CN104665922A - Marshall ligament absolute ethyl alcohol ablation system - Google Patents
Marshall ligament absolute ethyl alcohol ablation system Download PDFInfo
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- CN104665922A CN104665922A CN201510087915.5A CN201510087915A CN104665922A CN 104665922 A CN104665922 A CN 104665922A CN 201510087915 A CN201510087915 A CN 201510087915A CN 104665922 A CN104665922 A CN 104665922A
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Abstract
The invention relates to a Marshall ligament absolute ethyl alcohol ablation system, which comprises a radiography mapping electric physiological catheter, a special guide sheathing canal, a guide steel wire and a chemical ablation balloon catheter. The Marshall ligament absolute ethyl alcohol ablation system is characterized in that the radiography mapping electric physiological catheter is inserted into the coronary sinus through the guide sheathing canal via the femoral vein approach, the coronary vein potential is recorded, in addition, the radiography is carried out, the Marshall vein is displayed, the guide sheathing canal is pushed to a coronary vein opening along the radiography mapping electric physiological catheter, the radiography mapping electric physiological catheter is withdrawn, the guide steel wire is fed along a guide sheathing canal center cavity and enters the coronary vein, and in addition, a chemical ablation balloon is guided to enter the Marshall vein. The guide steel wire also has the function of recording the Marshall potential, the potential change before and after the ablation is recorded, electrodes can be designed to have a 2mm gap, and ten electrodes are totally adopted. Then, the chemical ablation balloon catheter is used for injecting absolute ethyl alcohol from the remote end side hole cavity, and the chemical ablation is carried out.
Description
Technical field
The present invention relates to medical measurement technical field, particularly relate to Marshall ligament dehydrated alcohol ablation system.
Background technology
As everyone knows, atrial fibrillation (abbreviation atrial fibrillation) is modal perpetual arrhythmia clinically.Existing research finds, heart Marshall ligament (Ligament of Marshall, LOM) is in the generation of atrial fibrillation and play a significant role in maintaining.
Marshall ligament is the ribbon cord structures formed after embryonic stage left superior vena cava is degenerated, traveling between left auricle and left pulmonary vein, containing venule (Marshall vein) and cardiac muscle fiber (Marshall bundle) and nervous tissue in it.Marshall vein and oblique vein of left atrium, it originates between upper left, left inferior pulmonary vein, and diagonal is downward, and storage PLA venous blood, imports coronary sinus vein with acute angle.Myocardial cell in Marshall bundle is then held by fibrous connective tissue, and the muscle bundle importing coronary sinus vein place and coronary sinus vein at Marshall vein and the heart muscle closed on directly are connected.Research confirms, can be recorded to electrical activity in Marshall ligament, to atrial fibrillation inspire and maintenance plays an important role, adopt the method damage Marshall intraligamentous muscle bundle of radio-frequency (RF) ablation or dehydrated alcohol perfusion can reach the object for the treatment of atrial fibrillation.The key position melted is Marshall ligament and Coronary vein sinojunction, and melting terminal is that Marshall ligament current potential disappears completely.In addition, Marshall intravenous infusion dehydrated alcohol also can significantly improve Mitral isthmus block rate, improves the catheter ablation success rate of Persistent Atrial Fibrillation.
Summary of the invention
Technical problem to be solved by this invention is for the deficiencies in the prior art, Marshall ligament dehydrated alcohol ablation system is proposed, accurately can promptly locate Marshall vein, and record melts the change of front and back Marshall current potential, thus reach good Treatment and diagnosis object.
