TRANSCORONARY CHEMICAL ABLATION OF ATRIOVENTRICULAR NODE FOR THE TREATMENT OF PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA : A Case Report
スポンサーリンク
概要
- 論文の詳細を見る
We applied transcoronary chemical ablation of the atrioventricular (AV) node to a patient with uncontrollable paroxysmal supraventricular tachycardia (PSVT). Through an angioplasty dilatation catheter. 99%, ethanol at a dose of 1.0ml was selectively infused into the AV nodal artery. Complete AV block with junctional escape rhythm occurred. Two weeks later. the treadmill exercise test was performed according to a modified Bruce protocol. The patient tolerated for 12min. and the heart rate increased to 85 beats/min. His bundle electrocardiogram showed that the AV block resulted from atrio-Hisian block. Neither atrial nor ventricular extrastimulus could induce the tachycardia. It appeared that chemical ablation was a good method for controlling medically resistant PSVT. Elevation of serum creatine kinase was observed when ethanol overflowed during the ablation procedure. Occlusion of branches of the AV artery and mild hypokinesis in the inferobasal wall of the left ventricle were seen.
- 社団法人日本循環器学会の論文
- 1991-07-20
著者
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Honda Toshihiro
Cardiovascular Center Saiseikai Kumamoto Hospital
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Hayasaki Kazuya
Cardiovascular Center, Saiseikai Kumamoto Hospital
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Doi Osamu
Division of Cardiology, Saiseikai Kumamoto Hospital
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HONDA TOSHIHIRO
The Division of Cardioiogy, Saiseikai Kumamoto Hospital
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HAYASAKI KAZUYA
The Division of Cardioiogy, Saiseikai Kumamoto Hospital
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DOI OSAMU
The Division of Cardioiogy, Saiseikai Kumamoto Hospital
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MORITA ETSUO
The Division of Cardioiogy, Saiseikai Kumamoto Hospital
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Honda Toshihiro
Departments Of Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine
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Hanawa Takao
Division Of Preventive Cardiology National Cardiovascular Center
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Hayasaki Kazuya
Cardiovascular Center Saiseikai Kumamoto Hospital
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Hayasaki Kazuya
Saiseikai Kumamoto Hospital
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Hayasaki Kazuya
The Heart Institute Japan Tokyo Women's Medical College
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Doi Osamu
Division Of Cardiology Saiseikai Kumamoto Hospital
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Morita Etsuo
The Division Of Cardioiogy Saiseikai Kumamoto Hospital
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Morita Etsuo
Division Of Cardiology Saiseikai Kumamoto Hospital
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Doi Osamu
The Department Of Surgery The Center For Adult Diseases
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Hayasaki Kazuya
Heart Institute Japan Tokyo Women's Medical College
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