CN104665922B - Marshall ligament absolute ethyl alcohol ablation system - Google Patents
Marshall ligament absolute ethyl alcohol ablation system Download PDFInfo
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- CN104665922B CN104665922B CN201510087915.5A CN201510087915A CN104665922B CN 104665922 B CN104665922 B CN 104665922B CN 201510087915 A CN201510087915 A CN 201510087915A CN 104665922 B CN104665922 B CN 104665922B
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- ablation
- marshall
- vein
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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the radiography mapping electric physiological catheter, the radiography mapping electric physiological catheter is withdrawn, the guide steel wire is fed along a guide sheathing canal center cavity and enters the coronary vein, and in addition, a chemical ablation balloon is guided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, more particularly, to marshall ligament dehydrated alcohol ablation system.
Background technology
It is known that atrial fibrillation (abbreviation atrial fibrillation) is clinically modal perpetual arrhythmia.Existing research
Find, heart marshall ligament (ligament of marshall, lom) plays important work in the generation and maintenance of atrial fibrillation
With.
Marshall ligament is the ribbon cord structures being formed after embryonic stage left superior vena cava is degenerated, and traveling is in the left heart
Between ear and left side pulmonary vein, it is contained within venule (marshall vein) and cardiac muscle fiber (marshall bundle) and nerve
Tissue.Marshall vein is oblique vein of left atrium, and it originates between upper left, left inferior pulmonary vein, and diagonal is downward, after storage left room
Wall venous blood, imports coronary sinus vein with acute angle.Myocardial cell in marshall bundle then by fibrous connective tissue wrapping,
Marshall vein is imported and is directly connected to the muscle bundle of coronary sinus vein and the heart muscle closing at coronary sinus vein.Research card
Real, electrical activity can be recorded in marshall ligament, to atrial fibrillation inspire and maintenance plays an important role, using radio-frequency (RF) ablation or
The method of dehydrated alcohol perfusion damages the purpose that the intraligamentous muscle bundle of marshall can reach treatment atrial fibrillation.The crucial portion of ablation
Position is marshall ligament and Coronary vein sinojunction, and ablation terminal is that marshall ligament current potential is wholly absent.Additionally,
Marshall intravenous infusion dehydrated alcohol is also remarkably improved Mitral isthmus block rate, and the conduit improving Persistent Atrial Fibrillation disappears
Melt success rate.
Content of the invention
The technical problem to be solved is for the deficiencies in the prior art, proposes marshall ligament dehydrated alcohol
Ablation system, accurately can promptly position marshall vein, and records the change of marshall current potential before and after ablation, thus
Reach good diagnosis and therapeutic purposes.
For this purpose it is proposed, the present invention proposes marshall ligament dehydrated alcohol ablation system, comprising: radiography mapping electro physiology
Conduit, special guiding sheath, guide wire, chemical ablation foley's tube；
Described radiography mapping electrophysiologicalcatheter catheter, for inserting coronary sinus vein through femoral vein, records Coronary vein current potential, and
Carry out retrograde urography, show marshall vein；
Described special guiding sheath, and is sent into by its center cavity to coronary sinus vein for through femoral vein approach intubation
Chemical ablation foley's tube；
Described guide wire, for guiding chemical ablation sacculus to enter into marshall vein, seal wire has record concurrently
The function of marshall current potential, potential change before and after record ablation, wherein, is 2mm gap between multiple electrodes, totally 10 electrodes
Right；
Described chemical ablation foley's tube, for injecting dehydrated alcohol by its near-end vestibule, implements chemical ablation, its
In, described chemical ablation foley's tube is set to 3.5f；
Wherein, described radiography mapping electrophysiologicalcatheter catheter includes 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, described radiography
Agent joint is linked together with the radiography chamber of conduit, and described mapping electrodes union joint reaches electrode head end by electrode protection pipe
Position；
Described special guiding sheath, 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 even
It is connected on sacculus, chemical ablation joint is linked together with the ablation chamber of conduit, described ablation chamber has two or more
Spray-hole.Sacculus 0102 is thicker than the vessel diameter of patient part, to reach the purpose of blocking blood flow.Spray-hole 0204 is many
The structure of individual solid matter, so that contrast agent can smoothly squeeze into internal blood vessel.Conduit head end has a softness head end 0203 to ensure to lead
Pipe will not injured blood vessel.
Specifically, described chemical ablation foley's tube includes guide wire and ablation foley's tube.
Specifically, guide wire includes tail connector, guide wire main body and head end electrode..
Specifically, described sacculus internal diameter is more than the vessel diameter of patient part, for blocking blood flow.
Specifically, described spray-hole is the structure of multiple solid matters, is used for making contrast agent squeeze into internal blood vessel.