For this purpose, the present invention proposes Marshall ligament dehydrated alcohol ablation system, comprising: radiography mapping electrophysiologicalcatheter catheter, special guiding sheath pipe, guide wire, chemical ablation foley's tube;
Described radiography mapping electrophysiologicalcatheter catheter, for inserting coronary sinus vein through femoral vein, record Coronary vein current potential, and carry out retrograde urography, display Marshall vein;
Described special guiding sheath pipe, for through femoral vein approach intubate to coronary sinus vein, and send into chemical ablation foley's tube by its center cavity;
Described guide wire, for guiding chemical ablation sacculus to enter into Marshall vein, seal wire has the function of record Marshall current potential concurrently, and record melts front and back potential change, wherein, is 2mm gap between multiple electrode, totally 10 electrode pairs;
Described chemical ablation foley's tube, for injecting dehydrated alcohol by its near-end Side vestibule, implement chemical ablation, wherein, described chemical ablation foley's tube is set to 3.5F;
Wherein, described radiography mapping electrophysiologicalcatheter catheter comprises sacculus, mapping electrodes head end, inflated joint, contrast agent joint, mapping electrodes union joint and conduit supervisor;
Described inflated joint connects on sacculus airway, and described sacculus airway is connected on sacculus, and the radiography chamber of described contrast agent joint and conduit links together, and described mapping electrodes union joint arrives the position of electrode head end by electrode protection pipe;
Described special guiding sheath pipe, enters Coronary vein for guiding chemical ablation foley's tube;
Inflated joint on described chemical ablation foley's tube connects on sacculus airway, and described sacculus airway is connected on sacculus, and the chamber of melting of chemical ablation joint and conduit links together, described in melt on chamber and have two or more spray-hole.Sacculus 0102 is thicker than the vessel diameter of patient part, to reach the object of blocking blood flow.Spray-hole 0204 is the structure of multiple solid matter, can squeeze into internal blood vessel smoothly to make contrast agent.Conduit head end has a soft head end 0203 to ensure that conduit can not injured blood vessel.
Particularly, described chemical ablation foley's tube comprises guide wire and melts foley's tube.
Particularly, guide wire comprises afterbody adapter, guide wire main body and head end electrode..
Particularly, described sacculus internal diameter is greater than the vessel diameter of patient part, for blocking blood flow.
Particularly, described spray-hole is the structure of multiple solid matter, squeezes into internal blood vessel for making contrast agent.
Particularly, the conduit head end of described chemical ablation foley's tube arranges soft head end, can not injured blood vessel for the protection of conduit.
Particularly, described radiography chamber there is two or more spray-hole.
Particularly, the corresponding electrode of each core foot of described mapping electrodes union joint.
Particularly, described electrode is connected with the core foot on corresponding described mapping electrodes union joint by wire.
Particularly, the spacing between described electrode is impartial, and wherein, described electrode is two or more.
The present invention relates to Marshall ligament dehydrated alcohol ablation system, comprising: radiography mapping electrophysiologicalcatheter catheter, special guiding sheath pipe, guide wire, chemical ablation foley's tube; Marshall ligament dehydrated alcohol ablation system, by radiography mapping electrophysiologicalcatheter catheter by guiding sheath pipe, coronary sinus vein is inserted through femoral vein approach, record Coronary vein current potential, and carry out retrograde urography, display Marshall vein, guiding sheath pipe is pushed to Coronary vein opening along radiography mapping electrophysiologicalcatheter catheter, withdraw from radiography mapping electrophysiologicalcatheter catheter, send into guide wire along guiding sheath tube hub chamber and enter into Coronary vein, and guide chemical ablation sacculus to enter into Marshall vein.Guide wire has the function of record Marshall current potential concurrently, and record melts front and back potential change, and electrode can be designed to 2mm gap, designs 10 electrodes altogether.Then inject dehydrated alcohol with chemical ablation foley's tube by its far-end Side vestibule, implement chemical ablation.
Above-mentioned explanation is only the general introduction of technical solution of the present invention, in order to technological means of the present invention can be better understood, and can be implemented according to the content of description, and can become apparent, below especially exemplified by the specific embodiment of the present invention to allow above and other objects of the present invention, feature and advantage.
Accompanying drawing explanation
In order to be illustrated more clearly in the embodiment of the present invention or technical scheme of the prior art, be briefly described to the accompanying drawing used required in embodiment or description of the prior art below, apparently, accompanying drawing in the following describes is only some embodiments of the present invention, for those of ordinary skill in the art, under the prerequisite not paying creative work, other accompanying drawing can also be obtained according to these accompanying drawings.
