临床心血管病杂志2024,Vol.40Issue(1) :78-80.DOI:10.13201/j.issn.1001-1439.2024.01.015

伴下腔静脉滤器经上腔静脉路径成功消融右侧旁路1例

A case with inferior vena cava filter of right accessory pathway ablation through superior vena cava approach

陈东 冯俊 江永进 高玉 周高亮 卢冬雨
临床心血管病杂志2024,Vol.40Issue(1) :78-80.DOI:10.13201/j.issn.1001-1439.2024.01.015

伴下腔静脉滤器经上腔静脉路径成功消融右侧旁路1例

A case with inferior vena cava filter of right accessory pathway ablation through superior vena cava approach

陈东 1冯俊 1江永进 1高玉 1周高亮 1卢冬雨1
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作者信息

  • 1. 合肥市第二人民医院(安徽医科大学附属合肥医院)心血管内科(合肥,230011)
  • 折叠

摘要

患者因反复胸闷胸痛7年、心悸2 h入院.临床诊断为阵发性室上性心动过速(PSVT).患者于20年前植入下腔静脉滤器.电生理检查明确诊断为右侧隐匿性旁道介导的房室折返性心动过速(顺向性).后通过上腔静脉入路成功消融.对于难以通过下腔静脉入路消融的患者来说,上腔静脉入路可能是一种安全、有效和可行的方法.

Abstract

A patient was admitted to the hospital with a history of repeated chest tightness and pain for 7 years,accompanied by palpitations lasting 2 hours.Clinical diagnosis revealed paroxysmal supraventricular tachy-cardia(PSVT).The patient had an inferior vena cava filter implanted 20 years ago.A clear diagnosis was estab-lished through electrophysiological examination,indicating right concealed accessory pathway-mediated atrioven-tricular reentrant tachycardia(anterograde).Successful ablation was performed through the superior vena cava ap-proach.Therefore,the superior vena cava approach may be considered a safe,effective,and feasible method for patients who are challenging to ablate via the inferior vena cava approach.

关键词

下腔静脉滤器/上腔静脉入路/导管消融/右侧隐匿性旁道

Key words

inferior vena cava filter/superior vena cava approach/catheter ablation/right concealed accesso-ry pathway

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基金项目

2020年度蚌埠医学院自然科学基金重点项目(2020byzd297)

2020年度安徽医科大学校科研基金(2020xkj073)

出版年

2024
临床心血管病杂志
华中科技大学心血管病研究所 华中科技大学协和医院

临床心血管病杂志

CSTPCD
影响因子:0.653
ISSN:1001-1439
参考文献量10
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