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- Radiofrequency Catheter Ablation of Slow Pathway in 760 Patients with Atrioventricular Nodal Reentrant Tachycardia--Long-Term Results
- Radiofrequency Catheter Ablation of Paroxysmal Supraventricular Tachycardia: Experience in 100 Patients
- Catheter-Mediated Ablation on 205 Patients with Supraventricular Tachycardia--Short-and Long-Term Follow-Up
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題 名 | Radiofrequency Catheter Ablation of Slow Pathway in 760 Patients with Atrioventricular Nodal Reentrant Tachycardia--Long-Term Results=房室慢速傳導路徑經導管電燒術治療760例房室結迴旋頻脈病人--長期結果 |
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作 者 | 余文鍾; 陳適安; 戴慶泰; 江晨恩; 李世煌; 邱春旺; 翁國昌; 溫斯企; 陳亦仁; 黃金隆; 馮安寧; 張茂松; | 書刊名 | 中華醫學雜誌 |
卷 期 | 59:2 1997.02[民86.02] |
頁 次 | 頁71-77 |
分類號 | 415.3026 |
關鍵詞 | 房室節迴旋頻脈; 經導管電燒術; Atrioventricular nodal reentrant tachycardia; Radiofrequency catheter ablation; |
語 文 | 英文(English) |
中文摘要 | 背景:雖然經導管選擇性房室慢速路徑電燒術已證實是根治房室節迴旋頻脈的方法,但對於使用經導電燒術治療不同型之房室節頻脈的長期追蹤並未有報告,本研究探討經導管選擇性房室慢速路徑電燒術於治療房室節迴旋頻脈之長期效果。 方法:從1990年12月至1996年6月760例臨床證實為房室結迴旋頻脈的病人在電氣生理實驗室接受正向及╱或逆向房室慢速路徑的經導管電燒術,其電氣生理資料及長期追蹤結果皆完整收集並分析成功率、併發症、發生率及復發率。 結果:在760例房室節迴旋頻脈中669例為慢快型27型為快慢型,13例為變異型(variant form)51例為多樣型(multiple forms),此四型房室結迴旋頻脈有不同的電氣生理特性;然而經導管電燒術治療在此4型房室節迴旋頻脈皆可達到99%的成功率。在760例經導管電燒治療中有5例意外性的房室節傳導傷害發生,其中3例需要放置永久性心律調節器。在術後追蹤期有4例(1.8%)復發房室節迴旋頻脈,此4位病人接受第二次電燒後皆成功治癒而未再復發。 結論:本研究顯示(1)經導管選擇性房室慢速路徑電燒術為治療各型房室節迴旋頻脈非常有效之方法;(2)在有經驗的電氣生理檢查中心,此治療方法的併發率及復發率皆非常低。 |
英文摘要 | Background: Although selective radiofrequency catheter ablation of the slow atrioventricular (AV) nodal pathway has provided a curative therapy for patients with AV nodal reentrant tachycardia, information about the long-term result of radiofrequency catheter ablation in patients with different types of AV nodal reentrant tachycardia was not available. This study was to investigate the long-term effect of selective slow pathway ablation in a large group of consecutive patients with AV nodal reentrant tachycardia. Methods: From December 1990 to June 1996, 760 consecutive patients with clinically documented AV nodal reentrant tachycardia received radiofrequency catheter ablation of antegrade and/or retrograde slow AV nodal pathway at this electrophysiologic laboratory. The data of electrophysiologic characteristics and long-term follow-up were collected. The success rate, complication rate and recurrence rate were analyzed. Results: There were 669 slow-fast form AV nodal reentrant tachycardia, 27 fast-slow form AV nodal reentrant tachycardia, 13 variant form AV nodal reentrant tachycardia, and 51 multiple forms of AV nodal reentrant tachycardia. The electrophysiologic characteristics were different among these four groups. However, radiofrequency catheter ablation attained a 99% success rate in all the four groups with different types of tachycardia. There were 5 accidental injuries to AV conduction. Three of the 5 patients needed implantation of pacemakers. During the follow-up period, there were 14 (1.8%) recurrence of AV nodal reentrant tachycardia. All of the 14 patients had a successful second ablation without recurrence. Conclusions: This study demonstrated that radiofrequency catheter ablation of slow pathway was a highly effective treatment modality for patients with various types of AV nodal reentrant tachycardia. Furthermore, the incidence of complication rate and recurrence rate were low in an experienced center. |
本系統中英文摘要資訊取自各篇刊載內容。