病例报告：左心室辅助装置植入联合低温球囊消融治疗室性心动过速。

IF 1.6 4区医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2025-01-07 eCollection Date: 2024-01-01 DOI:10.3389/fsurg.2024.1449007

Shuang Zhang, Jianming Li, Changming Tan, Mingxian Chen, Lin Hu, Hanze Tang, Liyi Liao, Xuping Li

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引用次数: 0

摘要

我们报告一例扩张型心肌病患者，在植入ct - d后，复发性室性心动过速（VT）和多次去纤颤。由于心功能恶化，患者需要手术植入左心室辅助装置（LVAD）作为心脏移植的桥梁。在手术过程中，我们使用Ensite三维测绘系统对VT靶点进行激活和底物测绘，然后对临床VT进行心内膜和心外膜冷冻球囊消融。随后，在LVAD植入过程中，在手术切口周围进行双冷冻球囊消融，以防止与手术伤口和植入装置相关的VT。随访1年，患者无原有临床室速复发，无新的室性心律失常发生。

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Case Report: Left ventricular assist device implantation combined with cryoballoon ablation for ventricular tachycardia.

We report a case of a patient with dilated cardiomyopathy who experienced recurrent ventricular tachycardia (VT) and multiple defibrillations following CRT-D implantation. Due to worsening cardiac function, the patient required surgical implantation of a left ventricular assist device (LVAD) as a bridge to heart transplantation. During the procedure, we used the Ensite three-dimensional mapping system to perform activation and substrate mapping of the VT targets, followed by endocardial and epicardial cryoballoon ablation of clinical VT. Subsequently, during LVAD implantation, dual cryoballoon ablation was applied around the surgical incision site to prevent VT associated with the surgical wound and the implanted device. At the 1-year follow-up, the patient had no recurrence of the original clinical VT and no new ventricular arrhythmias were observed.

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.