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1.
Nat Commun ; 15(1): 2077, 2024 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-38453947

RESUMO

Ultrastrong and deep-strong coupling are two coupling regimes rich in intriguing physical phenomena. Recently, hybrid magnonic systems have emerged as promising candidates for exploring these regimes, owing to their unique advantages in quantum engineering. However, because of the relatively weak coupling between magnons and other quasiparticles, ultrastrong coupling is predominantly realized at cryogenic temperatures, while deep-strong coupling remains to be explored. In our work, we achieve both theoretical and experimental realization of room-temperature ultrastrong magnon-magnon coupling in synthetic antiferromagnets with intrinsic asymmetry of magnetic anisotropy. Unlike most ultrastrong coupling systems, where the counter-rotating coupling strength g2 is strictly equal to the co-rotating coupling strength g1, our systems allow for highly tunable g1 and g2. This high degree of freedom also enables the realization of normalized g1 or g2 larger than 0.5. Particularly, our experimental findings reveal that the maximum observed g1 is nearly identical to the bare frequency, with g1/ω0 = 0.963, indicating a close realization of deep-strong coupling within our hybrid magnonic systems. Our results highlight synthetic antiferromagnets as platforms for exploring unconventional ultrastrong and even deep-strong coupling regimes, facilitating the further exploration of quantum phenomena.

2.
Nano Lett ; 23(20): 9243-9249, 2023 Oct 25.
Artigo em Inglês | MEDLINE | ID: mdl-37792552

RESUMO

The chiral helimagnet CrNb3S6 hosts various temperature- and magnetic-field-stabilized chiral soliton lattices (CSLs) and corresponding exotic collective spin resonance modes, which make it an ideal candidate for future magnetic storage/memory and magnon-based information processing. While most studies have focused on characterizing various static spin textures in this chiral helimagnet, its corresponding collective dynamics have rarely been explored. This study systematically investigates the temperature- and magnetic-field-dependent magnetic dynamics of a single crystal of CrNb3S6 using broadband microwave spectroscopy. We observe an optical mode with a temperature-independent mode number in addition to Kittel-like ferromagnetic resonance (FMR) modes in the CSL phase, consistent with the temperature-independent normalized CSL period L(H)/L(0) based on the 1D chiral sine-Gordon model. Furthermore, combining theoretical model fitting and micromagnetic simulation, we provide a detailed phase diagram and temporal-spatial resolution of dynamic modes, which may help to develop high-frequency exchange-coupling-based spintronic devices.

3.
Front Cardiovasc Med ; 8: 748194, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34881305

RESUMO

Background: The substrate for ventricular tachycardia (VT) in patients with structural heart disease is usually complex and often requires extensive ablation. As a result, the incidence of major procedure-related complications has been reported to be higher when compared to patients without structural heart disease. In this study, we present a rare complication after extensive substrate modification of scar-related VT. Case: A 65-year-old man with ischemic cardiomyopathy was referred to the electrophysiology laboratory for radiofrequency ablation of VT following repetitive implantable cardioverter defibrillator shocks within a short period. As with hemodynamic intolerance of induced VT, an approach involving extensive endocardial substrate modification to reduce the arrhythmogenicity of the scars was adopted. After the procedure, the heart function of the patient deteriorated significantly. The postprocedural ECG showed a bizarre, extremely wide surface QRS complex (360 ms), termed as homologous ventricular separation. The pronounced dyssynchrony of the ventricle was corrected by an upgrade to cardiac resynchronization therapy with defibrillation (CRT-D). As a result, the symptoms of the patient improved significantly. The width of the intrinsic QRS complex was not recovered during an 18-month follow-up. Conclusion: Homologous ventricular separation is a rare arrhythmia, manifested as two separated QRS waves. This case report demonstrates, for the first time, that homologous ventricular separation may occur after extensive substrate modification of scar-related VT. CRT-D can correct the dyssynchronous ventricle caused by homologous ventricular separation.

4.
Nat Commun ; 12(1): 1909, 2021 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-33772026

RESUMO

Non-collinear magnets exhibit a rich array of dynamic properties at microwave frequencies. They can host nanometre-scale topological textures known as skyrmions, whose spin resonances are expected to be highly sensitive to their local magnetic environment. Here, we report a magnetic resonance study of an [Ir/Fe/Co/Pt] multilayer hosting Néel skyrmions at room temperature. Experiments reveal two distinct resonances of the skyrmion phase during in-plane ac excitation, with frequencies between 6-12 GHz. Complementary micromagnetic simulations indicate that the net magnetic dipole moment rotates counterclockwise (CCW) during both resonances. The magnon probability distribution for the lower-frequency resonance is localised within isolated skyrmions, unlike the higher-frequency mode which principally originates from areas between skyrmions. However, the properties of both modes depend sensitively on the out-of-plane dipolar coupling, which is controlled via the ferromagnetic layer spacing in our heterostructures. The gyrations of stable isolated skyrmions reported in this room temperature study encourage the development of new material platforms and applications based on skyrmion resonances. Moreover, our material architecture enables the resonance spectra to be tuned, thus extending the functionality of such applications over a broadband frequency range.

5.
BMC Cardiovasc Disord ; 20(1): 359, 2020 08 05.
Artigo em Inglês | MEDLINE | ID: mdl-32758134

RESUMO

BACKGROUND: Cardiac tamponade is a potentially fatal complication after catheter ablation of ventricular arrhythmias. It often happens during or shortly after the procedure and needs urgent treatment. Here, we present a very incredible case about delayed cardiac tamponade after ablation of premature ventricular complexes. CASE PRESENTATION: A 66-year-old woman who underwent successful catheter ablation of right ventricular outflow tract origin premature ventricular complexes. Nineteen days after ablation, the patient experienced sudden syncope. Upon arriving at our hospital, she was "confused and shock". Transthoracic echocardiography revealed hemorrhagic cardiac tamponade, which was considered due to a delayed tiny perforation in the heart induced by the previous ablation. Following an emergent pericardiocentesis to drain a 200 mL hemorrhagic effusion, the patient's hemodynamics improved significantly. The patient was discharged after a 2-week hospitalization for investigating other probable causes with negative results. No signs of pericardial effusion recurred in a follow-up time of 12 months. CONCLUSION: This case report demonstrated, for the first time, that very late post-procedural cardiac tamponade might occur after catheter ablation of ventricular arrhythmias, even without antithrombotic treatment.


Assuntos
Tamponamento Cardíaco/etiologia , Ablação por Cateter/efeitos adversos , Traumatismos Cardíacos/etiologia , Derrame Pericárdico/etiologia , Complexos Ventriculares Prematuros/cirurgia , Idoso , Tamponamento Cardíaco/diagnóstico por imagem , Tamponamento Cardíaco/fisiopatologia , Tamponamento Cardíaco/terapia , Feminino , Traumatismos Cardíacos/diagnóstico por imagem , Traumatismos Cardíacos/fisiopatologia , Traumatismos Cardíacos/terapia , Hemodinâmica , Humanos , Derrame Pericárdico/diagnóstico por imagem , Derrame Pericárdico/fisiopatologia , Derrame Pericárdico/terapia , Pericardiocentese , Fatores de Tempo , Resultado do Tratamento , Complexos Ventriculares Prematuros/diagnóstico
6.
Nano Lett ; 20(1): 109-115, 2020 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-31692358

RESUMO

We present high-frequency dynamics of magnetic nanostructure lattices, fabricated in the form of "artificial spin-ice", that possess magnetically frustrated states. Dynamics of such structures feature multiple resonance excitation that reveals rich and intriguing microwave characteristics, which are highly dependent on field-cycle history. Geometrical parameters such as dimensions and ferromagnetic layer thickness, which control the interplay of different demagnetizing factors, are found to play a pivotal role in governing the dynamics. Our findings are highlighted by the evolution of unique excitations pertaining to magnetic frustration, which are well supported by static magnetometry studies and micromagnetic simulations.

7.
Phys Rev Lett ; 122(6): 067204, 2019 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-30822086

RESUMO

Periodically patterned metamaterials are known for exhibiting wave properties similar to the ones observed in electronic band structures in crystal lattices. In particular, periodic ferromagnetic materials are characterized by the presence of bands and band gaps in their spin-wave spectrum at tunable GHz frequencies. Recently, the fabrication of magnets hosting Dzyaloshinskii-Moriya interactions has been pursued with high interest since properties, such as the stabilization of chiral spin textures and nonreciprocal spin-wave propagation, emerge from this antisymmetric exchange coupling. In this context, to further engineer the magnon band structure, we propose the implementation of magnonic crystals with periodic Dzyaloshinskii-Moriya interactions, which can be obtained, for instance, via patterning of periodic arrays of heavy metal wires on top of an ultrathin magnetic film. We demonstrate through theoretical calculations and micromagnetic simulations that such systems show an unusual evolution of the standing spin waves around the gaps. We also predict the emergence of indirect gaps and flat bands, effects that depend on the strength of the Dzyaloshinskii-Moriya interaction. Such phenomena, which have been previously observed in different systems, are observed here simultaneously, opening new routes towards engineered metamaterials for spin-wave-based devices.

8.
Nat Commun ; 10(1): 696, 2019 03 06.
Artigo em Inglês | MEDLINE | ID: mdl-30842413

RESUMO

The topological Hall effect (THE) is the Hall response to an emergent magnetic field, a manifestation of the skyrmion Berry-phase. As the magnitude of THE in magnetic multilayers is an open question, it is imperative to develop comprehensive understanding of skyrmions and other chiral textures, and their electrical fingerprint. Here, using Hall-transport and magnetic-imaging in a technologically viable multilayer film, we show that topological-Hall resistivity scales with the isolated-skyrmion density over a wide range of temperature and magnetic-field, confirming the impact of the skyrmion Berry-phase on electronic transport. While we establish qualitative agreement between the topological-Hall resistivity and the topological-charge density, our quantitative analysis shows much larger topological-Hall resistivity than the prevailing theory predicts for the observed skyrmion density. Our results are fundamental for the skyrmion-THE in multilayers, where interfacial interactions, multiband transport and non-adiabatic effects play an important role, and for skyrmion applications relying on THE.

9.
J Nanosci Nanotechnol ; 19(4): 2211-2218, 2019 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-30486970

RESUMO

The submicron-sized Fe3O4 particles were synthesized by solvothermal method. Then polydopamine (PDA) was used to modify the surface of Fe3O4 particles. And then the core-shell Fe3O4@PDA@BSA (single layer and multilayer) microspheres were prepared by the layer by layer self-assembly method (SAM). In addition, Ag nanospheres were grafted onto the surface of Fe3O4@PDA particles to obtain Fe3O4@PDA-Ag core-shell nanoparticles using silver mirror reaction. The morphology and component of the obtained core-shell particles were characterized by transmission electron microscopy (TEM) and X-ray photoelectron spectroscopy (XPS). The biocompatibility of the microspheres was researched in vitro by MTT method and its magnetic properties were also evaluated. The results showed that the microsphere has excellent magnetic properties and good biological safety. Then the catalytic performance of Fe3O4@PDA-Ag microspheres for methylene blue (MB) was studied. And the antimicrobial properties of Fe3O4@PDA-Ag microspheres for Escherichia coli and Bacillus subtilis were also be discussed. The results indicated good catalytic properties and antibacterial properties.

10.
Nature ; 563(7732): 541-545, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30405238

RESUMO

Lighting accounts for one-fifth of global electricity consumption1. Single materials with efficient and stable white-light emission are ideal for lighting applications, but photon emission covering the entire visible spectrum is difficult to achieve using a single material. Metal halide perovskites have outstanding emission properties2,3; however, the best-performing materials of this type contain lead and have unsatisfactory stability. Here we report a lead-free double perovskite that exhibits efficient and stable white-light emission via self-trapped excitons that originate from the Jahn-Teller distortion of the AgCl6 octahedron in the excited state. By alloying sodium cations into Cs2AgInCl6, we break the dark transition (the inversion-symmetry-induced parity-forbidden transition) by manipulating the parity of the wavefunction of the self-trapped exciton and reduce the electronic dimensionality of the semiconductor4. This leads to an increase in photoluminescence efficiency by three orders of magnitude compared to pure Cs2AgInCl6. The optimally alloyed Cs2(Ag0.60Na0.40)InCl6 with 0.04 per cent bismuth doping emits warm-white light with 86 ± 5 per cent quantum efficiency and works for over 1,000 hours. We anticipate that these results will stimulate research on single-emitter-based white-light-emitting phosphors and diodes for next-generation lighting and display technologies.

11.
Adv Mater ; 30(31): e1707583, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29938843

RESUMO

Migration of ions can lead to photoinduced phase separation, degradation, and current-voltage hysteresis in perovskite solar cells (PSCs), and has become a serious drawback for the organic-inorganic hybrid perovskite materials (OIPs). Here, the inhibition of ion migration is realized by the supramolecular cation-π interaction between aromatic rubrene and organic cations in OIPs. The energy of the cation-π interaction between rubrene and perovskite is found to be as strong as 1.5 eV, which is enough to immobilize the organic cations in OIPs; this will thus will lead to the obvious reduction of defects in perovskite films and outstanding stability in devices. By employing the cation-immobilized OIPs to fabricate perovskite solar cells (PSCs), a champion efficiency of 20.86% and certified efficiency of 20.80% with negligible hysteresis are acquired. In addition, the long-term stability of cation-immobilized PSCs is improved definitely (98% of the initial efficiency after 720 h operation), which is assigned to the inhibition of ionic diffusions in cation-immobilized OIPs. This cation-π interaction between cations and the supramolecular π system enhances the stability and the performance of PSCs efficiently and would be a potential universal approach to get the more stable perovskite devices.

12.
Chem Sci ; 8(1): 800-805, 2017 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-28451230

RESUMO

Although formamidinium lead iodide (FAPbI3) perovskite has shown great promise in the field of perovskite-based optoelectronic devices, it suffers the complications of a structural phase transition from a black perovskite phase (α-FAPbI3) to a yellow non-perovskite phase (δ-FAPbI3). Generally, it is pivotal to avoid δ-FAPbI3 since only α-FAPbI3 is desirable for photoelectric conversion and near-infrared (NIR) emission. However, herein, we firstly exploited the undesirable δ-FAPbI3 to enable structurally stable, pure FAPbI3 films with a controllable α/δ phase junction at low annealing temperature (60 °C) through stoichiometrically modified precursors (FAI/PbI2 = 1.1-1.5). The α/δ phase junction contributes to a striking stabilization of the perovskite phase of FAPbI3 at low temperature and significantly enhanced NIR emission at 780 nm, which is markedly different from pure α-FAPbI3 (815 nm). In particular, the optimal α/δ phase junction with FAI/PbI2 = 1.2 exhibited preferable long-term stability against humidity and high PLQY of 6.9%, nearly 10-fold higher than that of pure α-FAPbI3 (0.7%). The present study opens a new approach to realize highly stable and efficient emitting perovskite materials by utilizing the phase junctions.

13.
Sci Rep ; 5: 15154, 2015 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-26468929

RESUMO

Magnetic skyrmions are promising candidates as information carriers for the next-generation spintronic devices because of their small size, facile current-driven motion and topological stability. The controllable nucleation and motion of skyrmions in magnetic nanostructures will be essential in future skyrmionic devices. Here, we present the microwave assisted nucleation and motion of skyrmion-chains in magnetic nanotrack by micromagnetic simulation. A skyrmion-chain is a one-dimensional cluster of equally spaced skyrmions. A skyrmion-chain conveys an integer bit n when it consists of n skyrmions. A series of skyrmion-chains with various lengths is generated and moved in the nanotrack driven by spin-polarized current. The period, length and spacing of the skyrmion-chains can be dynamically manipulated by controlling either the frequency of the microwave field or the time dependent spin-polarized current density. A skyrmion-chain behaves as a massless particle, where it stops without delay when the current is stopped. Their velocity is found to be linearly dependent on the current density and insensitive to the frequency and amplitude of the excitation microwave field. Uniform motion of trains of skyrmion-chains in nanotrack offers a promising approach for spintronic multi-bit memories containing series of skyrmion-chains to represent data stream.

14.
Nano Lett ; 15(6): 4029-36, 2015 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-25989181

RESUMO

A linear array of periodically spaced and individually controllable skyrmions is introduced as a magnonic crystal. It is numerically demonstrated that skyrmion nucleation and annihilation can be accurately controlled by a nanosecond spin polarized current pulse through a nanocontact. Arranged in a periodic array, such nanocontacts allow the creation of a skyrmion lattice that causes a periodic modulation of the waveguide's magnetization, which can be dynamically controlled by changing either the strength of an applied external magnetic field or the density of the injected spin current through the nanocontacts. The skyrmion diameter is highly dependent on both the applied field and the injected current. This implies tunability of the lowest band gap as the skyrmion diameter directly affects the strength of the pinning potential. The calculated magnonic spectra thus exhibit tunable allowed frequency bands and forbidden frequency bandgaps analogous to that of conventional magnonic crystals where, in contrast, the periodicity is structurally induced and static. In the dynamic magnetic crystal studied here, it is possible to dynamically turn on and off the artificial periodic structure, which allows switching between full rejection and full transmission of spin waves in the waveguide. These findings should stimulate further research activities on multiple functionalities offered by magnonic crystals based on periodic skyrmion lattices.


Assuntos
Campos Magnéticos , Nanopartículas
15.
Opt Lett ; 38(16): 3126-8, 2013 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-24104666

RESUMO

We have demonstrated a three-dimensional movable metamaterial (MM) with reconfigurable electric split-ring resonators (eSRR) at terahertz frequencies. This is accomplished by making planar arrays of eSRR with movable stress curved beams (eSRR-MSCBs) which are actuated out-of-plane by electrostatic force. Our results have demonstrated that the eSRR-MSCBs possess blueshifting capabilities and polarization dependent state at terahertz frequencies, while such adaptive MMs offer significant potential in realizing electromagnetic functionality with diversified applications, such as sensors, switches, and filters.

16.
Chin Med Sci J ; 22(3): 156-61, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17966163

RESUMO

OBJECTIVE: To investigate the feasibility and effectiveness of radiofrequency catheter ablation (RFCA) to treat per-manent atrial fibrillation (AF) under the guidance of Carto-Merge technique. METHODS: Fifteen male patients with permanent AF underwent RFCA under the guidance of Carto-Merge technique. The mean age was 54.00 +/- 10.44 years, and duration of AF was 23.66 +/- 14.93 months. Cardiac magnetic resonance angiography (MRA) was performed to obtain pre-procedural three-dimensional (3D) images on the anatomy of left atrium (LA) and pulmonary veins (PVs) before RFCA procedure. Then the electroanatomical map was integrated with 3D images of MRA to form Carto-Merge map that guided step-by-step ablation strategy of permanent AF. Circumferential PV ablation was performed first until complete PVs electric isolation confirmed by Lasso catheter. If AF was not terminated, lesion lines on roof of LA, mitral isthmus, and tricuspid isthmus were produced. RESULTS: The episodes of AF were terminated during RFCA in 2 patients, by direct current cardioversion in the remaining 13 patients. Transient AF occurred in 2 patients after ablation on 1st day and 1st week respectively, AF terminated spontaneously not long after taking metoprolol. One patient developed persistent atrial flutter (AFL) in 2 months after procedure and AFL was eliminated by the second ablation. Persistent AF recurred on 1st day, 1st and 5th week respectively in 3 patients, and did not terminate after 3 months even though amiodarone was given. The remaining 12 patients were all free of AF during 2-11 months of follow-up. The recent success rate for RFCA of permanent AF was 80%. CONCLUSIONS: Carto-Merge technique can effectively guide RFCA of permanent AF. When combined with single Lasso mapping, it can simplify the mapping, lower expenses, and enhance the success rate of RFCA of permanent AF.


Assuntos
Fibrilação Atrial/radioterapia , Cateteres de Demora , Adulto , Fibrilação Atrial/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Ondas de Rádio
17.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 29(4): 571-4, 2007 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-19209808

RESUMO

OBJECTIVE: To investigate the effectiveness and advantages of the Carto merge technique in guiding radiofrequency catheter ablation (RFCA) of permanent atrial fibrillation (AF). METHODS: A total of 15 patients with permanent AF underwent RFCA under guidance of the Carto merge technique. The virtual electroanatomical map of the left atrium (LA) and pulmonary veins (PVs) were reconstructed with Carto system during the procedure. Then the electroanatomical map was integrated with 3-D images of cardiac magnetic resonance angiography to form Carto merge map. Circumferential pulmonary vein ablation was performed first until complete PVs electric isolation confirmed by lasso catheter. If AF was not terminated, lesion lines on roof of LA, mitral isthmus, and tricuspid isthmus were produced. Finally direct current (DC) cardioversion were given if sinus rhythm did not return. RESULTS: AF were terminated spontaneously during RFCA in 2 patients, and by DC cardioversion in the remaining 13 patients. Persistent AF recurred on 24 hours, first week, and 5th week, respectively in three patients. The remaining 12 patients were all free of AF during follow-up (1-10 months). The success rate was 80% in the study. CONCLUSIONS: Carto merge technique can effectively guide RFCA of permanent AF. When combined with single Lasso mapping, it can simplify the mapping and enhance the success rate of RFCA of permanent AF.


Assuntos
Fibrilação Atrial/cirurgia , Ablação por Cateter/métodos , Humanos
19.
Chin Med J (Engl) ; 119(5): 367-72, 2006 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-16542578

RESUMO

BACKGROUND: Verapamil-sensitive, idiopathic left ventricular tachycardia (ILVT) with right bundle branch block configuration and left-axis deviation is known to be due to re-entry mechanism but the exact nature of reentrant circuit in ILVT is not fully elucidated. Radiofrequency (RF) ablation was applied during ventricular tachycardia (VT) and termination of the VT or abolishing the inducibility of the tachycardia was used as an endpoint for successful RF. In this study, the left posterior fascicular block in surface electrocardiogram (ECG) was used as a new endpoint of ablation to cure ILVT. METHODS: Electrophysiological studies and radiofrequency ablation were performed in 39 consecutive patients [30 men, 9 women; age ranging from 10 to 64 years, mean (29 +/- 16) years] with verapamil-sensitive ILVT and structurally normal hearts. VT could be terminated by the intravenous administration of verapamil in all patients. The target site was the midseptum of LV where the earliest Purkinje potentials were recorded during VT. RF current was applied to the target site with or without late diastolic potential (LDP) during sinus rhythm in 37 patients and during VT in 2 patients to meet the ablation endpoint: the left posterior fascicular block in the surface ECG. RESULTS: Thirty-seven patients with ILVT had been treated by RF ablation during sinus rhythm and two had been treated during VT. All of them met the endpoint of the left posterior fascicular block. Thirty-eight cases were symptom-free without medications during the follow-up period (range from 3 to 95 months, median 17 months). One patient developed a clinical recurrence and the left posterior fascicular block in surface ECG disappeared. The patient received another treatment. The endpoint was met and the procedure was successful. CONCLUSIONS: The left posterior fascicular block in surface ECG used as an endpoint of RF ablation to treat ILVT is effective. It is important especially in those patients whose VT can not be induced or the inducible condition is unstable. The effective endpoint implied that the left posterior fascicle might be a critical part of the re-entrant circuit.


Assuntos
Ablação por Cateter/métodos , Eletrocardiografia , Taquicardia Ventricular/cirurgia , Verapamil/uso terapêutico , Adolescente , Adulto , Criança , Diástole , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Taquicardia Ventricular/fisiopatologia
20.
Chin Med J (Engl) ; 119(24): 2042-8, 2006 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-17199954

RESUMO

BACKGROUND: Linear ablation of left atrium (LA) guided by three dimensional (3-D) electroanatomical mapping (Carto) has been used in many centres worldwide for the treatment of atrial fibrillation (AF) instead of pure anatomical approaches. There were little data about linear ablation of LA guided by Carto and double Lasso catheters in China. We report the results of linear ablation of LA guided by both Carto and double Lasso catheters. METHODS: After the anatomical model of LA and all pulmonary veins (PVs) had been established, circumferential ablations of the left pulmonary vein antrum and the right pulmonary vein antrum were performed with 2 circumferential mapping catheters (Lasso) placed within the ipsilateral superior and inferior PVs. The endpoint of ablation was abolishment or dissociation of the pulmonary vein potentials (PVPs). Oral amiodarone or propafenone was taken for at least 3 months by patients with persistent AF, permanent AF or those whose PVPs had not been isolated completely. The recurrence of atrial tachyarrhythmias was observed 3 months after the procedure. RESULTS: There were 106 patients (mean age, 51.4 +/- 9.9 years). Seventy-eight patients had paroxysmal AF, 12 persistent AF and 16 permanent AF. Onset of atrial fibrillation occurred in 52 patients during ablation procedure. Thirty-two patients restored to sinus rhythm eventually after the procedure. Abolishment or dissociation of PVPs was accomplished during the procedure in 94 patients (88.7%). The duration of procedure and exposure to X-ray were (213 +/- 45) minutes and (32.5 +/- 12.8) minutes, respectively. Among the 87 patients followed up for over 3 months, 62 were free of atrial tachyarrhythmias (including 8 patients who were still taking oral amiodarone). The success rate was 71.3% in the first procedure. Two patients had pericardial effusion treated by pericardial puncture and effusion drainage. No pulmonary vein stenosis, atrioesophageal fistula, stroke or procedural death occurred. CONCLUSIONS: Combination of double Lasso catheters with 3-D electroanatomical mapping to guide the linear ablation of left atrium procedure can confirm the isolation of PVPs.


Assuntos
Fibrilação Atrial/cirurgia , Ablação por Cateter/métodos , Técnicas Eletrofisiológicas Cardíacas/métodos , Átrios do Coração/cirurgia , Adulto , Idoso , Fibrilação Atrial/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Veias Pulmonares/fisiopatologia
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