Can understanding the features and advantages of the present invention clearly by reference to accompanying drawing, accompanying drawing is schematic and should not be construed as and carry out any restriction to the present invention, in the accompanying drawings:
Fig. 1 shows the structural representation that in Marshall ligament dehydrated alcohol ablation system of the present invention, chemical ablation foley's tube coordinates with guide wire;
Fig. 2 shows the structural representation of chemical ablation foley's tube in Marshall ligament dehydrated alcohol ablation system of the present invention;
Fig. 3 shows the structural representation of guide wire in Marshall ligament dehydrated alcohol ablation system of the present invention;
Fig. 4 shows the structural representation of guiding sheath pipe in Marshall ligament dehydrated alcohol ablation system of the present invention;
Fig. 5 shows the structural representation of radiography mapping electrophysiologicalcatheter catheter in Marshall ligament dehydrated alcohol ablation system of the present invention;
Fig. 6 shows the tail structure figure of radiography mapping electrophysiologicalcatheter catheter in Marshall ligament dehydrated alcohol ablation system of the present invention;
Fig. 7 shows radiography mapping electrophysiologicalcatheter catheter radiography chamber local structural graph in Marshall ligament dehydrated alcohol ablation system of the present invention.
Detailed description of the invention
Below in conjunction with accompanying drawing, embodiments of the present invention is described in detail.Following examples only for illustration of the present invention, but can not be used for limiting the scope of the invention.
In order to better understand the Marshall ligament dehydrated alcohol ablation system proposed with application the present invention, be described in detail with following accompanying drawing example.
As shown in Figure 1, the invention provides Marshall ligament dehydrated alcohol ablation system, comprising: radiography mapping electrophysiologicalcatheter catheter, special guiding sheath pipe, guide wire, chemical ablation foley's tube.
Particularly, radiography mapping electrophysiologicalcatheter catheter comprises sacculus (102), mapping electrodes head end (6), inflated joint (1), contrast agent joint (2), mapping electrodes union joint (3), conduit supervisor (4).
Further, shown in composition graphs 2-5, inflated joint (1) connects on sacculus airway (101), sacculus airway (101) is linked on sacculus (102), contrast agent joint (2) links together with the radiography chamber (202) of conduit, (202) have two or more in radiography chamber, i.e. multiple spray-hole (204), mapping electrodes union joint (3) arrives the position of electrode head end (6) by electrode protection pipe (301), wherein, the corresponding electrode (601) of each core foot of mapping electrodes union joint (3), electrode (601) is linked together with the core foot on corresponding mapping electrodes union joint (3) by wire (603), and the spacing between electrode (601) is impartial, electrode (601) can be two or more.
Further, sacculus (102) is thicker than the vessel diameter of patient part, and to reach the object of blocking blood flow, the structure that spray-hole (204) is multiple solid matter, so that contrast agent can squeeze into internal blood vessel smoothly.
Further, radiography mapping electrophysiologicalcatheter catheter also comprises conduit head end, arranges round and smooth soft head end (602) to ensure that conduit can not injured blood vessel.
The Marshall ligament dehydrated alcohol ablation system that the present invention proposes also comprises: special guiding sheath pipe, enters Coronary vein for guiding chemical ablation foley's tube.
The Marshall ligament dehydrated alcohol ablation system that the present invention proposes also comprises: chemical ablation foley's tube, particularly, inflated joint (01) on chemical ablation foley's tube connects on sacculus airway (0101), and sacculus airway (0101) is connected on sacculus (0102); Chemical ablation joint (2) links together with the chamber (0202) of melting of conduit, melts on chamber (0202) and has two or more, be i.e. multiple spray-hole (0204).
Further, sacculus (0102) is thicker than the vessel diameter of patient part, and to reach the object of blocking blood flow, the structure that spray-hole (0204) is multiple solid matter, can squeeze into internal blood vessel smoothly to make contrast agent.
Further, the conduit head end of chemical ablation foley's tube arranges soft head end (0203) to ensure that conduit can not injured blood vessel.
Further, chemical ablation foley's tube comprises guide wire and melts foley's tube, and wherein, guide wire comprises afterbody adapter, guide wire main body and head end electrode.
Further, the tail structure figure of radiography mapping electrophysiologicalcatheter catheter is illustrated in figure 6.Conduit supervisor 4 separates three chamber inflated joints 1 respectively, contrast agent joint 2, mapping electrodes union joint 3, and as shown in Figure 7, contrast agent is ejected into internal blood vessel by spray-hole 204 by contrast agent 201 by contrast agent chamber 202, radiography is carried out again, to determine internal blood vessel structure situation by X-ray production apparatus.Then radiography mapping electrophysiologicalcatheter catheter is withdrawn from blood vessel, pass into guiding sheath pipe, and guide wire is entered Coronary vein by the center cavity of guiding sheath pipe.Carry out chemical ablation.
