昆明医学院学报2011，Vol.32Issue(2)：74-77,4.
阵发性心房颤动射频消融治疗60例临床分析
Clinical Research of Catheter Ablation for 60 Patients with Paroxysmal Atrial Fibrillation
郝应禄 1梁梅 1李燕萍 1陈鸿云 1廖德荣 1潘云席1
作者信息
- 1. 玉溪市人民医院心内科,云南,玉溪,653100
- 折叠
摘要
Abstract
Objective To investigate the effectiveness and safety of catheter ablation in the treatment of paroxysmal atrial fibrillation. Methods A total of 60 patients with paroxysmal atrial fibrillation during the period from July 2007 to August 2010 were selected, including 30 cases with circumferential pulmonary vein ablation guided by single Lasso and Carto technique (study group) , 30 cases with antiarrhythmic drugs (control group).Results During the 3 ～ 36 months of follow-up, in study group, atrial fibrillation recurred in 3 cases, the first clinic success rate was 90％. Complications occurred in 4 cases, including vagal reflex in 2 cases, femoral vein hematoma in 1 case and gastrointestinal bleeding in 1 case. In control group, the effective rate was 36.7％,complications occurred in 10 cases, including cerebral infarction in 4 cases (1 case of death, and 3 cases of hemiplegia) , hemiplegia caused by cerebral hemorrhage in 1 case, subcutaneous hemorrhage in 2 cases and gastrointestinal bleeding in 1 case, abnormal thyroid function because of amiodarone in 2 cases. In all, serious complications occurred in 8 cases (26.6％). Conclusion Circumferential pulmonary vein ablation guided by single Lasso and Carto technique is more effective and safer than drug treatment.关键词
阵发性心房颤动/导管消融术/电隔离Key words
Paroxysmal atrial fibrillation/ Catheter ablation/ Electric isolation分类
临床医学引用本文复制引用
郝应禄,梁梅,李燕萍,陈鸿云,廖德荣,潘云席..阵发性心房颤动射频消融治疗60例临床分析[J].昆明医学院学报,2011,32(2):74-77,4.
