Abstract
Slow pathway ablation is currently used to cure common and uncommon A-V node reentrant tachycardia (AVN RT). The technique has a success rate of about 100% and a 0.5%–2% risk of inadvertent complete AV block [1–4]. Although the risk of block is low, it is difficult to tolerate in patients with a benign arrhythmia, especially when they are young.
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References
Haissaguerre M, Gaita F, Fischer B et al (1992) Elimination of atrioventricular nodal reentrant tachycardia using discrete slow potentials to guide application of radiofre-quency energy. Circulation 85:2162–2175
Jackman WM, Beckman KJ, McClelland JH et al (1992) Treatment of supraventricular tachycardia due to atrioventricular nodal reentry by radiofrequency catheter ablation of slow-pathway conduction. N Engl J Med 327:313–318
Wu D, Yeh S-J, Wang C-C, Wen M-S, Lin F-C (1993) A simple technique for selective radiofrequency ablation of the slow pathway in atrioventricular node reentrant tachycardia. J Am Coll Cardiol 21:1612–1621
Hindricks G, on behalf of the MERFS investigators of the Working Group on Arrhythmias of the European Society of Cardiology: The Multicenter European Radiofrequency Survey (MERFS) (1993) Complication of radiofrequency catheter ablation of arrhythmias. Eur Heart J 14:1644–1653
Thakur RK, Klein GJ, Yee R, Stites HW (1993) Junctional tachycardia: a useful marker during radiofrequency ablation for atrioventricular node reentrant tachycardia. J Am Coll Cardiol 22:1706–1710
Hintringer F, Hartikainen J, Davies W et al (1995) Prediction of atrioventricular block during radiofrequency ablation of the slow pathway of the atrioventricular node. Circulation 92:3490–3496
Inoue S, Becker AE (1998) Posterior extensions of the human compact atrioventricular node. A neglected anatomic feature of potential clinical significance. Circulation 97:188–193
Anselme F, Hook B, Monahan K et al (1996) Heterogeneity of retrograde fast-pathway conduction pattern in patients with atrioventricular nodal reentry tachycardia. Observations by use of simultaneous multisite catheter mapping of Koch’s triangle. Circulation 93:960–968
Reithmann C, Hoffmann E, Grunewald A et al (1998) Fast pathway ablation in patients with common atrioventricular nodal reentrant tachycardia and prolonged PR interval during sinus rhythm. Eur Heart J 19:929–935
Ridgen LB, Klein LS, Mitrani RD et al (1995) Increased risk of heart block following slow pathway ablation for AV nodal reentrant tachycardia in patients with marked PR interval prolongation during sinus rhythm. PACE 18:II–918
Sra JS, Jazayeri MR, Blank Z et al (1994) Slow pathway ablation in patients with atrioventricular node reentrant tachycardia and a prolonged PR interval. J Am Coll Cardiol 24:1064–1068
Delise P, Themistoclakis S, Corò L et al (1996) Radiofrequency ablation of atrioventricular node reentrant tachycardias: which results and predictors of success and recurrence? In: Raviele A (ed) Cardiac arrhythmia. Springer, Berlin Heidelberg New York, pp 177–180
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© 2000 Springer-Verlag Italia
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Delise, P. et al. (2000). How to Predict and Avoid Complete AV Block Complicating Radiofrequency Ablation of AV Nodal Slow Pathway. In: Raviele, A. (eds) Cardiac Arrhythmias 1999. Springer, Milano. https://doi.org/10.1007/978-88-470-2139-6_24
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DOI: https://doi.org/10.1007/978-88-470-2139-6_24
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2178-5
Online ISBN: 978-88-470-2139-6
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