A case of persistent atrial fibrillation treated with Marshall intravenous ethanol ablation with self-made perforated balloon combined with individualized ablation strategy
10.3969/j.issn.1004-8812.2024.06.012
- VernacularTitle:自制穿孔球囊行Marshall静脉无水乙醇消融联合个体化消融策略治疗持续性心房颤动1例
- Author:
Ming-Yang TANG
1
;
Bo LIU
;
Wei CAI
;
Xiao-Hua HUANG
;
Lu-Yong HUANG
;
Deng-Ke OU
Author Information
1. 成都市第五人民医院心血管内科,四川成都 611130
- Keywords:
Persistent atrial fibrillation;
Radiofrequency catheter ablation;
Vein of Marshall;
Self-made perforated balloon
- From:
Chinese Journal of Interventional Cardiology
2024;32(6):353-356
- CountryChina
- Language:Chinese
-
Abstract:
In the treatment of persistent atrial fibrillation with radiofrequency ablation,it is often necessary to add the ablation of external trigger foci of pulmonary vein on the basis of annular pulmonary vein isolation,including linear ablation,BOX ablation and fragmentation potential ablation.The isthmus of mitral valve is the most important component of linear ablation,but it is difficult to reach the isthmus of mitral valve for complete blockade by conventional radiofrequency ablation.The guide catheter was transported through the inferior vena cava to the coronary sinus,and the injection of Marshall vein anhydrous ethanol for ablation could achieve epicardial and myocardial block in the mitral isthmus,and the ablation combined with the endocardial patch ablation in the mitral isthmus could significantly improve the ablation effect,but there were disadvantages such as Marshall vein and coronary vein injury,high surgical cost and long time.This paper reports a case of persistent atrial fibrillation treated by self-made perforated balloon with Marshall intravenous anhydrous ethanol combined with individualized ablation strategy.No major adverse cardiovascular events or recurrence of atrial fibrillation occurred during 6 months of follow-up after discharge.
