[1]王劲风,方 平,刘继纯,等.Runthrough导丝辅助下无碘对比剂房间隔穿刺技术[J].介入放射学杂志,2023,32(05):427-430.
 WANG Jinfeng,FANG Ping,LIU Jichun,et al.Runthrough guidewire-assisted atrial septal puncture with no use of iodine contrast agent: preliminary clinical results[J].journal interventional radiology,2023,32(05):427-430.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
32
期数:
2023年05
页码:
427-430
栏目:
心脏介入
出版日期:
2023-05-30

文章信息/Info

Title:
Runthrough guidewire-assisted atrial septal puncture with no use of iodine contrast agent: preliminary clinical results
作者:
王劲风 方 平 刘继纯 蔚有权 汪祥海 杨 浩
Author(s):
WANG Jinfeng FANG Ping LIU Jichun WEI Youquan WANG Xianghai YANG Hao.
Department of Cardiology, First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui Province 241001, China
关键词:
【关键词】 房间隔穿刺 Runthrough导丝 碘对比剂
文献标志码:
A
摘要:
【摘要】 目的 探索采用Runthrough导丝辅助下,结合X线透视技术完成无碘对比剂房间隔穿刺的方法。方法 2021年2月至10月在皖南医学院第一附属医院接受导管射频消融治疗的阵发性房颤患者60例,随机分为常规房间隔穿刺组30例和Runthrough导丝辅助房间隔穿刺组30例。比较两组患者在房间隔穿刺过程中的总操作时间、透视时间、X线放射剂量,评估安全性。结果 两组患者房间隔穿刺过程中的总操作时间[(1.98±0.29) min比(2.11±0.14) min]、透视时间[(1.83±0.30 ) min比(1.98±0.14) min]、X线放射剂量[(27.77±3.08) μGy?m2比(29.13±1.54) μGy?m2] 差异均有统计学意义(均P<0.05)。所有患者均无心包填塞、主动脉穿孔等并发症发生。结论 X线透视下Runthrough导丝辅助的房间隔穿刺技术安全、经济、易行、可重复性强,可作为碘对比剂过敏患者房间隔穿刺的一种新方法。

参考文献/References:

[1] Ross J Jr,Braunwald E,Morrow AG. Transseptal left atrial puncture; new technique for the measurement of left atrial pressure in man[J]. Am J Cardiol, 1959, 3: 653- 655.
[2] Alkhouli M,Rihal CS,Holmes DR. Transseptal techniques for emerging structural heart interventions[J]. JACC Cardiovasc Interv, 2016, 9: 2465- 2480.
[3] De Ponti R,Cappato R,Curnis A,et al. Trans- septal catheterization in the electrophysiology laboratory: data from a multicenter survey spanning 12 years[J]. J Am Coll Cardiol, 2006, 47: 1037- 1042.
[4] Faletra FF, Biasco L, Pedrazzini G, et al. Echocardiographic- fluoroscopic fusion imaging in transseptal puncture: a new technology for an old procedure[J]. J Am Soc Echocardiogr, 2017, 30: 886- 895.
[5] Baykaner T,Quadros KK,Thosani A,et al. Safety and efficacy of zero fluoroscopy transseptal puncture with different approaches[J]. Pacing Clin Electrophysiol, 2020, 43: 12- 18.
[6] Yu R,Liu N,Lu J,et al. 3- Dimensional transseptal puncture based on electrographic characteristics of fossa ovalis: a fluoroscopy- free and echocardiography- free method[J]. JACC Cardiovasc Interv, 2020, 13: 1223- 1232.
[7] Yao Y,Ding L,Chen W,et al. The training and learning process of transseptal puncture using a modified technique[J]. Europace, 2013, 15: 1784- 1790.
[8] Goksel O,Aydin O,Atasoy C,et al. Hypersensitivity reactions to contrast media: prevalence, risk factors and the role of skin tests in diagnosis—a cross- sectional survey[J]. Int Arch Allergy Immunol, 2011, 155: 297- 305.
[9] Li X, Liu H, Zhao L, et al. Clinical observation of adverse drug reactions to non- ionic iodinated contrast media in population with underlying diseases and risk factors[J]. Br J Radiol, 2017, 90: 20160729.
[10] 霍晓冉,冯英璞,王 昊,等. 水化疗法预防对比剂肾病临床实践现况调查分析[J]. 介入放射学杂志, 2022, 31:193- 196.
[11] 中华医学会心血管病学分会介入心脏病学组,中华医学会心血管病学分会大血管病学组,中华心血管病杂志编辑委员会.经动脉心血管介入诊治中含碘对比剂相关不良反应防治的中国专家共识(2021)[J]. 中华心血管病杂志, 2021, 49:972- 985.

备注/Memo

备注/Memo:
(收稿日期:2022- 08- 25)
(本文编辑:新 宇)
更新日期/Last Update: 2023-05-30