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首页> 外文期刊>Journal of cardiac surgery. >Surgical options for refractory ventricular tachycardia.
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Surgical options for refractory ventricular tachycardia.

机译:难治性室性心动过速的手术选择。

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摘要

Ventricular tachycardia (VT) is most often treated with antiarrhythmic drug therapy. When standard drugs fail, percutaneous, endocardial ablation guided by electroanatomic mapping is usually curative. Occasionally, these options are either unsuccessful or are not feasible, and surgical ablation is required. Surgical ablation of VT employs electroanatomic mapping and a variety of ablation strategies and technologies. The specific approach (endocardial vs. epicardial, beating heart vs. arrested) and ablation device must be tailored to the patient's anatomy and presentation. We present three cases to illustrate the range of surgical options available for ablation of VT arising from different anatomic foci.
机译:室性心动过速(VT)最常使用抗心律不齐药物治疗。当标准药物无效时,经电解剖标测引导的经皮心内膜消融通常可治愈。有时,这些选择要么不成功,要么不可行,需要进行手术消融。 VT的手术消融采用了电解剖图以及各种消融策略和技术。具体方法(心内膜对心外膜,跳动心脏对停搏)和消融器械必须根据患者的解剖结构和表现进行定制。我们介绍了三种情况,以说明可用于消融因不同解剖灶而引起的室速的手术选择范围。

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