可控弯鞘在右侧旁道消融中的应用研究

张国瑞; 王靖; 胡继强; 张静; 华伟; 张澍; 楚建民

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可控弯鞘在右侧旁道消融中的应用研究

临床研究 | 更新时间：2025-10-15

- 可控弯鞘在右侧旁道消融中的应用研究
- A clinical study of right atrioventricular bypass radiofrequency ablation using steerable sheath
- 临床心电学杂志 2020年29卷第4期页码：285-288
- 作者机构：
  
  1. 石家庄市第三医院
  2. 中国医学科学院阜外医院
  3. 北京中医药大学东方医院
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R541.7
- 纸质出版：2020
- 稿件说明：
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[1]张国瑞,王靖,胡继强,张静,华伟,张澍,楚建民.可控弯鞘在右侧旁道消融中的应用研究[J].临床心电学杂志,2020,29(04):285-288.

Zhang guorui, Wang jing, Hu jiqiang, et al. A clinical study of right atrioventricular bypass radiofrequency ablation using steerable sheath[J]. 2020, 29(4): 285-288.
[1]张国瑞,王靖,胡继强,张静,华伟,张澍,楚建民.可控弯鞘在右侧旁道消融中的应用研究[J].临床心电学杂志,2020,29(04):285-288. DOI：

Zhang guorui, Wang jing, Hu jiqiang, et al. A clinical study of right atrioventricular bypass radiofrequency ablation using steerable sheath[J]. 2020, 29(4): 285-288. DOI：

摘要

目的评价双向可控弯鞘管在右侧旁道射频消融术中应用的安全性及有效性。方法研究纳入右侧旁道伴室上性心动过速患者40例

随机分为双向可控弯鞘管组（Agilis鞘

A组）及常规固定弯鞘管组（Swartz鞘

B组）行右侧旁道射频消融术。比较两组的消融放电时间、放射时间、射线曝光量、总手术时间、成功率、复发率和并发症等。结果 A组成功率为100%

B组成功率为95%

两组比较无统计学差异（p>0.05）。与常规固定弯鞘管组相比

双向可控弯鞘管组平均放电消融时间、放射曝光时间及手术操作时间显著缩短（p<0.05）;A组平均X线曝光剂量较B组显著减少（p<0.05）。两组消融过程均无严重并发症发生。随访6-12个月

两组患者均无复发。结论与常规固定弯鞘管相比

双向可控弯鞘可显著缩短射频消融时间、X线放射时间及总手术时间

减少X线曝光量

提高手术成功率且安全性良好。

Abstract

Objective To evaluate the safety and efficacy of steerable sheath in right atrioventricular bypass radiofrequency ablation. Methods The study enrolled 40 patients with right atrioventricular bypass and supraventricular tachycardia which were randomly divided into two groups: steerable sheath Group（Agilis TM sheath

Group A） or non-steerable sheath（Swartz TM sheath

Group B） for right bypass radiofrequency ablation. The ablation time

radiation time

radiation exposure

total operation time

success rate

recurrence rate and complications were compared between the two groups. Results Success rates of both groups showed no significant difference（100% vs.95%

p>0.0.05）. Compared with non-steerable sheath group

the average ablation time

radiation exposure time and operation time of the steerable sheath group were significantly shortened

and the differences were statistically significant（p<0.05）. The average X-ray radiation exposure dose of Group A was significantly lower than that of Group B

and the difference was also statistically significant（p<0.05）. No serious complications occurred in both two groups.The patients were followed up for 6-12 months. Conclusions Compared with non-steerable sheath

using bidirectional steerable long sheath can significantly shorten the radiofrequency ablation time

X-ray radiation time and total operation time

reduce the X-ray exposure

improve the success rate of ablation and safety.

关键词

Keywords

references

Swartz长鞘与普通鞘管辅助下消融右侧房室旁路的对比分析 [J]. 陶海龙,张金盈,李凌,张力,李晨. 医药论坛杂志 . 2010(12)

射频消融治疗心动过速型心肌病疗效分析 [J]. 洪浪,王洪,陈章强,赖珩莉,尹秋林,陆林祥,葛郁之. 中国循环杂志 . 2010(02)

Swartz鞘管在右侧房室旁路标测和消融中的应用 [J]. 陶海龙,张金盈,李凌,张力,王小芳. 郑州大学学报(医学版) . 2010(02)

右侧房室旁路射频消融术后复发原因分析 [J]. 杨晓云,柯辉,白融,刘启功,王琳. 临床心血管病杂志 . 2008(12)

室上性快速心律失常治疗指南 [J]. 蔡迺绳,曹克将,郭林妮,胡大一,黄从新,黄德嘉,江洪,蒋文平,刘志华,戚文航,孙宝贵,王方正,吴宁,向晋涛,杨延宗,张澍. 中国心脏起搏与心电生理杂志 . 2005(01)

