摘要
目的 总结器质性心脏病室性心动过速(室速)患者行射频消融介入治疗时应用微创体外循环技术(MiECC)辅助的临床经验。方法 对2020年7月至2021年7月期间本院22例室速射频消融介入手术患者在本单位定制的闭合式回路MiECC辅助下完成。对22例患者的临床资料,包括术前基本情况、术中过程及术后恢复情况进行回顾性分析并总结。结果 22例患者均在MiECC辅助下完成射频消融并于术毕立即撤除。射频消融手术成功率为95%,所有患者术后恢复良好,未见严重并发症,均好转出院。结论 对器质性心脏病室性心动过速患者进行射频消融治疗采用MiECC辅助可以提供安全保障、降低手术风险。
Objective To summarize the clinical experience of structural heart disease patients with ventricular tachycardia undergoing radiofrequency ablation assisted by MiECC(minimally invasive extracorporeal circulation, MiECC). Methods From July 2020 to July 2021, ventricular tachycardia radiofrequency ablation was completed in 22 patients the assistance of customized closed-loop MiECC consisting of custom-made tubing and membrane oxygenator in our hospital. The clinical data of all patients, including basic preoperative conditions, intraoperative processes and postoperative recovery, were retrospectively analyzed and summarized. Results All 22 patients completed radiofrequency ablation with the assistance of MiECC and were removed immediately after the operation. The success rate of radiofrequency ablation in patients with ventricular arrhythmia was about 95%. All patients recovered well and discharged from the hospital without any serious complications. Conclusion MiECC assistance can provide safety guarantees and reduce surgical risks for patients with structural heart disease and ventricular tachycardia during radiofrequency ablation.
作者
陈瑾
周岳廷
张劲林
张山峰
熊怡鸣
卢娟
陈超
徐月
刘燕
Chen Jin;Zhou Yueting;Zhang Jinlin;Zhang Shanfeng;Xiong Yiming;Lu Juan;Chen Chao;Xu Yue;Liu Yan(Department of Cardiopulmonary Bypass,Wuhan Asian Heart Hospital,Hubei Wuhan 430022,China)
出处
《中国体外循环杂志》
2022年第2期75-77,102,共4页
Chinese Journal of Extracorporeal Circulation
基金
武汉市卫生和计划生育委员会重点项目(WX18A01)。
关键词
微创体外循环
室性心动过速
射频消融
器质性心脏病:闭合式回路
Minimally invasive extracorporeal circulation
Ventricular tachycardia
Radiofrequency ablation
Structural heart disease
Closed circuit
