联合应用磁共振扫描与三维电解剖标测系统图像融合技术及Lasso导管标测技术指导环肺静脉隔离治疗心房颤动.PDFVIP

194 2007 8 15 4　Ch n J In terven t C ard o,l A ugu st 2007, V o l 15, N o.4 Lasso 徐亚伟　唐恺　马坚　张敬莹　周可　于学靖　陈艳清 【】　　(C arto-M erge ) L asso ()。　 56 、 , 41, 15 , 58.5 ±12.7 。 Car to-M e rge , , Lasso 。　(M R I) 1.79 ±0.33 mm。 92.9%(52 /56)。 18.3 ±5.7 , 73.2%(41 /56)。 10 ; 8.2 ±6.9, 8 。。　 C arto-M erge L asso , , 。 【】　;;;;, ; C ircum feren tial pu lm onary ve in isola tion gu id ed by C ar to-M erge and Lasso ca th eter s for the treatm en t of atr ia l fibr illation 　XU Yawei, TANGKai, MA Jian, et al.D eparmt ent of Cardiology, Shanghai Tenth Peoplesospita,l Tong Ji University, Shanghai 200072, China 【A b stract】　O b jec tiv e　To study the effect o f c rcum ferent al pu lm onary ve n so lat on (CPV I) gu ded by Carto-M erge and L asso cathe ter fo r the trea tm ent o f a tr al f br lla t on (AF ).M ethod s　F fty-s x drug re frac to ry pat ents (41 m ale)w th paroxy sm a l A F w ere enrolled nto th s study w th a m ean age of (58.5 ±12.7)years.O st a o f pulm ona ry ve ns (PV s)w e re dent f ed by C arto-M erge.Then c rcum feren t al pulm ona ry ve n so lat on w a s pe rform ed.The endpo n t of abla t on w as abo l shment o r d ssoc a t on of the pulm ona ry ve n po tent als (PVP s).R esu lts　M ean d stance be wt een e lec troanatom c m app ng po nts and M R I su rfaces w as (1.79 ±0.33)mm as a w hole n th s group.A bol shm en t o r d ssoc at on o f PV Ps w as accomp l shed n 52 pat ents (92.9%)du r ng the f rst procedure.A fte r a m ean (18.3 ±5.7)months of fo llow up, 41 pa t en ts (7 3.2%) ma n ta ned s nu s rhy thm. Ten pat ents rece ved a second abla t on procedu re, and 8 w ere free of a tr a l tachyarrhy thm a s afte r a m ean (8.2 ±6.9)m onths o f the second fo llow up.N o PV stenos sw as den t f ed afte