心脏电生理学新概念（14）如何进一步提高房室折返性心动过速、房室结折返性心动过速射频导管消融治疗的疗效 [J]. 马坚. 中国循环杂志 . 2002(01)

心律失常介入技术培训教程[M]. 人民卫生出版社 , 张澍, 2018

2019 ESC Guidelines for the management of patients with supraventricular tachycardiaThe Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology （ESC）. [J] . Brugada Josep,Katritsis Demosthenes G,Arbelo Elena,Arribas Fernando,Bax Jeroen J,Blomstr?m-Lundqvist Carina,Calkins Hugh,Corrado Domenico,Deftereos Spyridon G,Diller Gerhard-Paul,Gomez-Doblas Juan J,Gorenek Bulent,Grace Andrew,Ho Siew Yen,Kaski Juan-Carlos,Kuck Karl-Heinz,Lambiase Pier David,Sacher Frederic,Sarquella-Brugada Georgia,Suwalski Piotr,Zaza Antonio. European heart journal . 2020 (5)

Steerable versus non-steerable sheaths during pulmonary vein isolation: impact of left atrial enlargement on the catheter-tissue contact force. [J] . Masuda Masaharu,Fujita Masashi,Iida Osamu,Okamoto Shin,Ishihara Takayuki,Nanto Kiyonori,Kanda Takashi,Shiraki Tatsuya,Sunaga Akihiro,Matsuda Yasuhiro,Uematsu Masaaki. Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing . 2016 (1)

2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia [J] . Richard L. Page,José A. Joglar,Mary A. Caldwell,Hugh Calkins,Jamie B. Conti,Barbara J. Deal,N.A. Mark Estes,Michael E. Field,Zachary D. Goldberger,Stephen C. Hammill,Julia H. Indik,Bruce D. Lindsay,Brian Olshansky,Andrea M. Russo,Win-Kuang Shen,Cynthia M. Tracy,Sana M. Al-Khatib. Journal of the American College of Cardiology . 2016 (13)

A young patient with atypical type-B Wolff–Parkinson–White syndrome accompanied by left ventricular dysfunction [J] . Takahiro Takeuchi,Takeshi Tomita,Hiroki Kasai,Daisuke Kashiwagi,Koji Yoshie,Tomonori Yaguchi,Yasutaka Oguchi,Ayako Kozuka,Milan Gautam,Hirohiko Motoki,Ayako Okada,Yuji Shiba,Kazunori Aizawa,Atsushi Izawa,Yusuke Miyashita,Jun Koyama,Minoru Hongo,Uichi Ikeda. Journal of Arrhythmia . 2014

Improvement in non-tachycardia-induced cardiac failure after radiofrequency catheter ablation in a child with a right-sided accessory pathway. [J] . Fukunaga Hideo,Akimoto Katsumi,Furukawa Takeshi,Takahashi Ken,Kishiro Masahiko,Shimizu Toshiaki,Kamiyama Hiroshi,Sumitomo Naokata. Heart and vessels . 2013 (6)

The utility of manually controlled steerable sheath in epicardial mapping and ablation procedure in patients with ventricular tachycardia. [J] . Mizuno Hiroya,Maccabelli Giuseppe,Della Bella Paolo. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of . 2012 (supp)

An Asymptomatic Case of Wolff-Parkinson-White Syndrome with Right-sided Free-wall Accessory Pathway and Left Ventricular Dysfunction [J] . Takanao Mine,Takeshi Kodani,Mamoru Hamaoka,Tohru Masuyama. Journal of Arrhythmia . 2011 (2)

Steerable versus nonsteerable sheath technology in atrial fibrillation ablation: a prospective, randomized study. [J] . Piorkowski Christopher,Eitel Charlotte,Rolf Sascha,Bode Kerstin,Sommer Philipp,Gaspar Thomas,Kircher Simon,Wetzel Ulrike,Parwani Abdul Shokor,Boldt Leif-Hendrik,Mende Meinhard,Bollmann Andreas,Husser Daniela,Dagres Nikolaos,Esato Masahiro,Arya Arash,Haverkamp Wilhelm,Hindricks Gerhard. Circulation. Arrhythmia and electrophysiology . 2011 (2)

Prospective randomized comparison of a steerable versus a non-steerable sheath for typical atrial flutter ablation. [J] . Matsuo Seiichiro,Yamane Teiichi,Tokuda Michifumi,Date Taro,Hioki Mika,Narui Ryohsuke,Ito Keiichi,Yamashita Seigo,Hama Yoshiyuki,Nakane Tokiko,Inada Keiichi,Shibayama Kenri,Miyanaga Satoru,Yoshida Hiroshi,Miyazaki Hidekazu,Abe Kunihiko,Sugimoto Ken-ichi,Taniguchi Ikuo,Yoshimura Michihiro. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of . 2010 (3)

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