI Xiang-wei LU Wei-jun LIANG Sheng-jing ZHOU Yi-fan |
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| Abstract: | Objective To investigate the feasibility and efficacy of treating atrial fibrillation(AF)in beating heart surgery using bipolar Radiofrequency Ablation(RFA)system. Methods Treating AF in beating heart under normal temperature CBP surgery with bipolar RFA following the circuit of maze operation,2 - 6 times each place,until sinus rhythm appeared,then perform AVR or MVR in the stopped beating heart. Results All 18 cases survived the surgery. Sinus rhythm appeared in all cases. The average treating time was 28 minutes. Conclusions Application of bipolar RFA in the treatment of AF in beating heart is a safe and efficacy method. It is recommended to be applied widely. |
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| Keywords: | Atrial fibrillation Beating heart Radiofrequency ablation |
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