图像融合系统指导下的心房颤动射频导管消融研究.pdfVIP

f摘要】 目的 评价图像融合系统指导下构建的左心房三维结构对心房颤动射频导管消融效果的影响。 方法 回顾性分析连续接受消融的8O例心房颤动患者，其中42例在图像融合系统指导下(A组)、38例单纯在常规电解剖标 测系统指导下(B组)行消融。消融策略：左右侧肺静脉环形电隔离一左心房碎裂电位消融一左心房顶部、底部、峡部和 右房三尖瓣峡部 上腔静脉、冠状窦口部消融。 结果 A组平均随访21 2±3．6月，36例(85％)3月后生活质量明显 改善，无心房颤动复发，其中3例扩张型心肌病和1例肥厚型心肌病消融成功，术后心功能明显改善。B组平均随访 22．1±3．3月。27例(71％)3月后生活质量明显改善，无心房颤动复发；另2例在再次消融后痊愈。 结论 图像融合 系统能提高心房颤动消融的手术成功率。 【关键词】心房颤动； 射频导管消融； 电解剖标测； 图像融合 [中图分类号】R541．7 5 [文献标识码】A [文章编号】 1002—1094(2008)01—0062—04 Radiofrequency Catheter Ablation of Atrial Fibrillation Guided by Carto-Merge JIA NG Chenyang,SUN Yong,SHENG et o1． Department of Cardiology， SIR RUN SHA W Hospital，Medical College，Zheji~g n e ￡ Hangzhou， 310016，China Corresponding author：JIANG Chenyang，E—mail：jiangchenyang@hotmail．COrn 【Abstract】 Objective To assess influences of three—dimensional structure of left atrium integrated by CART~ merge on radiofrequency catheter abIation(RFCA)of atrial fibrillation(AF)． Methods 80 consecutive patients un- derwent RFCA of AF 0f them，42 patients were guided by Carto-Merge (group A)and 38 patients by conven- tional Carto(group B)．Ablation strategies included circumferential pulmonary vein isolation，complex fractionated electrograms(CFAE)ablation of Ieff atrium ablation on the roof and bottom Of Ieff atrium，ablation in mitraI isthmus， tricuspid isthmus superior vena cava and at coronary sinus ostium． Results The mean follow～up duration was 21．2±3．6 months in group A and 22．1 4-3．3 months in group B．36 patients(85％)in group A and 27 patients(71％) in group B had obvious improvement in quality of life without recurrence of AF 3 months after RFCA．3 patients with dilated cardiomyopathy and one with hypertrophic cardiomyopathy had heart function improved obviously after RFCA in group A 2 patients were free of AF after re—operation in group B Conclusion Success rate of RFCA of AF maybe increased under guidance of CartO—Merge． 【Key words】 Atrial fibrillation； Radiofrequency cathe