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    施海峰, 都明辉, 王东旭, 陈浩, 佟佳宾, 邹彤, 刘俊鹏, 种甲, 吕游, 杨杰孚. 心房颤动导管射频消融相关无症状脑梗死的危险因素和临床特征[J]. 徐州医科大学学报, 2020, 40(9): 645-649. DOI: 10.3969/j.issn.2096-3882.2020.09.005
    引用本文: 施海峰, 都明辉, 王东旭, 陈浩, 佟佳宾, 邹彤, 刘俊鹏, 种甲, 吕游, 杨杰孚. 心房颤动导管射频消融相关无症状脑梗死的危险因素和临床特征[J]. 徐州医科大学学报, 2020, 40(9): 645-649. DOI: 10.3969/j.issn.2096-3882.2020.09.005
    shu
    Risk Factors and Characteristics of Silen t Cerebral Infarction Related to Atrial Fibrillation Ablation[J]. Journal of Xuzhou Medical University, 2020, 40(9): 645-649. DOI: 10.3969/j.issn.2096-3882.2020.09.005
    Citation: Risk Factors and Characteristics of Silen t Cerebral Infarction Related to Atrial Fibrillation Ablation[J]. Journal of Xuzhou Medical University, 2020, 40(9): 645-649. DOI: 10.3969/j.issn.2096-3882.2020.09.005
    shu

    心房颤动导管射频消融相关无症状脑梗死的危险因素和临床特征

    Risk Factors and Characteristics of Silen t Cerebral Infarction Related to Atrial Fibrillation Ablation

      摘要
    • 摘要: 目的 探讨心房颤动(房颤)导管射频消融相关无症状脑梗死(SCI)发生的危险因素和临床特征.方法 本研究纳入40例接受导管射频消融治疗的房颤患者,于术后24～72 h行头颅磁共振成像(MRI)检查,根据是否出现SCI分为SCI组和无SCI组,单因素分析比较患者病史资料、检查指标及术中情况.结果 术后7例患者出现SCI,发生率为17.5％.统计分析发现左房后壁BOX消融与房颤导管射频消融术后SCI显著相关(P<0.001).结论 左房后壁BOX消融显著增加房颤射频消融术后SCI风险,临床上应谨慎评估左房后壁BOX消融的应用指征,减少SCI发生.

       

      Abstract: ob＜x＞jective: To investigate the risk factor and clinical characteristics of silent cerebral infarction (SCI) related to atrial fibrillation catheter ablation. Methods: The study recruited 40 patients who would receive radiofrequency catheter ablation for atrial fibrillation . All subjects underwent cranial magnetic resonance imaging (MRI) examination in 24-72 hours after the operation, and were divided into SCI group and non-SCI group according to the presence or absence of SCI. The patient history, examination results and perioperative conditions were compared by univariate analyses. Results: 7 patients were found silent cerebral infarction after operation, the incidence was 17.5%. Through correlation analysis, BOX ablation in the posterior wall of the left atrium was found to be significantly correlated with silent cerebral infarction related to radiofrequency ablation of atrial fibrillation (p < 0.001). Conclusion: BOX ablation in the posterior wall of the left atrium significantly increases the risk of silent cerebral infarction after radiofrequency ablation of atrial fibrillation. Clinical indications for BOX ablation in the posterior wall of the left atrium should be carefully evaluated to reduce the incidence of silent cerebral infarction

       

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