困难房间隔穿刺的解决之道剖析.ppt

射频能量辅助进针 射频能量辅助进针 鞘管通过卵圆窝困难 多因卵圆窝局部组织增厚，韧性增加所致 鞘管通过卵圆窝困难解决办法 确定穿刺针进入左房后，用力推送鞘管，或适当旋转扭动同时推送鞘管 经鞘管送入PBMV术所用的左心房导引钢丝，建立轨道后，推送鞘管 谢 谢！ * 加abcd * * The structure of LA decides the success rate of atrial septal puncture. This picture presents a failure case of atrial septal puncture. This is a patient with paroxymal AF and straight back syndrome(直背综合征）. Whose thin LA cause the failure of atrial septal puncture, In fact, anterior-posterior diameter of LA in this case is only 22 mm. * This patient has small LA and large gap space, which cause difficulty in atrial septal puncture