The present invention relates to Marshall ligament dehydrated alcohol ablation system, comprising: radiography mapping electrophysiologicalcatheter catheter, special guiding sheath pipe, guide wire, chemical ablation foley's tube; Marshall ligament dehydrated alcohol ablation system, by radiography mapping electrophysiologicalcatheter catheter by guiding sheath pipe, coronary sinus vein is inserted through femoral vein approach, record Coronary vein current potential, and carry out retrograde urography, display Marshall vein, guiding sheath pipe is pushed to Coronary vein opening along radiography mapping electrophysiologicalcatheter catheter, withdraw from radiography mapping electrophysiologicalcatheter catheter, send into guide wire along guiding sheath tube hub chamber and enter into Coronary vein, and guide chemical ablation sacculus to enter into Marshall vein.Guide wire has the function of record Marshall current potential concurrently, and record melts front and back potential change, and electrode can be designed to 2mm gap, designs 10 electrodes altogether.Then inject dehydrated alcohol with chemical ablation foley's tube by its far-end Side vestibule, implement chemical ablation.
All parts embodiment of the present invention with hardware implementing, or can realize with the software module run on one or more processor, or realizes with their combination.It will be understood by those of skill in the art that the some or all functions that microprocessor or digital signal processor (DSP) can be used in practice to realize according to the some or all parts in embodiment of the present invention equipment.The present invention can also be embodied as part or all equipment for performing method as described herein or system program (such as, computer program and computer program).Realizing program of the present invention and can store on a computer-readable medium like this, or the form of one or more signal can be had.Such signal can be downloaded from internet website and obtain, or provides on carrier signal, or provides with any other form.
Alleged herein " embodiment ", " embodiment " or " one or more embodiment " means, the special characteristic in conjunction with the embodiments described, structure or characteristic comprise at least one embodiment of the present invention.In addition, note that the word example of " in one embodiment " here not necessarily refers to same embodiment entirely.
In description provided herein, describe a large amount of detail.But can understand, embodiments of the invention can be put into practice when not having these details.In some instances, be not shown specifically known method, structure and technology, so that not fuzzy understanding of this description.
The present invention will be described instead of limit the invention to it should be noted above-described embodiment, and those skilled in the art can design alternative embodiment when not departing from the scope of claims.In the claims, any reference marks between bracket should be configured to limitations on claims.Word " comprises " not to be got rid of existence and does not arrange element in the claims or step.Word "a" or "an" before being positioned at element is not got rid of and be there is multiple such element.The present invention can by means of including the hardware of some different elements and realizing by means of the computer of suitably programming.In the unit claim listing some systems, several in these systems can be carry out imbody by same hardware branch.Word first, second and third-class use do not represent any order.Can be title by these word explanations.
In addition, shall also be noted that the language used in this description is mainly in order to object that is readable and instruction is selected, instead of select to explain or limiting theme of the present invention.Therefore, when not departing from the scope and spirit of appended claims, many modifications and changes are all apparent for those skilled in the art.For scope of the present invention, be illustrative to disclosing of doing of the present invention, and nonrestrictive, and scope of the present invention is defined by the appended claims.
Although describe embodiments of the present invention by reference to the accompanying drawings, but those skilled in the art can make various modifications and variations without departing from the spirit and scope of the present invention, such amendment and modification all fall into by within claims limited range.
