Intracardiac Echocardiography and Ablation of Atrial Fibrillation in Dextrocardia

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Noninvasive Electrocardiology Pub Date : 2024-11-05 DOI:10.1111/anec.70030
Shuang Zhang, Mingxian Chen, Lin Hu, Hanze Tang, Liyi Liao, Xuping Li
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Abstract

Background

Dextrocardia with atrial fibrillation (AF) complicates radiofrequency ablation treatment.

Methods

A case of successful AF ablation in dextrocardia, guided by intracardiac echocardiography (ICE) and the Carto 3 high-density mapping system, is reported.

Results

ICE-guided transseptal puncture and three-dimensional mapping facilitated successful pulmonary vein isolation (PVI). The patient had a good recovery with no recurrence.

Conclusion

ICE and Carto 3 system's high-density mapping aid in ablation for abnormal cardiac anatomy, reducing surgical complications.

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心内超声心动图和右心房颤动的消融术。
背景:右心房颤动并发射频消融治疗:心房颤动(房颤)伴右心房颤动会使射频消融治疗复杂化:报告了一例在心内超声心动图(ICE)和Carto 3高密度绘图系统引导下成功消融右心房颤动的病例:结果:ICE引导下的经窦道穿刺和三维测图帮助成功进行了肺静脉隔离(PVI)。结果:ICE引导下的经皮穿刺和三维测绘成功地完成了肺静脉隔离(PVI),患者恢复良好,没有复发:结论:ICE 和 Carto 3 系统的高密度映射有助于消融异常的心脏解剖结构,减少手术并发症。
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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.
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