RADIOFREQUENCY CATHETER ABLATION OF ATRIOVENTRICULAR ACCESSORY PATHWAYS IN WOLFF-PARKINSON-WHITE SYNDROME WITH DRUG-REFRACTORY AND SYMPTOMATIC SUPRAVENTRICULAR TACHYCARDIA : Its High Effectivenss Irrespective of Accessory Pathway Location and Properties
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概要
- 論文の詳細を見る
Radiofrequency catheter ablation of atrioventricular accessory pathways was performed in 125 cases of the Wolff-Parkinson-White syndrome (type-A: 54, type-B: 29, concealed: 42) complicated with drug-refractory and symptomatic atrioventricular reentrant tachycardia and/or paroxysmal atrial fibrillation. A total of 135 accessory pathways were identified: 50 left free-wall manifest, 34 left free-wall concealed, 21 right free-wall manifest, 2 right free-wall concealed, 15 posteroseptal manifest, 10 posteroseptal concealed, 2 right anteroseptal manifest and 1 right anteroseptal concealed. Accessory pathway conduction was successfully eliminated in 133 of these 135 accessory pathways (99%). Two right posteroseptal pathways were eventually ablated with direct current. Successful ablation required a mean 5.2 applications of radiofrequency current, a mean total energy of 2615 J and a mean fluoroscopic time of 52 min. The mean number of applications, applied energy and fluoroscopic time were greater in the right free-wall pathways than in the left free-wall pathways, and in the concealed pathways than in the manifest pathways. None of the procedures produced complications. During a mean follow-up period of 11.5 months, 1 right free-wall accessory pathway recurred and was ablated successfully in a repeat session. These results suggest that radiofrequency catheter ablation of accessory pathways is highly effective and safe irrespective of the accessory pathway location and properties, although these factors can affect the difficulty of this procedure. This technique may be an alternative to surgical therapy for Wolff-Parkinson-White syndrome with drug-refractory and symptomatic supraventricular tachyarrhythmias .
- 社団法人日本循環器学会の論文
- 1994-09-20
著者
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TAKAHASHI Atsushi
Cardiovascular Center, Yokosuka Kyosai Hospital
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MARUMO FUMIAKI
Second Department of Internal Medicine, Tokyo Medical and Dental University
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Iesaka Yoshito
Cardiovascular Division, Tsuchiura Kyodo Hospital
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Aonuma Kazutaka
Second Department of Internal Medicine, Tokyo Medical And Dental University
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Hiroe Michiaki
Department Of Medicine Tokyo Medical And Dental University
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Fujiwara Hideomi
Cardiovascular Center, Tsuchiura Kyodo Hospital
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Igawa Masayuki
Cardiology Division, Hiratsuka Kyosai Hospital
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Marumo Fumiaki
Department Of Nephrology Tokyo Medical And Dental University
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Marumo Fumiaki
Second Department Of Internal Medicine Faculty Of Medicine Tokyo Medical And Dental University
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Igawa Masayuki
Cardiology Division Hiratsuka Kyosai Hospital
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Igawa Masayuki
Department Of Cardiology Hiratsuka Kyosai Heart Center
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Hiroe Michiaki
Second Department of Internal Medicine, Tokyo Medical and Dental University
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Chun Yeong
Cardiovascular Center Tsuchiura Kyodo Hospital
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Amemiya Hiroshi
Cardiovascular Division, Tsuchiura Kyodo Hospital
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Tokunaga Takeshi
Cardiovascular Center, Tsuchiura Kyodo Hospital
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Nogami Akihiko
Second Department of Medicine, Tokyo Medical and Dental University
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Iesaka Yoshito
Cardiology Division Cardiovascular Center Tsuchiura Kyodo Hospital
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Amemiya Hiroshi
Cardiovascular Diagnostic Lavoratory Center
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Hiroe Michiaki
Second Department Of Internal Medicine Tokyo Medical And Dental University
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Takahashi Atsushi
Cardiovascular Center Yokosuka Kyosai General Hospital
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YEONG-HWA CHUN
Cardiovascular Center, Tsuchiura Kyodo Hospital
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HIMOKA MASAYASU
Cardiovascular Disease, Medical Research Institute of Tokyo Medical and Dental University
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Marumo Fumiaki
Institute Of Geriatrics Department Of Cardiology Department Of Radiology And Departement Of Patholog
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Yeong-hwa Chun
Cardiovascular Center Tsuchiura Kyodo Hospital
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Marumo Fumiaki
Institute Of Geriatrics Department Of Cardiology Department Of Radiology And Departement Of Patholog
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Hiroe Michiaki
Second Department Of Internal Medicine
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Aonuma Kazutaka
Second Department Of Internal Medicine Tokyo Medical Dental University
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Aonuma Kazutaka
Second Department Of Internal Medicine Tokyo Medical And Dental University
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Takahashi Atsushi
Cardio Vascular Center Yokosuka Kyosai General Hospital
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NOGAMI Akihiko
Second Department of Internal Medicine, School of Medicine
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Igawa Masayuki
Department of Cardiology, Hiratsuka Kyosai Heart Center
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