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Marshall韧带心内膜面标测新方法

冠状窦电极放置成功后提示不纯性房扑,周长不等,但冠状窦的激动顺序基本一致。

经右肺静脉前庭补充消融及改良BOX消融后,不纯性房扑转变为240ms周长的稳定房扑。

大头标测导管在左房嵴部进行起搏标测,其起搏后间期与房扑周长相等。

向上滑动阅览

参考文献:

1. Fink T, Schluter M, Heeger CH, Lemes C, Maurer T, Reissmann B, Riedl J, Rottner L, Santoro F, Schmidt B, Wohlmuth P, Mathew S, Sohns C, Ouyang F, Metzner A and Kuck KH. Stand-Alone Pulmonary Vein Isolation Versus Pulmonary Vein Isolation With Additional Substrate Modification as Index Ablation Procedures in Patients With Persistent and Long-Standing Persistent Atrial Fibrillation: The Randomized Alster-Lost-AF Trial (Ablation at St. Georg Hospital for Long-Standing Persistent Atrial Fibrillation). Circ Arrhythm Electrophysiol. 2017;10.

2. Valderrabano M, Peterson LE, Bunge R, Prystash M, Dave AS, Nagueh S and Kleiman NS. Vein of Marshall ethanol infusion for persistent atrial fibrillation: VENUS and MARS clinical trial design. Am Heart J. 2019;215:52-61.

3. Yang G, Yang B, Wei Y, Zhang F, Ju W, Chen H, Li M, Gu K, Lin Y, Wang B, Cao K, Kojodjojo P and Chen M. Catheter Ablation of Nonparoxysmal Atrial Fibrillation Using Electrophysiologically Guided Substrate Modification During Sinus Rhythm After Pulmonary Vein Isolation. Circ Arrhythm Electrophysiol. 2016;9:e003382.

4. Dong JZ, Sang CH, Yu RH, Long DY, Tang RB, Jiang CX, Ning M, Liu N, Liu XP, Du X, Tse HF and Ma CS. Prospective randomized comparison between a fixed '2C3L' approach vs. stepwise approach for catheter ablation of persistent atrial fibrillation. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology. 2015;17:1798-806.

5. Zhou G, Chen S, Chen G, Zhang F, Meng W, Yan Y, Lu X, Wei Y and Liu S. Procedural arrhythmia termination and long-term single-procedure clinical outcome in patients with non-paroxysmal atrial fibrillation. Journal of cardiovascular electrophysiology. 2013;24:1092-100.

6. January CT, Wann LS, Calkins H, Chen LY, Cigarroa JE, Cleveland JC, Jr., Ellinor PT, Ezekowitz MD, Field ME, Furie KL, Heidenreich PA, Murray KT, Shea JB, Tracy CM and Yancy CW. 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2019;74:104-132.

7. Kirchhof P, Benussi S, Kotecha D, Ahlsson A, Atar D, Casadei B, Castella M, Diener HC, Heidbuchel H, Hendriks J, Hindricks G, Manolis AS, Oldgren J, Popescu BA, Schotten U, Van Putte B, Vardas P, Agewall S, Camm J, Baron Esquivias G, Budts W, Carerj S, Casselman F, Coca A, De Caterina R, Deftereos S, Dobrev D, Ferro JM, Filippatos G, Fitzsimons D, Gorenek B, Guenoun M, Hohnloser SH, Kolh P, Lip GY, Manolis A, McMurray J, Ponikowski P, Rosenhek R, Ruschitzka F, Savelieva I, Sharma S, Suwalski P, Tamargo JL, Taylor CJ, Van Gelder IC, Voors AA, Windecker S, Zamorano JL and Zeppenfeld K. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology. 2016;18:1609-1678.

8. Chen S, Zhou G, Lu X, Wei Y, Xu J, Cai L, Wu X, Liu S and Po SS. The importance of identifying conduction breakthrough sites across the mitral isthmus by elaborate mapping for mitral isthmus linear ablation. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology. 2019;21:950-960.

9. Takigawa M, Derval N, Martin CA, Vlachos K, Denis A, Nakatani Y, Kitamura T, Cheniti G, Bourier F, Lam A, Martin R, Frontera A, Thompson N, Massoullie G, Wolf M, Escande W, Andre C, Zeng LJ, Roux JR, Duchateau J, Pambrun T, Sacher F, Cochet H, Hocini M, Haissaguerre M and Jais P. Mechanism of Recurrence of Atrial Tachycardia: Comparison Between First Versus Redo Procedures in a High-Resolution Mapping System. Circ Arrhythm Electrophysiol. 2020;13:e007273.

10. Chen S, Lu X and Liu S. Elaborating endocardial mapping the Marshall bundle revealed a perimitral flutter mediated by ligament of Marshall. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology. 2020;22:258.

11. Chen S, Zhou G, Lu X, Wei Y and Liu S. To the Editor- Understanding the complex anatomy of the Marshall bundle might improve the ablation efficacy. Heart Rhythm. 2020;17:e229.

12. Han S, Joung B, Scanavacca M, Sosa E, Chen PS and Hwang C. Electrophysiological characteristics of the Marshall bundle in humans. Heart Rhythm. 2010;7:786-93.

13. Barkagan M, Shapira-Daniels A, Leshem E, Shen C and Anter E. Pseudoblock of the Posterior Mitral Line With Epicardial Bridging Connections Is a Frequent Cause of Complex Perimitral Tachycardias. Circ Arrhythm Electrophysiol. 2019;12:e006933.

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