EnSite NavX三维标测系统指导主动脉窦起源的室性心律
失常的消融
谭海斌;师睿;杨希立;温旭涛;包镜汝;黄雯;姚焰
【期刊名称】《中华心律失常学杂志》 【年(卷),期】2011(015)006
【摘要】Objective To study the feasibility and safety of radiofrequency catheter ablation(RFCA)of ventricular tachycardia(VT)or ventricular premature contraction(VPC)originating from the aortic cusp underthe guidance of EnSite NavX system.Methods Twenty-four patients with VT/VPC orginating from aortic cusp were enrolled.The gemetry of aortic cusp was reconstructed using NavX mapping techuique and the accuracy was confirmed by coronary angiography.Ablation was applied at the site with earliest activation Results The VTs/PVCs in all 24 crees were successfully ablatedand the targets were located on left coronary cusp in 16,right coronary cusp in 4,anterior wall of aortic between left and right coronary cusp in 4.There was no procedure-related complication occurred.The total procedure time was(56.1±18.3) min,and the
fluoroscopic
time
(coronary circumflex
angiography artery
stensis
time was
included)was(11.2±6.8)min.Left
documented before mpping in 1 case and stenting procedure was performed after RFCA There was only one VT case with PVC recurrence during
a
(16±12)months
follow-up,and
re-ablation
EnSite NavX三维标测系统指导主动脉窦起源的室性心律失常的消融