Specifically, the soft head end of conduit head end setting of described chemical ablation foley's tube, for protecting conduit will not damage
Blood trouble pipe.
Specifically, described radiography chamber there are two or more spray-holes.
Specifically, each core foot of described mapping electrodes union joint corresponds to an electrode.
Specifically, described electrode is attached with the core foot on corresponding described mapping electrodes union joint by wire.
Specifically, 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 lead
Draw sheath, guide wire, chemical ablation foley's tube；Marshall ligament dehydrated alcohol ablation system, will be raw for radiography mapping electricity
Manage conduit to pass through to guide sheath, insert coronary sinus vein through femoral vein approach, record Coronary vein current potential, and carry out retrograde making
Shadow, shows marshall vein, pushes guiding sheath to Coronary vein opening along radiography mapping electrophysiologicalcatheter catheter, withdraws from radiography mark
Survey electrophysiologicalcatheter catheter, send into guide wire along guide sheath tube hub chamber and enter into Coronary vein, and guide chemical ablation sacculus to enter
Enter to marshall vein.Guide wire has the function of record marshall current potential, potential change before and after record ablation, electrode concurrently
May be designed to 2mm gap, design 10 electrodes altogether.Chemical ablation foley's tube is then used to pass through the injection of its far-end vestibule anhydrous
Ethanol, implements chemical ablation.
Described above is only the general introduction of technical solution of the present invention, in order to better understand the technological means of the present invention,
And can be practiced according to the content of description, and in order to allow the above and other objects of the present invention, feature and advantage can
Become apparent, below especially exemplified by the specific embodiment of the present invention.
Brief description
In order to be illustrated more clearly that the embodiment of the present invention or technical scheme of the prior art, below will be to embodiment or existing
Have technology description in required use accompanying drawing be briefly described it should be apparent that, drawings in the following description be only this
Some embodiments of invention, for those of ordinary skill in the art, on the premise of not paying creative work, acceptable
Other accompanying drawings are obtained according to these accompanying drawings.
The features and advantages of the present invention can be more clearly understood from by reference to accompanying drawing, accompanying drawing is schematic and should not manage
Solution is to carry out any restriction to the present invention, in the accompanying drawings:
Fig. 1 shows chemical ablation foley's tube and guiding steel in marshall ligament dehydrated alcohol ablation system of the present invention
The structural representation of silk cooperation；
Fig. 2 shows that the structure of chemical ablation foley's tube in marshall ligament dehydrated alcohol ablation system of the present invention is shown
It is intended to；
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 guiding sheath in marshall ligament dehydrated alcohol ablation system of the present invention；
Fig. 5 shows the structure of radiography mapping electrophysiologicalcatheter catheter in marshall ligament dehydrated alcohol ablation system of the present invention
Schematic diagram；
Fig. 6 shows the afterbody of radiography mapping electrophysiologicalcatheter catheter in marshall ligament dehydrated alcohol ablation system of the present invention
Structure chart；
Fig. 7 shows radiography mapping electrophysiologicalcatheter catheter radiography chamber in marshall ligament dehydrated alcohol ablation system of the present invention
Local structural graph.
Specific embodiment
Below in conjunction with accompanying drawing, embodiments of the present invention is described in detail.Following examples are merely to illustrate this
Bright, but can not be used for limiting the scope of the present invention.
In order to be better understood from and apply marshall ligament dehydrated alcohol ablation system proposed by the present invention, with attached as follows
Illustrated example is described in detail.
As shown in figure 1, the invention provides marshall ligament dehydrated alcohol ablation system, comprising: radiography mapping electricity is raw
Reason conduit, special guiding sheath, guide wire, chemical ablation foley's tube.
Specifically, radiography mapping electrophysiologicalcatheter catheter includes sacculus (102), mapping electrodes head end (6), inflated joint
(1), contrast agent joint (2), mapping electrodes union joint (3), conduit is responsible for (4).
Further, in conjunction with shown in Fig. 2-5, inflated joint (1) connects on sacculus airway (101), sacculus inducing QI
Pipe (101) is linked on sacculus (102), and contrast agent joint (2) is linked together with the radiography chamber (202) of conduit, radiography chamber
(202) there are two or more on, i.e. multiple spray-holes (204), mapping electrodes union joint (3) passes through electrode protection pipe
(301) reach the position of electrode head end (6), wherein, each core foot of mapping electrodes union joint (3) corresponds to an electrode (601),
Electrode (601) is linked together with the core foot on corresponding mapping electrodes union joint (3) by wire (603), and electrode (601)
Between spacing be impartial, electrode (601) can be two or more.
