Atrioventricular Nodal Reentrant Tachycardia Ablated From Left Atrial Septum Clinical and electrophysiological characteristics and long-term follow-up results as compared to conventional right-sided ablation:Clinical and electrophysiological characterist
スポンサーリンク
概要
- 論文の詳細を見る
Radiofrequency catheter ablation or modification of the slow pathway is almost always performed on the right atrial side of the interatrial septum, however, this is not possible in rare cases. We evaluated the clinical and electrophysiological characteristics and long-term follow-up results of patients whose AVNRT could only be ablated from the left posterior atrial septum after repeated unsuccessful attempts on the right atrial side and to observe if they differ from those undergoing ablation with the conventional right-sided approach. Of 587 cases with symptomatic typical AVNRT, 9 patients (1.5%) in whom RF energy delivered to the right atrial septum with the integrated approach failed to ablate or modify the slow pathway were enrolled in the study group (group 1) while the others served as controls (group 2). There was no significant difference between the groups regarding clinical characteristics, dual AV nodal physiology, sinus cycle lengths, AH and HV intervals, procedural complication rates, or recurrence rates in the mean follow-up duration of 34 ± 11 months. Only tachycardia cycle length (TCL) was significantly higher in group 1 than in group 2, which was mainly due to the difference in AH intervals (P < 0.001 for both). Slow pathway ablation was performed at the posteroseptal aspect of the mitral annulus in 6 and the midseptal aspect in 2 cases. In 1 case, attempts at ablation on the left atrial septum also failed. When the conventional right-sided approach fails to ablate or modify the slow pathway conduction, left-sided ablation can safely and effectively be employed, with success rates and long-term follow-up results comparable to the conventional right-sided approach.
- International Heart Journal刊行会の論文
著者
-
Isik Ersoy
Department Of Cardiology Gulhane Military Medical School
-
Aytemir Kudret
Department Of Cardiology Hacettepe University School Of Medicine
-
Celik Turgay
Department Of Cardiology Gulhane Military Medical Academy And School Of Medicine
-
Kose Sedat
Department of Cardiology, Gulhane Military Medical Academy
-
Iyisoy Atila
Department of Cardiology, Gulhane Military Medical Academy
-
Amasyali Basri
Department of Cardiology, Gulhane Military Medical Academy
-
Kursaklioglu Hurkan
Department of Cardiology, Gulhane Military Medical Academy
-
Kilic Ayhan
Department of Cardiology, Gulhane Military Medical Academy
-
Ozmen Namik
Department of Cardiology, Gulhane Military Medical Academy
-
Yuksel Cagdas
Department of Cardiology, Gulhane Military Medical Academy
-
Lenk M.
Department of Cardiology, Gulhane Military Medical Academy
関連論文
- The Altered Autonomic Nervous System Activity in Iron Deficiency Anemia
- Chronic Heavy Ethanol Consumption Is Associated with Decreased Platelet Aggregation in Rats
- The Effect of Tirofiban and Clopidogrel Pretreatment on Outcome of Old Saphenous Vein Graft Stenting in Patients with Acute Coronary Syndromes
- Cardiac Autonomic Imbalance in Children with Allergic Rhinitis
- Circulating Adhesion Molecules in Patients With Stable Coronary Artery Disease
- Effects of Acute Exercise on Fibrinolysis and Coagulation in Patients With Coronary Artery Disease
- Increased lung uptake of radioactive tracers for the prediction of left main coronary artery disease : How reliable?
- Is Carotid Atherosclerosis More Important in Patients With Mitral Annular Calcification Than in Those Without?
- Scintigraphic Imaging of Endothelium-Dependent Vasodilation in the Forearm : A Preliminary Report
- Dysrhythmia as a cause of syncope in children without neurological or cardiac morphological abnormalities
- Cardiac Autonomic Regulation Is Disturbed in Children with Euthyroid Hashimoto Thyroiditis
- Idiopathic Ventricular Fibrillation in a Patient with Wolff-Parkinson-White Syndrome.
- Single Coronary Artery With Anomalous Origin of the Right Coronary Artery From the Left Anterior Descending Artery With a Unique Proximal Course
- Atrioventricular Nodal Reentrant Tachycardia Ablated From Left Atrial Septum Clinical and electrophysiological characteristics and long-term follow-up results as compared to conventional right-sided ablation:Clinical and electrophysiological characterist
- Cardiac Autonomic Functions are Altered in Patients with Acute Leukemia, Assessed by Heart Rate Variability
- Chylous Ascites and Pleural Effusion Secondary to Constrictive Pericarditis Presenting With Signs of Lymphatic Obstruction
- Two Female Nonsmoker Buerger's Disease Cases With Anticardiolipin Autoantibodies and a Poor Prognosis
- Spontaneous Intimal Dissection in a Patient with Post-Infarct Angina: Identification with Intravascular Ultrasound and Treatment with Coronary Stenting