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首页> 外文期刊>Indian Pacing and Electrophysiology Journal >Extensive Preferential Pathway Ablation for the Elimination of Premature Ventricular Contractions Arising from the Right Ventricular Outflow Tract >
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Extensive Preferential Pathway Ablation for the Elimination of Premature Ventricular Contractions Arising from the Right Ventricular Outflow Tract >

机译:广泛的首选途径消融术可消除右室流出道引起的室性早搏 >

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摘要

A 76 y/o women presented with 2 different types of premature ventricular contractions (VPCs 1 and 2) arising from the right ventricular outflow tract (RVOT). Catheter ablation (CA) eliminated PVC1 at the earliest activation site (EAS), but thereafter another PVC morphology (PVC3) appeared. Small potentials preceding the local potential were broadly exhibited from the RVOT's supero-anterior region to the EAS during PVC3. Point CA targeting such pre-potentials failed. Transverse-linear CA with a line connecting sites with such pre-potentials eliminated both PVCs 3 and 2. In cases with broadly spreading preferential pathways, extensive CA might be needed to eliminate the PVCs.
机译:一名76岁的女性因右室流出道(RVOT)出现2种不同类型的室性早搏(VPC 1和2)。导管消融(CA)在最早的激活部位(EAS)消除了PVC1,但此后出现了另一种PVC形态(PVC3)。在PVC3期间,从RVOT的上前部区域到EAS广泛显示了位于局部电位之前的小电位。针对此类预电位的Point CA失败。带有连接具有此类预电位的位点的直线的横向线性CA消除了PVC 3和2。在优惠途径广泛分布的情况下,可能需要广泛的CA才能消除PVC。

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