Detail information
ID ENCL000008
Year 2021
Disease Atrial Fibrillation
Surgery Radiofrequency Catheter Ablation
Acupoint
Acupoint Code
Ximen PC4
Lieque LU7
Neiguan PC6
Kongzui LU6
Shenmen HT7
Side both upper limbs;bilaterally
Description 1)Neiguan (PC 6) and Lieque (LU 7) points were selected by international standard, in both upper limbs. After sterilization, filiform needles of 0.30 mm in diameter and 40 mm in length were used to perpendicularly puncture the 4 points. After insertion, the needle bodies were pressed down with the tips pointing toward Ximen (PC 4) and Kongzui (LU 6) (PC 6 to PC 4, LU 7 to LU 6). 2)For the acupuncture, the patient was in supine position and bilateral PC 6 and Shenmen (HT 7) points were considered.
Sample Count 1
Age 62
Indicator Blood examination Liver and kidney function Electrolytes Electrocardiogram(ECG) Computed tomography(CT)
Auxiliary Medication The patient was orally administered warfarin 3.75 mg, metoprolol 47.5 mg, amiodarone 200 mg, fosinopril 10 mg, atorvastatin 20 mg, furosemide 20 mg, Spironolactone 20 mg once daily, and metformin 0.5 g twice daily, Wenxin Granules 5 g trice daily.
Stimulation Method EA
Induction Method
Electroacupuncture Instrument Model Manufacturer Frequency Waveform Strength Induction Time
G6805-2 Huayi Medical Instrument Co., Ltd., China 15 Hz continuous wave comfortable current intensity EA anesthesia was used throughout the operation

Acupuncture_Needle Needle_Manufacturer Needle_Depth
0.3×40 mm - 0.5-1.0 inches

Description 1)Acupuncture elicited de-qi. The needles were then connected to electroacupuncture (EA) apparatus (type GB6805-2, Huayi Medical Instrument Co., Ltd., China), with continuous wave, frequency at 15 Hz, and comfortable current intensity. 2)After standard sterilization, the selected 0.30 mm×40 mm filiform needles were perpendicularly inserted on both sides of PC 6, 0.5 to 1.0 inches deep. Acupuncture elicited de-qi (the occurrence of no anatomically distributed feeling of heaviness, numbness, and/or tightness over the whole hand signified that the needle was correctly positioned at PC 6).
Anesthesia Method
AA
Clinical Trial Type Case report
Effector The patient did not suffer any significant pain during the operation. He was discharged on June 11, 2018. Acupuncture combined with amiodarone therapy was followed for 3 months after pulmonary vein isolation. There were no AF episodes during the follow-up of normal ECG (Figure 6) and ambulatory ECG in July 2019. Uncomfortable symptoms, such as palpitations, had not appeared.
Positive
Literature
PMID 33140206
Title Acupuncture Anesthesia for Radiofrequency Catheter Ablation in Treatment of Persistent Atrial Fibrillation: A Case Report.
Abstract
Souce Chin J Integr Med. 2021 Feb;27(2):137-140. doi: 10.1007/s11655-020-3436-5. Epub 2020 Nov 2.