Pulmonary vein isolation guided by real-time three-dimensional transesophageal echocardiography.

IF 1.3 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pace-Pacing and Clinical Electrophysiology Pub Date : 2012-03-01 Epub Date: 2011-01-31 DOI:10.1111/j.1540-8159.2011.03029.x
François Regoli, Francesco F Faletra, Marco Scaglione, Gaetano Nucifora, Tiziano Moccetti, Angelo Auricchio
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引用次数: 11

Abstract

The present case illustrates pulmonary vein isolation guided by real-time three-dimensional transesophageal echocardiography. This imaging modality allowed to navigate in a point-by-point fashion around pulmonary veins to assess both catheter location in relation to pulmonary vein ostia and stability of catheter tip. Also, it offered high-resolution visualization of a thickened, prominent tissue that surrounded the left upper pulmonary vein (the ligament of Marshall). The ability to visualize this anatomical structure along with intracardiac recording of electrical signals allowed to safely modulate in loco radiofrequency energy delivery, thus achieving electrical isolation of the pulmonary vein.

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实时三维经食管超声心动图引导下肺静脉隔离。
本病例在实时三维经食管超声心动图引导下进行肺静脉隔离。这种成像方式允许在肺静脉周围逐点导航,以评估导管与肺静脉口的位置和导管尖端的稳定性。此外,它还提供了包围左上肺静脉(马歇尔韧带)的增厚突出组织的高分辨率可视化。可视化这种解剖结构的能力以及心内电信号的记录允许安全地在射频能量输送中进行调制,从而实现肺静脉的电隔离。
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来源期刊
Pace-Pacing and Clinical Electrophysiology
Pace-Pacing and Clinical Electrophysiology 医学-工程:生物医学
CiteScore
2.70
自引率
5.60%
发文量
209
审稿时长
2-4 weeks
期刊介绍: Pacing and Clinical Electrophysiology (PACE) is the foremost peer-reviewed journal in the field of pacing and implantable cardioversion defibrillation, publishing over 50% of all English language articles in its field, featuring original, review, and didactic papers, and case reports related to daily practice. Articles also include editorials, book reviews, Musings on humane topics relevant to medical practice, electrophysiology (EP) rounds, device rounds, and information concerning the quality of devices used in the practice of the specialty.
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