实用心电学杂志2024,Vol.33Issue(1) :39-43.DOI:10.13308/j.issn.2095-9354.2024.01.008

Columbus?2.0三维心脏电生理标测系统及配套导管治疗快速性心律失常的临床研究

Clinical study on catheter ablation of tachyarrhythmias guided by Columbus?2.0 three-dimension cardiac electrophysiological mapping system

李小荣 余金波 邱朝晖 张旭敏 朱中生 崔海明 吴奕章 谢欣 周建 王学成 胡伟 杨兵
实用心电学杂志2024,Vol.33Issue(1) :39-43.DOI:10.13308/j.issn.2095-9354.2024.01.008

Columbus?2.0三维心脏电生理标测系统及配套导管治疗快速性心律失常的临床研究

Clinical study on catheter ablation of tachyarrhythmias guided by Columbus?2.0 three-dimension cardiac electrophysiological mapping system

李小荣 1余金波 1邱朝晖 2张旭敏 1朱中生 3崔海明 4吴奕章 1谢欣 1周建 1王学成 1胡伟 2杨兵1
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作者信息

  • 1. 200120 上海,同济大学附属东方医院心内科
  • 2. 200336 上海,上海交通大学医学院附属同仁医院心内科
  • 3. 201399 上海,上海市浦东医院心内科
  • 4. 200437 上海,上海中医药大学附属岳阳中西医结合医院心内科
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摘要

目的 通过前瞻性、多中心、单臂研究,评估Columbus® 2.0 三维心脏电生理标测系统及其配套导管治疗快速性心律失常的有效性和安全性.方法 入选上海市 4 家电生理中心的快速性心律失常患者 50 例,其中男性 20 例(40.0%),患者平均(55.38±18.14)岁,采用Columbus® 2.0 系统及其配套导管进行射频消融术,记录手术即刻成功率、手术时间、X线曝光时间、X线曝光剂量及不良事件等,并随访6 个月.结果 入选房室结折返性心动过速34 例,房室折返性心动过速11 例,房性心动过速 1 例,典型心房扑动 1 例,室性早搏3 例.手术即刻成功率为 100%,围手术期无导管消融相关不良事件发生.平均手术时间 114.00(89.75,166.25)min,平均 X 线曝光时间 5.90(3.78,8.07)min,平均 X 线曝光剂量 23.96(8.00,50.00)mGy.随访6 个月,均未复发.结论 Columbus® 2.0 三维心脏电生理标测系统及其配套导管治疗快速性心律失常,尤其是室上性心律失常,具有良好的有效性和安全性.

Abstract

Objective To evaluate the efficacy and safety of the domestic Columbus®2.0 three-dimension(3D)cardiac electrophysiological mapping system and its supporting catheter in the treatment of tachyarrhythmias through a prospective,multi-center and single-arm study.Methods We selected 50 consecutive patients with tachyarrhythmias from 4 electrophysiological centers of Shanghai;20 patients(40.0%)are males,the mean age of patients is(55.38±18.14)years old.Radiofrequency ablation was performed on these patients guided by Columbus®2.0 system and its supporting catheter.The immediate success rate,operation time,X-ray exposure time and dose,and adverse events were recorded.All the patients were followed up for 6 months.Results There are 34 patients with atrioventricular nodal reentry tachycardia,11 cases with atrioventricular reentry tachycardia,one with atrial tachycardia,one with typical atrial flutter,and 3 patients with premature ventricular contraction.The immediate success rate of the procedure is 100%;no catheter ablation related adverse event occurs during the perioperative period.The average operation time is 114.00(89.75,166.25)min,the average X-ray exposure time is 5.90(3.78,8.07)min,and the average X-ray exposure dose is 23.96(8.00,50.00)mGy.There is no recurrence during 6 months of follow-up.Conclusion The efficacy and safety of Columbus® 2.0 3D cardiac electrophysiological mapping system and its supporting catheter is satisfying in treating tachyarrhythmias,especially supraventricular arrhythmias.

关键词

快速性心律失常/射频消融/三维标测/Columbus®系统

Key words

tachyarrhythmia/radiofrequency ablation/three-dimension mapping/Columbus®system

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基金项目

上海市科委"科技创新行动"产学研医合作领域项目(19DZ1930402)

上海市浦东新区卫生和健康委员会项目(PW2023A-17)

浦东新区卫生系统重点专科建设项目(PWZzk2022-03)

浦东新区临床高峰学科项目(PWYgf2021-01)

出版年

2024
实用心电学杂志
江苏大学

实用心电学杂志

影响因子:0.648
ISSN:2095-9354
参考文献量9
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