Surgical procedure of radiofrequency ablation needle?
Aug 20, 2022
An interventional technique that uses an electrode catheter to release radiofrequency current to a location in the heart cavity to cause coagulation necrosis of the local endocardial and subendocardial myocardium, thereby disrupting the origin of some tachrymias. The basic equipment is X-ray machine, radio frequency current generator and intracardiac electrophysiological examination instrument. Will be 3 ~ 4 root electrode catheter under local anesthesia via femoral vein, subclavian vein into the coronary sinus, high right atrium and bush's beam, the right ventricle, in areas such as the stimulation induced by atrial and ventricular tachycardia, consistent with clinical positioning tachycardia origin points, then use ablation electrode catheter to locate the point of origin and are connected to the external rf generator. Repeated electrophysiological examination after discharge indicates successful ablation if tachycardia cannot be induced and there is no seizure during clinical follow-up. Current treatable conditions include preexcitation syndrome and paroxysmal supraventricular tachycardia, atrial flutter and atrial fibrillation, ventricular tachycardia, and atrial tachycardia caused by the dual atrioventricular node route. Among them PARoxysmal ventricular tachycardia on the radical rate can reach 90% above, the cure rate of ventricular tachycardia is about 50% left and right sides. Radiofrequency ablation of atrial tachycardia, flutter, and atrial fibrillation is not clinically available.
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