Simplified approach to radiofrequency catheter ablation of paroxysmal supraventricular tachycardia
To investigate the safety and efficacy of a simplified approach in radiofrequency catheter ablation of paroxysmal supraventricular tachycardia. The study involved 239 patients (118 men and 121 women) with paroxysmal supraventricular tachycardia and normal 12-lead electrocardiographic (ECG) findings...
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Veröffentlicht in: | Croatian medical journal 2004-04, Vol.45 (2), p.167-170 |
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creator | Wang, Lexin Li, Jingtian Yao, Rongguo Song, Shukai |
description | To investigate the safety and efficacy of a simplified approach in radiofrequency catheter ablation of paroxysmal supraventricular tachycardia.
The study involved 239 patients (118 men and 121 women) with paroxysmal supraventricular tachycardia and normal 12-lead electrocardiographic (ECG) findings at sinus rhythm, who visited the Cardiology Department of Weifang Medical College Hospital between January 2000 and September 2003. The mean age of patients was 39.2+/-11.9 years. The patients were divided into two groups: one undergoing a conventional 5-catheter ablation (controls), and the other a simplified 3-catheter ablation (study group). The follow up after ablation lasted 12 months. No antiarrhythmic agents were prescribed to the patients with successful ablation.
The conventional and the 3-catheter ablation group did not differ in ablation success (97.5% vs 98.3%, p=0.42) and recurrence of paroxysmal supraventricular tachycardia (2.5% vs 3.3%, p=0.23). The simplified approach was associated with a significantly shorter procedure duration (89.1+/-28.2 vs 96.1+/-21.2 minutes, p |
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The study involved 239 patients (118 men and 121 women) with paroxysmal supraventricular tachycardia and normal 12-lead electrocardiographic (ECG) findings at sinus rhythm, who visited the Cardiology Department of Weifang Medical College Hospital between January 2000 and September 2003. The mean age of patients was 39.2+/-11.9 years. The patients were divided into two groups: one undergoing a conventional 5-catheter ablation (controls), and the other a simplified 3-catheter ablation (study group). The follow up after ablation lasted 12 months. No antiarrhythmic agents were prescribed to the patients with successful ablation.
The conventional and the 3-catheter ablation group did not differ in ablation success (97.5% vs 98.3%, p=0.42) and recurrence of paroxysmal supraventricular tachycardia (2.5% vs 3.3%, p=0.23). The simplified approach was associated with a significantly shorter procedure duration (89.1+/-28.2 vs 96.1+/-21.2 minutes, p<0.01) and fluoroscopy time (10.7+/-2.6 vs 12.7+/-4.2 minutes, p<0.01). There were no significant differences between the two groups in the type and incidence of procedural complications and ablation success.
The simplified 3-catheter ablation approach proved to be a safe and effective method for ablation of paroxysmal supraventricular tachycardia. However, further studies including larger sample of such patients are needed to assess the clinical outcomes and cost-effectiveness of this simplified procedure.</description><identifier>ISSN: 0353-9504</identifier><identifier>PMID: 15103753</identifier><language>eng</language><publisher>Croatia</publisher><subject>Adult ; Catheter Ablation - adverse effects ; Catheter Ablation - methods ; Female ; Follow-Up Studies ; Humans ; Incidence ; Male ; Recurrence ; Safety ; Tachycardia, Paroxysmal - therapy ; Tachycardia, Supraventricular - therapy ; Treatment Outcome</subject><ispartof>Croatian medical journal, 2004-04, Vol.45 (2), p.167-170</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15103753$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Lexin</creatorcontrib><creatorcontrib>Li, Jingtian</creatorcontrib><creatorcontrib>Yao, Rongguo</creatorcontrib><creatorcontrib>Song, Shukai</creatorcontrib><title>Simplified approach to radiofrequency catheter ablation of paroxysmal supraventricular tachycardia</title><title>Croatian medical journal</title><addtitle>Croat Med J</addtitle><description>To investigate the safety and efficacy of a simplified approach in radiofrequency catheter ablation of paroxysmal supraventricular tachycardia.
The study involved 239 patients (118 men and 121 women) with paroxysmal supraventricular tachycardia and normal 12-lead electrocardiographic (ECG) findings at sinus rhythm, who visited the Cardiology Department of Weifang Medical College Hospital between January 2000 and September 2003. The mean age of patients was 39.2+/-11.9 years. The patients were divided into two groups: one undergoing a conventional 5-catheter ablation (controls), and the other a simplified 3-catheter ablation (study group). The follow up after ablation lasted 12 months. No antiarrhythmic agents were prescribed to the patients with successful ablation.
The conventional and the 3-catheter ablation group did not differ in ablation success (97.5% vs 98.3%, p=0.42) and recurrence of paroxysmal supraventricular tachycardia (2.5% vs 3.3%, p=0.23). The simplified approach was associated with a significantly shorter procedure duration (89.1+/-28.2 vs 96.1+/-21.2 minutes, p<0.01) and fluoroscopy time (10.7+/-2.6 vs 12.7+/-4.2 minutes, p<0.01). There were no significant differences between the two groups in the type and incidence of procedural complications and ablation success.
