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0406U001486,
к.мед.н.
11-04-2006
o
Optimization of treatment of fibrillation and atrial flutter by catheter method
Antipov Andry Nicolayevich,
popup.head Kuznetsov Alexandr Sergeevich
popup.opponent Стичинський Олександр Сергійович
popup.opponent Фуркало Сергій Миколайович
Дослідження присвячене підвищенню ефективності лікування фібриляції і тріпотіння передсердь методом радіочастотної абляції (РЧА). РЧА передсердно-шлуночкового пучка з імплантацією електрокардіостимулятора є надійним методом контролю частоти серцевих скорочень. Встановлено, що передсердно-шлуночковий відділ провідної системи має варіанти топографії, з чим пов'язана неефективність РЧА трансвенозним доступом. У разі неефективності або кількаразових рецидивів як альтернатива трансвенозній РЧА використовувався трансаортальний доступ, застосування якого дозволило підвищити загальну ефективність РЧА передсердно-шлуночкового пучка в пацієнтів із фібриляцією з 94 % до 100 %, а також знизило кількість рецидивів у безпосередніх й у віддалених післяопераційних періодах з 14 % до 10,2 %. При проведенні РЧА каво-трикуспідального перешийка у пацієнтів з ТП критерієм ефективності процедури служить двоспрямована блокада по перешийку, верифікована стимуляційним або електроанатомічним картуванням. Застосування стимуляційного й електроанатомічного картування, а також 8 мм та охолоджуваних електродів для РЧА дозволило нам підвищити загальну ефективність РЧА до 95,15 %, знизити загальний час процедури, час радіочастотних аплікацій, зменшити час рентгенівського впливу на організм пацієнта й лікаря.
2006-04-11
2020-04-04
Updated: 2025-12-07
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