COMPARATIVE STUDY OF FIVE PREOPERATIVE METHODS FOR THE LOCALIZATION OF ACCESSORY PATHWAYS IN THE WOLFF-PARKINSON-WHITE SYNDROME

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概要

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• One hundred and thirty-four cases of Wolff-Parkinson-White syndrome were studied to evaluate the relative usefulness of electrocardiography (ECG). electrophysiological studies (EPS), body surface mapping (BSM). gated blood-pool phase analysis (nuclear studies), and vectrocardiography (VCG) in the localization of the accessory pathway (ACP). In comparison with the final localization verified by intraoperative studies. 93.4% in 8-region ACP localization (97.7% in 4-region ACP localization) could be correctly localized by ECG using our criteria. 83.9% (86.8%) by EPS. 82.6% (95.8%,) by BSM. 78.8% (87.7%) by nuclear studies, and 67.3% (78.0%) by VCG. It was concluded that: (a) ACP can be localized preoperatively with considerable accuracy by using our simple ECG criteria. (b) The EPS method has some limitation, especially with respect to 8-region ACP localization. (c) Our observation showed no evidence that BSM. VCG, or nuclear studies were superior to ECG in ACP localization. (d) Among the 5 methods studied. ECG and EPS appear to be the appropriate procedures for preoperative ACP identification.

• 社団法人日本循環器学会の論文
• 1991-07-20

著者

• NAKAJIMA Kenichi

  Department of Biotracer Medicine, Kanazawa University Graduate School of Medical Sciences

• Ikeda T

  Cardiovascular Center Tsuruga City Hospital

• Nakajima Kenichi

  Kanazawa Univ. Hospital Kanazawa Jpn

• Matsunaga Yasuhiro

  Department of Surgery, Kanazawa University, School of Medicine

• Iwa Takashi

  The Department of Surgery (1), Kanazawa University, School of Medicine

• Misaki Takuro

  The Department of Surgery (1), Kanazawa University, School of Medicine

• Misaki Takuro

  Department Of Surgery Toyama Medical And Pharmaceutical University School Of Medicine

• Mukai Keiichi

  The Department Of Surgery (1)

• Iwa Takashi

  Department Of Thoracic And Cardiovascular Surgery Ishikawa Prefectural Central Hospital

• YUAN SHIWEN

  The Department of Surgery (1)

• MATSUNAGA YASUHIRO

  The Department of Surgery (1)

• BANDO HIROYUKI

  The Department of Surgery (1)

• NUMA TETSUO

  Department of Health and Physical Education, Kanazawa Universty

• Numa Tetsuo

  Department Of Health And Physical Education Kanazawa Universty

• Matsunaga Yasuhiro

  Department Of Surgery Kanazawa University School Of Medicine

• Numa Tetsuo

  Department Of Health And Physical Education College Of Liberal Arts Kanazawa University

• Iwa Takashi

  Department Of Surgery (i) Kanazawa University School Of Medicine

• Misaki Takuro

  First Department Of Surgery Kanazawa University

• Misaki Takuro

  1st Dept. Of Sugery School Of Medicine Kanazawa Univ.

• Misaki Takuro

  First Department Of Surgery School Of Medicine Kanazawa University

• Misaki Takuro

  Dept. Of Surg. Kanazawa Univ' School Of Med

• Misaki Takuro

  Department Of Surgery Kanazawa University School Of Medicine

• Numa Tetsuo

  First Dept. Of Intern. Med. Kanazawa Univ. School Of Med

• Teranaka Masaaki

  Dept. Of Surgery(i) Kanazawa Univ. School Of Med.

• Ikeda Takayuki

  Department Of Food Science And Human Nutrition Faculty Of Human Ecology Fuji Woman's University

• Ikeda Takayuki

  The 1st Department Of Internal Medicine Kanazawa University

• Ikeda Takayuki

  Department Of Surgery (1) Kanazawa University School Of Medicine

• Ikeda Takayuki

  The First Department Of Internal Medicine Kanazawa University

• Matsumoto Yasushi

  Department Surgery (i) Kanazawa University School Of Medicine

• Matsunaga Yasuhiro

  Department Of Surgery(i) Kanazawa University School Of Medicine

• Iwa Takashi

  Dept. 1st Surgery Kanazawa Univ. School Of Med Kanazawa.

• Misaki Takuro

  Dept. 1st Surgery Kanazawa Univ. School Of Med Kanazawa.

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