Claims (10)
1.Marshall ligament dehydrated alcohol ablation system, is characterized in that, comprising: radiography mapping electrophysiologicalcatheter catheter, special guiding sheath pipe, guide wire, chemical ablation foley's tube;
Described radiography mapping electrophysiologicalcatheter catheter, for inserting coronary sinus vein through femoral vein, record Coronary vein current potential, and carry out retrograde urography, display Marshall vein;
Described special guiding sheath pipe, for through femoral vein approach intubate to coronary sinus vein, and send into chemical ablation foley's tube by its center cavity;
Described guide wire, for guiding chemical ablation sacculus to enter into Marshall vein, seal wire has the function of record Marshall current potential concurrently, and record melts front and back potential change, wherein, is 2mm gap between multiple electrode, totally 10 electrode pairs;
Described chemical ablation foley's tube, for injecting dehydrated alcohol by its proximal lateral vestibule, implement chemical ablation, wherein, described chemical ablation foley's tube is set to 3.5F;
Wherein, described radiography mapping electrophysiologicalcatheter catheter comprises sacculus, mapping electrodes head end, inflated joint, contrast agent joint, mapping electrodes union joint and conduit supervisor;
Described inflated joint connects on sacculus airway, and described sacculus airway is connected on sacculus, and the radiography chamber of described contrast agent joint and conduit links together, and described mapping electrodes union joint arrives the position of electrode head end by electrode protection pipe;
Described special guiding sheath pipe, enters Coronary vein for guiding chemical ablation foley's tube;
Inflated joint on described chemical ablation foley's tube connects on sacculus airway, and described sacculus airway is connected on sacculus, and the chamber of melting of chemical ablation joint and conduit links together, described in melt on chamber and have two or more spray-hole.Sacculus 0102 is thicker than the vessel diameter of patient part, to reach the object of blocking blood flow.Spray-hole 0204 is the structure of multiple solid matter, can squeeze into internal blood vessel smoothly to make contrast agent.Conduit head end has a soft head end 0203 to ensure that conduit can not injured blood vessel.
2. Marshall ligament dehydrated alcohol ablation system as claimed in claim 1, is characterized in that, described chemical ablation foley's tube comprises guide wire and melts foley's tube.
3. Marshall ligament dehydrated alcohol ablation system as claimed in claim 2, it is characterized in that, guide wire comprises afterbody adapter, guide wire main body and head end electrode..
4. Marshall ligament dehydrated alcohol ablation system as claimed in claim 1, it is characterized in that, described sacculus internal diameter is greater than the vessel diameter of patient part, for blocking blood flow.
5. Marshall ligament dehydrated alcohol ablation system as claimed in claim 1, it is characterized in that, described spray-hole is the structure of multiple solid matter, squeezes into internal blood vessel for making contrast agent.
6. Marshall ligament dehydrated alcohol ablation system as claimed in claim 1, it is characterized in that, the conduit head end of described chemical ablation foley's tube arranges soft head end, can not injured blood vessel for the protection of conduit.
7. Marshall ligament dehydrated alcohol ablation system as claimed in claim 1, is characterized in that there is two or more spray-hole in described radiography chamber.
8. Marshall ligament dehydrated alcohol ablation system as claimed in claim 1, is characterized in that, the corresponding electrode of each core foot of described mapping electrodes union joint.
9. Marshall ligament dehydrated alcohol ablation system as claimed in claim 1, it is characterized in that, described electrode is connected with the core foot on corresponding described mapping electrodes union joint by wire.
10. Marshall ligament dehydrated alcohol ablation system as claimed in claim 1, is characterized in that, the spacing between described electrode is impartial, and wherein, described electrode is two or more.
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| CN201510087915.5A CN104665922B (en) | 2015-02-26 | 2015-02-26 | Marshall ligament absolute ethyl alcohol ablation system |
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| CN201510087915.5A CN104665922B (en) | 2015-02-26 | 2015-02-26 | Marshall ligament absolute ethyl alcohol ablation system |
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Cited By (5)
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| CN106691438A (en) * | 2016-12-07 | 2017-05-24 | 首都医科大学附属北京安贞医院 | Integralheart three-dimensional mapping system for complex arrhythmias |
| CN109394211A (en) * | 2018-12-18 | 2019-03-01 | 新乡医学院 | A kind of preparation method in body electrophysiological recording metal electrode |
| WO2019211362A1 (en) * | 2018-05-04 | 2019-11-07 | Universite de Bordeaux | Catheter, inflatable balloon for a catheter |
| CN115253070A (en) * | 2022-09-02 | 2022-11-01 | 首都医科大学附属北京安贞医院 | Bedside TVTP electrode catheter |
| CN117281605A (en) * | 2023-10-11 | 2023-12-26 | 上海玄宇医疗器械有限公司 | Balloon catheter for marshall vein ablation and mapping |
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| CN104665922B (en) | 2017-01-18 |
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