Transvenous catheter cryoablation of the atrioventricular node and visual assessment of freezing of cardiac tissue using intracardiac echocardiography.

Kaoru Okishige, Tomoo Harada, Mihoko Kawabata, Kei Yamashiro, Ryouji Kishi, Kiyoshi Nakazawa, Fumihiko Miake, Mitsuaki Isobe
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引用次数: 2

Abstract

We investigated the use of a catheter-based cryoablation system on atrioventricular (AV) junction ablation in dogs. In five dogs, the cryoablation catheter was introduced to the AV junction area in order to create transient high degree or complete AV block. Cryo-freezing energy was applied by lowering the temperature to -75 degrees C for five minutes as a single cycle. This cycle was repeated until significant impairment of the AV conduction appeared. Transient high degree and complete AV block was obtained in all five dogs without any adverse effects. The iceball formation was identified by intracardiac echocardiography. Ablation of the AV junction is effective with several freeze-thaw cycles using a transvenous catheter cryoablation system.

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经静脉导管房室结冷冻消融及心内超声心动图对心脏组织冷冻的视觉评价。
我们研究了基于导管的冷冻消融系统在犬房室(AV)连接处消融中的应用。在5只犬中,冷冻消融导管被引入房室交界区,以造成短暂的高度或完全房室阻塞。低温冷冻能量是通过将温度降低到-75摄氏度,持续5分钟作为一个单一循环来应用的。这一循环不断重复,直到出现明显的房室传导障碍。5只犬均获得短暂的高度和完全的房室传导阻滞,无任何不良反应。通过心内超声心动图确定冰球形成。使用经静脉导管冷冻消融系统对房室连接处进行多次冻融循环是有效的。
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