经锁骨下及股静脉途径置入冠状窦电极在心电生理介入培训中运用的临床对比研究

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1、万方数据硕士学位论文J1●n●UomoartsonOlcoronarySlncatheterizationviasubclavianandfemoralveinaccessincardiacelectrophysiologytrainingName：LiweiHeSuperviser：JianPengABSTRACTPartIWiththerapiddevelopmentelectrophysiologicalexamination(ElectrophysiologyStudy,EPS)andradiofrequencyablation(RFCA)forthed

2、ecades，ithasbeenacommontechnologyforarrthmiadiagnosisandtreatment．Intheoprations，acoronarysinus(CS)electrodeisessentiallypreproposedasalandmark．TheCoronarySinuselectrodesisusuallycatheterisedthroughthesubclavianveinaccesswithafixedcurvecoronarysinuselectrode，butsuchapproachiscomplain

3、edforfollowingdeficiencies：1．Aslackingofdirectlocationmarkforsubclavianveinpuncture，usuallyitisempiricallylocatedbytheclaviclefortheirspacialrelationship．Andispronetopneumothoraxandhemopneumothorax，missinsertingintothesubclavianarteryandotherseriouscomplicationsforitscloselynearthelu

4、ng，pleuraandthesubclavianartery．Thethepuncturepointcannotwelloppresed，withistroublesomewhenthesheathismissinsertedintosubclavianartery,mayleadtomassivehemorrhageanddeath．Inaddition，thevariationofsubclavianvein，particularlycommoninolderpatients，addsthedifficultyofthepuncture；2．Thesubc

5、lavianveinaccessiswithafixedcoronarysinuselectrode，theplacementcanbeevendifficultwhenthecoronarysinusvariatesoratrialenlarges．Asthe万方数据ABSTRACTanatomicallyfarawayfororgans，punctureoffemoralveincanavoidthepre-mentionedcomplications．Withasteerablecatheter，increasedelectrodecontrolabili

6、tycomparingthefixedone，thefemoralveinaccessisbecomingwidelyused．Thisstudyistocomparetheeffectivityandsecurityofthetwoaccesses，andtodeterminethebetterone．Methods：StudydesignWeretrospectivelyanalysisedsixhundredandforty-oneconsecutivepatientsundergoingelectrophysiologicalstudyorradiofr

7、equencycatheterablationinourdepartmentfromJanuary,2010toMay,2012underwentCScatheterizationwitheitherthefemoralveinaccess(FVA)withasteerablecurvedeca-polarcatheter(n2321)orthesubclavianveinaccess(SVA)withafixedcurvedeca-polarcatheter(n=320)．VeinspunctureAfterpre—oprationexaminationsan

8、dinformedcon