Further, sacculus (102) is thicker than the vessel diameter of patient part, to reach the purpose of blocking blood flow, spray
Perforation (204) is the structure of multiple solid matters, so that contrast agent can smoothly squeeze into internal blood vessel.
Further, radiography mapping electrophysiologicalcatheter catheter also includes conduit head end, arrange round and smooth soft head end (602) with
Ensure that conduit will not injured blood vessel.
Marshall ligament dehydrated alcohol ablation system proposed by the present invention also includes: special guiding sheath, for guiding
Chemical ablation foley's tube enters Coronary vein.
Marshall ligament dehydrated alcohol ablation system proposed by the present invention also includes: chemical ablation foley's tube, specifically
Ground, the inflated joint (01) on chemical ablation foley's tube connects on sacculus airway (0101), sacculus airway
(0101) it is connected on sacculus (0102)；Chemical ablation joint (2) is linked together with the ablation chamber (0202) of conduit, melts chamber
(0202) there are two or more on, i.e. multiple spray-holes (0204).
Further, sacculus (0102) is thicker than the vessel diameter of patient part, to reach the purpose of blocking blood flow, spray
Perforation (0204) is the structure of multiple solid matters, so that contrast agent can smoothly squeeze into internal blood vessel.
Further, the soft head end (0203) of conduit head end setting of chemical ablation foley's tube is to ensure that conduit will not
Injured blood vessel.
Further, chemical ablation foley's tube includes guide wire and ablation foley's tube, wherein, guide wire bag
Include tail connector, guide wire main body and head end electrode.
Further, it is illustrated in figure 6 the tail structure figure of radiography mapping electrophysiologicalcatheter catheter.Conduit supervisor 4 divides respectively
Go out three chamber inflated joints 1, contrast agent joint 2, mapping electrodes union joint 3, and as shown in fig. 7, contrast agent chamber 202 will be made
Contrast agent is ejected into internal blood vessel by spray-hole 204 by shadow agent 201, then carries out radiography by x-ray machine, to determine Ink vessel transfusing
Cage structure situation.Then radiography mapping electrophysiologicalcatheter catheter is withdrawn from blood vessel, be passed through guiding sheath, and guide wire is passed through guiding
The center cavity of sheath enters Coronary vein.Carry out chemical ablation.
The present invention relates to marshall ligament dehydrated alcohol ablation system, comprising: radiography mapping electrophysiologicalcatheter catheter, special lead
Draw sheath, guide wire, chemical ablation foley's tube；Marshall ligament dehydrated alcohol ablation system, will be raw for radiography mapping electricity
Manage conduit to pass through to guide sheath, insert coronary sinus vein through femoral vein approach, record Coronary vein current potential, and carry out retrograde making
Shadow, shows marshall vein, pushes guiding sheath to Coronary vein opening along radiography mapping electrophysiologicalcatheter catheter, withdraws from radiography mark
Survey electrophysiologicalcatheter catheter, send into guide wire along guide sheath tube hub chamber and enter into Coronary vein, and guide chemical ablation sacculus to enter
Enter to marshall vein.Guide wire has the function of record marshall current potential, potential change before and after record ablation, electrode concurrently
May be designed to 2mm gap, design 10 electrodes altogether.Chemical ablation foley's tube is then used to pass through the injection of its far-end vestibule anhydrous
Ethanol, implements chemical ablation.
The all parts embodiment of the present invention can be realized with hardware, or to run on one or more processor
Software module realize, or with combinations thereof realize.It will be understood by those of skill in the art that can use in practice
Microprocessor or digital signal processor (dsp) are realizing some or all parts in equipment according to embodiments of the present invention
Some or all functions.The present invention is also implemented as executing some or all of method as described herein
Equipment or system program (for example, computer program and computer program).Such program realizing the present invention can
To store on a computer-readable medium, or can have the form of one or more signal.Such signal can be from
Download on internet website and obtain, or provide on carrier signal, or provided with any other form.
" embodiment ", " embodiment " or " one or more embodiment " referred to herein is it is meant that combine
The special characteristic of embodiment description, structure or characteristic are included at least one embodiment of the present invention.Further, it is noted that
Here the word example of " in one embodiment " is not necessarily all referring to same embodiment.
In description mentioned herein, illustrate a large amount of details.It is to be appreciated, however, that the enforcement of the present invention
Example can be put into practice in the case of not having these details.In some instances, known method, knot are not been shown in detail
Structure and technology, so as not to obscure the understanding of this description.
