摘要
８０例行射频消融术（ＲＦＣＡ）的室上性心动过速患者中，５２例房室折返性心动过速有５３条旁路，射频阻断４９条，成功率９２％。例１第２次ＲＦＣＡ后出现Ⅲ度房室传导阻滞（Ａ－ＶＢ），１周后安装ＤＤＤ起搏器；１例大头导管在升主动脉打结；１例术后有左下肢静脉血栓形成；２例术后１个月复查Ｂ型超声示轻度主动脉瓣关闭不全。２６例房室结折返性心动过速射频全部成功，１例术后出现１度Ａ－ＶＢ，１例出现左侧气胸。２例房内折返性心动过速射频成功。初步认为射频消融治疗室上性心动过速有一定的并发症（包括Ⅲ度Ａ－ＶＢ）。
Eighty patients with supraventricular tachycardia (SVT) underwent radiofrequency catheter ablation (RFCA).Among these patients,there were 52 with atrioventricular reentrant tachycardia (AVRT),26 with atrioventricular nodal reentrant tachycardia (AVNRT), and 2 with intra-atrial reentrant tachycardia (IART).49 accessory pathways (APS) in 52 patients with AVRT (53 APS) were successfully ablated (success rate of 92. 4%). Slow pathways in the 26 patients with AVNRT were successfully ablated.IART of two patients was successfully treated with RFCA. 3°AVB occurred in 1 case and the patient was implanted DDD pacemaker;1 patient was complicated by lower limb venous thrombosis, and another one by left pneumothorax.Aortic insufficiency was found in two patients by echo during follow up at one month after RFCA.It suggests that complications might occur in patients with SVT following RFCA.
出处
《中国循环杂志》
CSCD
1995年第1期15-17,共3页
Chinese Circulation Journal
关键词
心动过速
室上性
射频消融术
病例分析
Radiofrequency catheter ablation
Tachycardia
Supraventricular
Complication
