CartoSound在房性心律失常中的应用.ppt

CartoSound在房性心律失常中的应用;工欲善其事必先利其器;CartoSound在房性心律失常中的应用;FossaOvalis;

;LeftPulmonaryVeins–Fromthefossaview,youmayneedtodisengagesteeringandrotateslightlyclockwise.Theleftinferiorpulmonaryvein(LIPV)andleftsuperiorpulmonaryvein(LSPV)areusuallyseeninthesameplane.UtilizecolorDopplertoassistwithidentifyingthepulmonaryveins.

;RightPulmonaryVeins–Fromtheleftveinscontinueclockwiserotation.

Therightinferiorpulmonaryvein(RIPV)andtherightsuperiorpulmonaryvein(RSPV)willappearclosetotheimagingsurfaceoftheACUNAV?image.Inordertoviewtherightsuperiorpulmonaryvein(RSPV)morelongitudinally,advancethecatheterandcontinueclockwiserotation.Inmanycasestheadditionofanteriortiltandright/leftsteeringatthistimewillfurtheroptimizetheimage.

;; CristaTerminalisView–fromthe“HomePosition,”rotatetheACUNAV?cathetercounterclockwise,ortowardsthepatient’sright.Thecristaisananteriorstructure,sotheimagingfaceoftheACUNAV?catheterisbeingrotatedtolookanteriorly.ThecristaisalsoamoresuperficialstructureinrelationtotheACUNAV?imagingsurface,sothe“depth”knobmayneedtobeadjustedtoshowonlyanatomicalstructuresthatareclosertothecatheter.Acommondepthtofocusthecristais30-50cm.;AtrialSeptalAbnormalities;SeptalTunnel(PFO);SeptalTunnel(PFO);AtrialSeptalDefect;AneurysmalAtrialSeptum;ICE指导下的房间隔穿刺——更安全;TentingwascalledbyTEE–DoyouseetentingwithACUNAV????;TransseptalPuncture;UsingACUNAV?toGuideTransseptalPuncture;使用肝素盐水替代造影剂验证;SOUNDSTAR构建左房三维模型;SOUNDSTAR构建左房三维模型;CartoSound左房建模——SoundMap法;CartoSound左房建模——SoundMap+AF2.0;CartoSound左房建模—SoundMap

+CTmerge;

;CASE

CartoSound指导下的房颤消融（我院经验）;CreatingSoundMap;TransseptalPuncture;FAMvs.SoundMap;DuringAblation-消融;DuringAblation–消融点分布;DuringAblation-大头监视;DuringAblation;Esophagus;EsophagealLocal