Radiofrequency current catheter ablation of accessory atrioventricular pathways
Tachyarrhythmias mediated by an accessory atrioventricular pathway and which are refractory to drug therapy have been treated surgically with variable success. Early results of direct-current catheter ablation were encouraging but were associated with complications such as barotrauma and the need fo...
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| Veröffentlicht in: | The Lancet (British edition) 1991-06, Vol.337 (8757), p.1557-1561 |
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| container_issue | 8757 |
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| container_title | The Lancet (British edition) |
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| creator | Kuck, K-H Schluter, M Geiger, M Siebels, J Duckeck, W |
| description | Tachyarrhythmias mediated by an accessory atrioventricular pathway and which are refractory to drug therapy have been treated surgically with variable success. Early results of direct-current catheter ablation were encouraging but were associated with complications such as barotrauma and the need for a general anaesthetic. We have investigated the endocardial application of radiofrequency current which is a potentially safer technique. Of 105 patients with an accessory atrioventricular pathway, 79 were located on the left side of the heart and 32 on the right side. Accessory pathway conduction was permanently abolished in 93 (89%) patients. Complications developed in 3 patients: thrombotic occlusion of a femoral artery, arteriovenous fistula formation at the site of groin puncture, and left ventricular rupture with cardiac tamponade after direct-current shocks. There were no deaths from the procedure. We conclude that radiofrequency current catheter ablation is both effective and safe for patients with symptomatic tachyarrhythmias mediated by accessory atrioventricular pathways. |
| doi_str_mv | 10.1016/0140-6736(91)93258-B |
| format | Article |
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Early results of direct-current catheter ablation were encouraging but were associated with complications such as barotrauma and the need for a general anaesthetic. We have investigated the endocardial application of radiofrequency current which is a potentially safer technique. Of 105 patients with an accessory atrioventricular pathway, 79 were located on the left side of the heart and 32 on the right side. Accessory pathway conduction was permanently abolished in 93 (89%) patients. Complications developed in 3 patients: thrombotic occlusion of a femoral artery, arteriovenous fistula formation at the site of groin puncture, and left ventricular rupture with cardiac tamponade after direct-current shocks. There were no deaths from the procedure. We conclude that radiofrequency current catheter ablation is both effective and safe for patients with symptomatic tachyarrhythmias mediated by accessory atrioventricular pathways.</description><identifier>ISSN: 0140-6736</identifier><identifier>EISSN: 1474-547X</identifier><identifier>DOI: 10.1016/0140-6736(91)93258-B</identifier><identifier>PMID: 1675706</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>London: Elsevier Ltd</publisher><subject>Ablation ; Adult ; Algorithms ; Barotrauma ; Biological and medical sciences ; Cardiovascular disease ; Catheters ; Catheters, Indwelling ; Chemotherapy ; Child ; Conduction ; Electrocardiography ; Electrocoagulation - adverse effects ; Electrocoagulation - methods ; Electrophysiology ; Evaluation Studies as Topic ; Female ; Femoral artery ; Femur ; Fistulae ; Follow-Up Studies ; Health care ; Heart ; Humans ; Male ; Medical instruments ; Medical research ; Medical sciences ; Middle Aged ; Occlusion ; Patients ; Radio frequency ; Radio Waves ; Radiofrequency ablation ; Recurrence ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Tachycardia, Atrioventricular Nodal Reentry - physiopathology ; Tachycardia, Atrioventricular Nodal Reentry - surgery ; Tamponade ; Ventricle</subject><ispartof>The Lancet (British edition), 1991-06, Vol.337 (8757), p.1557-1561</ispartof><rights>1991</rights><rights>1991 INIST-CNRS</rights><rights>Copyright Lancet Ltd. 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Early results of direct-current catheter ablation were encouraging but were associated with complications such as barotrauma and the need for a general anaesthetic. We have investigated the endocardial application of radiofrequency current which is a potentially safer technique. Of 105 patients with an accessory atrioventricular pathway, 79 were located on the left side of the heart and 32 on the right side. Accessory pathway conduction was permanently abolished in 93 (89%) patients. Complications developed in 3 patients: thrombotic occlusion of a femoral artery, arteriovenous fistula formation at the site of groin puncture, and left ventricular rupture with cardiac tamponade after direct-current shocks. There were no deaths from the procedure. We conclude that radiofrequency current catheter ablation is both effective and safe for patients with symptomatic tachyarrhythmias mediated by accessory atrioventricular pathways.