It should be noted that above-described embodiment the present invention will be described rather than limits the invention, and ability
Field technique personnel can design alternative embodiment without departing from the scope of the appended claims.In the claims,
Any reference markss between bracket should not be configured to limitations on claims.Word "comprising" does not exclude the presence of not
Element listed in the claims or step.Word "a" or "an" before element does not exclude the presence of multiple such
Element.The present invention can come real by means of the hardware including some different elements and by means of properly programmed computer
Existing.If in the unit claim listing dry systems, several in these systems can be by same hardware branch
To embody.The use of word first, second, and third does not indicate that any order.These words can be explained and run after fame
Claim.
Furthermore, it should also be noted that used in this specification language primarily to the purpose of readable and teaching and select
Select, rather than select to explain or limit subject of the present invention.Therefore, without departing from appended claims
In the case of scope and spirit, many modifications and changes are all apparent for those skilled in the art
's.For the scope of the present invention, the disclosure that the present invention is done is illustrative and not restrictive, the scope of the present invention by
Appended claims limit.
Although being described in conjunction with the accompanying embodiments of the present invention, those skilled in the art can be without departing from this
Various modifications and variations are made, such modification and modification each fall within by claims in the case of bright spirit and scope
Within limited range.
Claims (5)
1.marshall ligament dehydrated alcohol ablation system is it is characterised in that include: radiography mapping electrophysiologicalcatheter catheter, special leads
Draw sheath, guide wire, chemical ablation foley's tube；
Described radiography mapping electrophysiologicalcatheter catheter, for inserting coronary sinus vein through femoral vein, records Coronary vein current potential, and carries out
Retrograde urography, shows marshall vein；
Described special guiding sheath, for coronary sinus vein and chemical by its center cavity feeding through femoral vein approach intubation
Ablation foley's tube；
Described guide wire, for guiding chemical ablation foley's tube to enter into marshall vein, guide wire has record concurrently
The function of marshall current potential, potential change before and after record ablation, wherein, is 2mm gap between multiple electrodes, totally 10 electrodes
Right；
Described chemical ablation foley's tube, for injecting dehydrated alcohol by its proximal lateral vestibule, implements chemical ablation, wherein,
Described chemical ablation foley's tube is set to 3.5f；
Wherein, described radiography mapping electrophysiologicalcatheter catheter include 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 described contrast agent connects
Head is linked together with the radiography chamber of conduit, and described mapping electrodes union joint reaches mapping electrodes head end by electrode protection pipe
Position；
Described special guiding sheath, 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 to
On sacculus, chemical ablation joint is linked together with the ablation chamber of conduit, and there are two or more sprays in described ablation chamber
Perforation；The sacculus (0102) being connected with described chemical ablation foley's tube is thicker than the vessel diameter of patient part, to reach resistance
The purpose of Herba Clinopodii；Spray-hole (0204) is the structure of multiple solid matters, so that Ink vessel transfusing can smoothly be squeezed into by chemical ablation reagent
Portion；Chemical ablation foley's tube head end has a softness head end (0203) will not injured blood vessel to ensure conduit.
2. marshall ligament dehydrated alcohol ablation system as claimed in claim 1 is it is characterised in that guide wire includes tail
Portion's adapter, guide wire main body and head end electrode.
3. marshall ligament dehydrated alcohol ablation system as claimed in claim 1 is it is characterised in that described mapping electrodes connect
Each core foot of joint corresponds to an electrode.
4. marshall ligament dehydrated alcohol ablation system as claimed in claim 1 is it is characterised in that described radiography mapping is electric
The electrode of electrophysiology catheter is attached with the core foot on corresponding described mapping electrodes union joint by wire.
5. marshall ligament dehydrated alcohol ablation system as claimed in claim 1 is it is characterised in that described radiography mapping is electric
Spacing between the electrode of electrophysiology catheter is impartial, and wherein, described electrode is two or more.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510087915.5A CN104665922B (en) | 2015-02-26 | 2015-02-26 | Marshall ligament absolute ethyl alcohol ablation system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510087915.5A CN104665922B (en) | 2015-02-26 | 2015-02-26 | Marshall ligament absolute ethyl alcohol ablation system |
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| CN104665922A CN104665922A (en) | 2015-06-03 |
| CN104665922B true CN104665922B (en) | 2017-01-18 |
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Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN106691438B (en) * | 2016-12-07 | 2022-05-31 | 首都医科大学附属北京安贞医院 | Whole heart three-dimensional mapping system for complex arrhythmia |
| FR3080774B1 (en) * | 2018-05-04 | 2022-07-15 | Univ Bordeaux | CATHETER, INFLATABLE BALLOON FOR CATHETHER |
| CN109394211B (en) * | 2018-12-18 | 2021-08-06 | 新乡医学院 | Method for preparing in-vivo electrophysiological recording metal electrode |
| CN115253070B (en) * | 2022-09-02 | 2023-01-24 | 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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