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Radiofrequency catheter ablation of paroxysmal supraventricular tachycardia care
Radiofrequency catheter ablation of paroxysmal supraventricular tachycardia care
[Keywords:] tachycardia; paroxysmal supraventricular; radiofrequency ablation
Our hospital from July 2006 to October 2008 45 patients with paroxysmal supraventricular tachycardia underwent radiofrequency catheter ablation, achieved a good clinical efficacy. Now nursing are summarized below.
1 Materials and Methods
1.1 Clinical data in this group of patients with paroxysmal supraventricular tachycardia in 45 cases, including 32 males and 13 females, aged 32 to 68 years old, atrioventricular nodal reentrant tachycardia (AVNRT) 29, atrial Room reentrant tachycardia (AVRT) 16 patients. had frequent episodes of supraventricular tachycardia, no structural heart disease, history of 2 to 15 years by a variety of anti-arrhythmic drug therapy ineffective, RF ablation without contraindications.
1.2 Method in the right jugular vein under local anesthesia, the left or right femoral vein puncture, puncture were implanted after successful coronary sinus (10 pole), His bundle, right ventricular electrode (4-pole), line electrophysiological examination, a clear heart type too fast, with the bulk of catheter 8F catheter ablation, mapping target, discharge, ablation was observed after 30min, repeat electrophysiological studies. If not induce tachycardia, pressure bandage can be removed catheter puncture site.
2 Results
With 1 case appears degree atrioventricular block, postoperative therapy did not improve at 4 months after the placement of permanent cardiac pacemaker VVI; remaining 44 patients had no complications. Were followed up for 3 12 months, patients had tachycardia recurrence.
Links to free paper download
3 Experience
Radiofrequency ablation is a relatively complex intervention techniques, with less trauma, quicker recovery, a high success rate, fewer complications. Patients tension, fear will affect the implementation of the operation, so careful psychological care
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