</description><subject>Ablation</subject><subject>Adult</subject><subject>Algorithms</subject><subject>Barotrauma</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular disease</subject><subject>Catheters</subject><subject>Catheters, Indwelling</subject><subject>Chemotherapy</subject><subject>Child</subject><subject>Conduction</subject><subject>Electrocardiography</subject><subject>Electrocoagulation - adverse effects</subject><subject>Electrocoagulation - methods</subject><subject>Electrophysiology</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Femoral artery</subject><subject>Femur</subject><subject>Fistulae</subject><subject>Follow-Up Studies</subject><subject>Health care</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical instruments</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Occlusion</subject><subject>Patients</subject><subject>Radio frequency</subject><subject>Radio Waves</subject><subject>Radiofrequency ablation</subject><subject>Recurrence</subject><subject>Surgery (general aspects). 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Graft diseases</subject><subject>Surgery of the heart</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - physiopathology</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - surgery</subject><subject>Tamponade</subject><subject>Ventricle</subject><issn>0140-6736</issn><issn>1474-547X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kVuLFDEQhYMo67j6DxQaRdGH1srk1nkR3MUbLCyIgm8hXV3BLD2dMelemX9vZmdwQdCneqjvHA7nMPaYw2sOXL8BLqHVRuiXlr-yYq269uwOW3FpZKuk-X6Xrf4g99mDUq4AQGpQJ-yEa6MM6BW7_OKHmEKmnwtNuGtwyZmmuUE__6CZcuP70c8xTU0KjUekUlLeNX7OMV1XMEdcRp-bbeV_-V15yO4FPxZ6dLyn7NuH91_PP7UXlx8_n7-7aFEpO7eiw44r04leUghKgaa-J4-dBDkIrXqDQfKAwoAYgHiQHq2xhsOwBum5OGUvDr7bnGr0MrtNLEjj6CdKS3EdaG6F3IPP_gKv0pKnms2tec0CRvGuUk__RXHbWSvgxkoeIMyplEzBbXPc-LxzHNx-Erfv2-37dpa7m0ncWZU9OXov_YaGW9Fhg_p_fvz7gn4M2U8Yyy1mjTZrayr39sBR7fU6UnYFYx2NhpgJZzek-P8gvwGpsqd-</recordid><startdate>19910629</startdate><enddate>19910629</enddate><creator>Kuck, K-H</creator><creator>Schluter, M</creator><creator>Geiger, M</creator><creator>Siebels, J</creator><creator>Duckeck, W</creator><general>Elsevier Ltd</general><general>Lancet</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7QP</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>ASE</scope><scope>C1K</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>K9.</scope><scope>KB~</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>19910629</creationdate><title>Radiofrequency current catheter ablation of accessory atrioventricular pathways</title><author>Kuck, K-H ; Schluter, M ; Geiger, M ; Siebels, J ; Duckeck, W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c559t-38c815783b4eff5506ebbeac8404d365b7cf41fc3703d0e1f4ac979710d204a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Ablation</topic><topic>Adult</topic><topic>Algorithms</topic><topic>Barotrauma</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular disease</topic><topic>Catheters</topic><topic>Catheters, Indwelling</topic><topic>Chemotherapy</topic><topic>Child</topic><topic>Conduction</topic><topic>Electrocardiography</topic><topic>Electrocoagulation - adverse effects</topic><topic>Electrocoagulation - methods</topic><topic>Electrophysiology</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Femoral artery</topic><topic>Femur</topic><topic>Fistulae</topic><topic>Follow-Up Studies</topic><topic>Health care</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical instruments</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Occlusion</topic><topic>Patients</topic><topic>Radio frequency</topic><topic>Radio Waves</topic><topic>Radiofrequency ablation</topic><topic>Recurrence</topic><topic>Surgery (general aspects). 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Early results of direct-current catheter ablation were encouraging but were associated with complications such as barotrauma and the need for a general anaesthetic. We have investigated the endocardial application of radiofrequency current which is a potentially safer technique. Of 105 patients with an accessory atrioventricular pathway, 79 were located on the left side of the heart and 32 on the right side. Accessory pathway conduction was permanently abolished in 93 (89%) patients. Complications developed in 3 patients: thrombotic occlusion of a femoral artery, arteriovenous fistula formation at the site of groin puncture, and left ventricular rupture with cardiac tamponade after direct-current shocks. There were no deaths from the procedure. We conclude that radiofrequency current catheter ablation is both effective and safe for patients with symptomatic tachyarrhythmias mediated by accessory atrioventricular pathways.</abstract><cop>London</cop><pub>Elsevier Ltd</pub><pmid>1675706</pmid><doi>10.1016/0140-6736(91)93258-B</doi><tpages>5</tpages></addata></record> |
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| ispartof | The Lancet (British edition), 1991-06, Vol.337 (8757), p.1557-1561 |
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| subjects | Ablation Adult Algorithms Barotrauma Biological and medical sciences Cardiovascular disease Catheters Catheters, Indwelling Chemotherapy Child Conduction Electrocardiography Electrocoagulation - adverse effects Electrocoagulation - methods Electrophysiology Evaluation Studies as Topic Female Femoral artery Femur Fistulae Follow-Up Studies Health care Heart Humans Male Medical instruments Medical research Medical sciences Middle Aged Occlusion Patients Radio frequency Radio Waves Radiofrequency ablation Recurrence Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Tachycardia, Atrioventricular Nodal Reentry - physiopathology Tachycardia, Atrioventricular Nodal Reentry - surgery Tamponade Ventricle |
| title | Radiofrequency current catheter ablation of accessory atrioventricular pathways |
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