Radiofrequency catheter ablation of ventricular arrhythmias arising from the region above pulmonary valve

Autor: Jia-Feng Lin, Jin Li, Jun Ma, Ge Jin, Zhi-Rui Liu, Cheng Zheng, Weiqian Lin, Yao-Yao Wang
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_treatment
030204 cardiovascular system & hematology
Pulmonary Artery
03 medical and health sciences
0302 clinical medicine
Ventricular arrhythmias
Internal medicine
medicine.artery
medicine
Humans
030212 general & internal medicine
Angiology
Retrospective Studies
Pulmonary Valve
Radiofrequency catheter ablation
business.industry
Pulmonary sinus
Middle Aged
Ablation
Ventricular Premature Complexes
Electrophysiological characteristics
Cardiac surgery
Catheter
medicine.anatomical_structure
Treatment Outcome
lcsh:RC666-701
Pulmonary valve
ECG characteristics
Pulmonary artery
Cardiology
Catheter Ablation
Tachycardia
Ventricular
Female
Cardiology and Cardiovascular Medicine
business
PSCs and MSPA
Research Article
Zdroj: BMC Cardiovascular Disorders, Vol 19, Iss 1, Pp 1-10 (2019)
BMC Cardiovascular Disorders
ISSN: 1471-2261
DOI: 10.1186/s12872-019-1220-2
Popis: Background Ventricular arrhythmias (VAs) arising from the origin above pulmonary valve lack comprehensive investigation. This study aimed to disclose the characteristics and radiofrequency catheter ablation (RFCA) outcomes for those VAs. Methods One hundred six VAs arising from the region above pulmonary valve treated with RFCA were included in this study. Results Seventy-five cases were identified in the pulmonary sinus cusps (PSCs, 32 in left sinus cusp (PLC), 15 in right (PRC), 28 in anterior (PAC)) and 31 cases were in the main stem of pulmonary artery (MSPA, 18 above PLC (LMSPA), 3 above PRC (RMSPA), 10 above PAC (AMSPA)). Compared with PSCs VAs, MSPA VAs exhibited a higher R wave amplitude in the inferior leads, a total inferior R amplitude > 5.1 mV predicting MSPA origins. LMSPA, RMSPA and AMSPA VAs resembled PLC, PRC and PAC VAs in electrocardiographic characteristics respectively. No electrophysiological differences were found between PSCs and MSPA VAs. The irrigated-up catheter and R0 Swartz long sheath were more utilized for ablation of PSCs VAs than for MSPA VAs. All these VAs were successfully eliminated by RFCA. Conclusion VAs arising from the origin above pulmonary valve were common. Based on certain electrocardiographic characteristics, they could be roughly located, which contributed to an effective RFCA.
Databáze: OpenAIRE
Externí odkaz: