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Left Main & Coronary Bifurcation Summit (CBS) was founded in 2006 as a think tank dedicated to the treatment of left main and coronary bifurcation lesions. CBS aims to improve cardiological care by refreshing fundamental researches, clinical trials, yearly published guidelines, emerged ideas and case-based discussion.

Association and Affiliations
- Organized by
  
  Nanjing Heart Center
  
  Asian Bifurcation Club (ABC)
  
  Nanjing First Hospital, Nanjing Medical University
- Co-organized by
  
  Chinese Society of Cardiology (CSC)
  
  Capacity Building and Continuing Education Center,National Health and Family Planning Commission (CBCEC)
  
  American Society for Cardiovascular Angiography and Interventions (SCAI)
  
  Asian Heart Society (AHS)
Contact Us
- Registration Administration of Domestic Representatives
  
  Hongjuan Peng : +86-13913895477
  
  Haimei Xu +86-13914736846
  
  cbsnj@cbsmd.cn
- Registration Administration of Overseas Representatives
  
  Ling Lin : +86 (25) 52271398
  
  +86-13951884596
  
  cbs@cbsmd.cn
- Management of Challenging Cases
  
  Yingying Zhao :+86-13815408517
  
  sub@cbsmd.cn
Address

CBS2019 Congress Secretariat, Nanjing First Hospital, Building No.9 68# Changle Road, Nanjing, China

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Research Paper

> Acute Coronary Syndrom

> ASCVD Prevention

> Bifurcation Stenting

> Cardio-Oncology

> Congestive Heart Failure

> DAPT Duration

> Drug Coated Balloon

> Fractional Flow Reserve

> IVUS Guidance

> Optical Coherence Tomography

> Pulmonary Hypertension

> Rotational Atherectomy

> Shear Stress

> Stenting Left Main

> Transcatheter Aortic Valve Replacement

> Percutaneous LAA Occlusion

> Mitral/Tricuspid Valvular Disease

> Other Relevant Articles

Recommended Paper

Management of Acute Myocardial Infarction During the COVID-19 Pandemic

COVID-19 and Thrombotic or Thromboembolic Disease: Implications for Prevention, Antithrombotic Therapy, and Follow-up

CSC Expert Consensus on Principles of Clinical Management of Patients with Severe Emergent Cardiovascular Diseases during the COVID-19 Epidemic

ACC Clinical Bulletin Focuses on Cardiac Implications of Coronavirus (COVID-19)

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HOME | SCIENTIFIC LIBRARY | 光学相关断层扫描

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Optical Coherence Tomography-Guided Percutaneous Coronary Intervention in ST-Segment-Elevation Myocardial Infarction: A Prospective Propensity-Matched Cohort of the Thrombectomy Versus Percutaneous Coronary Intervention Alone Trial Optimal threshold of postintervention minimum stent area to predict in-stent restenosis in small coronary arteries: An optical coherence tomography analysis Clinical Impact of Suboptimal Stenting and Residual Intrastent Plaque/Thrombus Protrusion in Patients With Acute Coronary Syndrome: The CLI-OPCI ACS Substudy (Centro per la Lotta Contro L'Infarto-Optimization of Percutaneous Coronary Intervention in Acute Coronary Syndrome) Treatment of calcified coronary lesions with Palmaz-Schatz stents. An intravascular ultrasound study Characteristics of abnormal post-stent optical coherence tomography findings in hemodialysis patients Optical coherence tomography predictors of target vessel myocardial infarction after provisional stenting in patients with coronary bifurcation disease Japan-United States of America Harmonized Assessment by Randomized Multicentre Study of OrbusNEich's Combo StEnt (Japan-USA HARMONEE) study: primary results of the pivotal registration study of combined endothelial progenitor cell capture and drug-eluting stent in patients with ischaemic coronary disease and non-ST-elevation acute coronary syndrome Spontaneous Coronary Artery Dissection: Pathophysiological Insights From Optical Coherence Tomography

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Original Research

JOURNAL：CBSMD Article Link

经导管消融术治疗难治性室颤风暴, 可行?

CBSMD

Pre-reading

心肌梗死（MI）后引发的难治性心室颤动（VF）风暴（post-MI refractory ventricular fibrillation storm）可引发危及生命的心源性猝死（sudden cardiac death，SCD），我们对引发和复发此种心律失常的潜在机制仍知之甚少，急救时需多次除颤，幸存者也可选择置入心律转复除颤器（implantable cardioverter defibrillators ，ICD)，然而ICDs不能预防VF复发，患者仍有遭受电风暴和多次电击的风险。

早在2003年德国汉堡Bänsch等曾报告4例成功接受经导管消融术治疗心梗后电风暴治疗患者的病理及预后数据,“Successful catheter ablation of electrical storm after myocardial infarction" 。

“Catheter Ablation of Refractory Ventricular Fibrillation Storm After Myocardial Infarction: A Multicenter Study” 发布了日、法两国多中心、回顾性观察性研究结果，提供了110名既往无单形室性心动过速病史，因心肌梗死收治入院后4.5±2.5天发生难治性室颤风暴的住院患者经导管射频消融术（radiofrequency catheter ablation，RFCA）治疗的预后数据，尽管患者生存率受心血管病情程度及合并症复杂程度的影响，但该组数据证实了RFCA作为预防难治性室颤风暴复发的可行性有效策略。

ACC.org对该研究进行了点评，该研究对RFCA抑制心梗后VF风暴的疗效提供了临床可行性评估并就其可行性思路给予了解释：“It is likely that in-patient mortality would have been much higher than 27% had RFCA not been as effective as it was. It is useful to know that the triggering PVCs originate in the Purkinje system and are closely related to the infarction scar. This suggests that if precise mapping of the VF triggers is not feasible, a possible option would be to target all sites within a scar and its border zone at which a Purkinje potential precedes the QRS complex during sinus rhythm.”

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