• 検索結果がありません。

Successful Catheter Ablation of Two Distinct Premature Ventricular Complexes Arising from Right Ventricular Outflow Tract Guided by EnSite NavX 3-D Mapping System with Multielectrode Basket Catheter

N/A
N/A
Protected

Academic year: 2021

シェア "Successful Catheter Ablation of Two Distinct Premature Ventricular Complexes Arising from Right Ventricular Outflow Tract Guided by EnSite NavX 3-D Mapping System with Multielectrode Basket Catheter"

Copied!
1
0
0

読み込み中.... (全文を見る)

全文

(1)

Successful Catheter Ablation of Two Distinct Premature Ventricular Complexes Arising from Right Ventricular Outflow Tract Guided by EnSite NavX 3-D Mapping System with Multielectrode Basket Catheter

Naomichi M ATSUMOTO

1), 3)

, Masahiro O GAWA

2), 3)

, Joji M ORII

2), 3)

, Yoshihisa N AGATA

2), 3)

, Satoshi I MAIZUMI

2), 3)

, Akira M ATSUNAGA

1), 3)

,

Keijiro S AKU

2), 3)

1)

Department of Clinical Laboratory, Faculty of Medicine Fukuoka University

2)

Department of Cardiology, Faculty of Medicine Fukuoka University

3)

Department of Cardiology, Fukuoka University Hospital

Abstract

We present the case of a 43-year-old woman with two distinct idiopathic premature ventricular complexes

(PVCs) arising from right ventricular outflow tract (RVOT) underwent catheter ablation. Type 1 PVC exhibited a high amplitude positive polarity in inferior leads with negative QRS complex in lead I. Type 2 PVC exhibited a deeply negative polarity in precordial leads with biphasic R wave in lead I. Simultaneous mappings of multielectrode basket catheter and EnSite NavX system revealed that the earliest of the both types of PVCs were identified on posteroseptal and anterolateral aspects of the RVOT, respectively. Radiofrequency

(RF) applications were delivered at the both sites where the exact pace map was achieved, resulting in a disappearance of both types of PVCs. This case demonstrates that 12-lead ECG feature is essential tool for differentiating the two distinct PVCs arising from RVOT, and simultaneous mapping of EnSite NavX system with multielectrode basket catheter may potentially be helpful for safety and efficacy of RF catheter ablation with reduction in procedure time and low radiation exposure.

Key words: Premature ventricular complex, 3D mapping system, Multielectrode basket catheter,

Radiofrequency catheter ablation

参照

関連したドキュメント

The main examples of finite generalized quadrangles (GQ’s) are essentially of five types: (1) they are inside a projective space PG(n, q) over the Galois field GF(q), and these are

Correspondence should be addressed to Salah Badraoui, [email protected] Received 11 July 2009; Accepted 5 January 2010.. Academic Editor:

By using the averaging theory of the first and second orders, we show that under any small cubic homogeneous perturbation, at most two limit cycles bifurcate from the period annulus

We classify groups generated by powers of two Dehn twists which are free, or have no “unexpectedly reducible” elements.. In the end we pose similar problems for groups generated

2, the distribution of roots of Ehrhart polynomials of edge polytopes is computed, and as a special case, that of complete multipartite graphs is studied.. We observed from

Suppose D is a linear system. On the other hand, by the definition of a system composed with a pencil, the general curve of such a system may have a singular point only at the

In fact, previous to this, discrete series representations for homogeneous spaces of reductive type have been studied only in the cases of group manifolds, reductive symmetric

Keywords Algebraic 2–complex, Wall’s D(2)–problem, geometric realiza- tion of algebraic 2–complexes, homotopy classification of 2–complexes, gen- eralized quaternion groups,