摘要
本文报告３３例室上性心动过速的射频消融治疗，其中左侧旁道１８例，右侧旁道８例，房室结双径路７例，总成功率９６９％，其中旁道参与的２６例（共２８条旁道，离断２７条），成功率９６４％，房室结双径路７例，阻断慢径成功率１００％。１例复发，再次接受ＲＦＣＡ成功；１例左侧隐匿性旁道伴阵发性房颤患者术后次日转变为持续房颤，１月后发生脑栓塞；死亡１例，死因为亚急性心包填塞。
33 patients with supraventricular tachycardia were treated with radiofrequency catheter ablation (RFCA). The left-sided atrioventricular accessory pathways (APS) were present in 18 cases, the right-sided atrioventricular accessory pathways in 8 patients, and the other 7 patients with supraventricular tachycardia (SVT) were caused by atrioventricular node reentry. 27 of the 28 APS were successfully ablated with a success rate of 964%. The slow AV nodal pathways were ablated in 7 patients, the success rate was 100%. One patient with a concealed left-sided AP relapsed after 2 months, and successfully reablated. Cerebral embolism occured in a patient one month after ablation. There was one case of death from subacute pericardial tamponade fol lowing successful ablation. It is concluded that RFCA for cure of SVT was effective and relatively safe.
出处
《云南医药》
CAS
1997年第6期408-409,共2页
Medicine and Pharmacy of Yunnan
关键词
室上性心动过速
射频消融
治疗
心动过速
Supraventricular tachvcardia Radiofrequency catheter ablation