The simplified 3-catheter ablation approach proved to be a safe and effective method for ablation of paroxysmal supraventricular tachycardia. However, further studies including larger sample of such patients are needed to assess the clinical outcomes and cost-effectiveness of this simplified procedure.</description><subject>Adult</subject><subject>Catheter Ablation - adverse effects</subject><subject>Catheter Ablation - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Recurrence</subject><subject>Safety</subject><subject>Tachycardia, Paroxysmal - therapy</subject><subject>Tachycardia, Supraventricular - therapy</subject><subject>Treatment Outcome</subject><issn>0353-9504</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kE1LxDAYhHtQ3HX1L0hO3gr5aJrmKItfsOBBPZe3yRs20jY1ScX-ewvunuYww8PMXBRbKqQotaTVprhO6YtSTquqvio2TDIqlBTbonv3w9R759ESmKYYwBxJDiSC9cFF_J5xNAsxkI-YMRLoesg-jCQ4MkEMv0saoCdpniL84JijN3MPkeSVsxiI1sNNcemgT3h70l3x-fT4sX8pD2_Pr_uHQzlxqnKphNNVrWs0jcGOK80Fs7WQilasElbXXEt0DbBGdY5zi4p10q6eFFIy1GJX3P9z1xVr7ZTbwSeDfQ8jhjm1ijWS1kyswbtTcO4GtO0U_QBxac-viD9P117M</recordid><startdate>200404</startdate><enddate>200404</enddate><creator>Wang, Lexin</creator><creator>Li, Jingtian</creator><creator>Yao, Rongguo</creator><creator>Song, Shukai</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200404</creationdate><title>Simplified approach to radiofrequency catheter ablation of paroxysmal supraventricular tachycardia</title><author>Wang, Lexin ; Li, Jingtian ; Yao, Rongguo ; Song, Shukai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p207t-73f94696ec8ceb279231d635704143d96295ef8a187bf22de71b5d41453551e93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Catheter Ablation - adverse effects</topic><topic>Catheter Ablation - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Recurrence</topic><topic>Safety</topic><topic>Tachycardia, Paroxysmal - therapy</topic><topic>Tachycardia, Supraventricular - therapy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Lexin</creatorcontrib><creatorcontrib>Li, Jingtian</creatorcontrib><creatorcontrib>Yao, Rongguo</creatorcontrib><creatorcontrib>Song, Shukai</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Croatian medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Lexin</au><au>Li, Jingtian</au><au>Yao, Rongguo</au><au>Song, Shukai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simplified approach to radiofrequency catheter ablation of paroxysmal supraventricular tachycardia</atitle><jtitle>Croatian medical journal</jtitle><addtitle>Croat Med J</addtitle><date>2004-04</date><risdate>2004</risdate><volume>45</volume><issue>2</issue><spage>167</spage><epage>170</epage><pages>167-170</pages><issn>0353-9504</issn><abstract>To investigate the safety and efficacy of a simplified approach in radiofrequency catheter ablation of paroxysmal supraventricular tachycardia.
The study involved 239 patients (118 men and 121 women) with paroxysmal supraventricular tachycardia and normal 12-lead electrocardiographic (ECG) findings at sinus rhythm, who visited the Cardiology Department of Weifang Medical College Hospital between January 2000 and September 2003. The mean age of patients was 39.2+/-11.9 years. The patients were divided into two groups: one undergoing a conventional 5-catheter ablation (controls), and the other a simplified 3-catheter ablation (study group). The follow up after ablation lasted 12 months. No antiarrhythmic agents were prescribed to the patients with successful ablation.
The conventional and the 3-catheter ablation group did not differ in ablation success (97.5% vs 98.3%, p=0.42) and recurrence of paroxysmal supraventricular tachycardia (2.5% vs 3.3%, p=0.23). The simplified approach was associated with a significantly shorter procedure duration (89.1+/-28.2 vs 96.1+/-21.2 minutes, p<0.01) and fluoroscopy time (10.7+/-2.6 vs 12.7+/-4.2 minutes, p<0.01). There were no significant differences between the two groups in the type and incidence of procedural complications and ablation success.
The simplified 3-catheter ablation approach proved to be a safe and effective method for ablation of paroxysmal supraventricular tachycardia. However, further studies including larger sample of such patients are needed to assess the clinical outcomes and cost-effectiveness of this simplified procedure.</abstract><cop>Croatia</cop><pmid>15103753</pmid><tpages>4</tpages></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
subjects | Adult Catheter Ablation - adverse effects Catheter Ablation - methods Female Follow-Up Studies Humans Incidence Male Recurrence Safety Tachycardia, Paroxysmal - therapy Tachycardia, Supraventricular - therapy Treatment Outcome |
title | Simplified approach to radiofrequency catheter ablation of paroxysmal supraventricular tachycardia |
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