Radiofrequency ablation of atrioventricular nodal reentrant tachycardia: Mechanisms and recurrence rate

被引：0

作者：

Pfeiffer D. ^{[1
]}

Neugebauer A. ^{[1
]}

Tebbenjohanns J. ^{[1
]}

Schumacher B. ^{[1
]}

Niehaus M. ^{[1
]}

Rother T. ^{[1
]}

Lüderitz B. ^{[1
]}

机构：

[1] Abt. Kardiologie/Angiologie, Med. Univ. Klin. und Poliklinik I, D-04103 Leipzig

来源：

Zeitschrift für Kardiologie | 2000年 / 89卷 / Suppl 3期

关键词：

AV nodal reentrant tachycardia; Catheter ablation; Supraventricular tachycardia;

D O I：

10.1007/s003920070066

中图分类号：

学科分类号：

摘要：

Radiofrequency catheter ablation is the treatment of choice in atrioventricular nodal reentrant tachycardia. Electrophysiologic investigations in 623 patients revealed eight mechanisms of tachycardia ablation: Ablation of fast (I) or slow (II), modification of fast (III) or slow AV nodal pathways (IV), modification of both pathways (V), ablation of fast and modification of slow (VI), ablation of slow and modification of fast pathways (VII) and ablation of both pathways (VIII). The criteria of diagnosis of these eight mechanisms of tachycardia ablation are described. Follow-up showed fewer relapses in patients with ablation (0-2 %) in comparison to patients with modification of a single AV nodal pathway (8-12 %). Alteration of both pathways includes an increasing risk of total AV nodal block, which occurred in 7 patients (1.1%). Detailed analysis of the mechanism of catheter ablation is recommended in all patients after radiofrequency current delivery for AV nodal reentrant tachycardia to estimate the risk of relapse during follow-up or development of total AV block in the particular patient in case of a further ablation procedure.

引用

页码：III103 / III109

页数：6

共 24 条

[1]

Boyle N.G., Anselme F., Monahan K., Papageorgiou P., Zardini M., Zebede J., Josephson M.E., Origin of junctional rhythm during radiofrequency ablation of atrioventricular nodal reentrant tachycardia in patients without heart disease, Am J Cardiol, 80, pp. 575-580, (1997)

[2]

Chen S.A., Chiang C.E., Tsang W.P., Hisa C.P., Wang D.C., Yeh H.I., Ting C.T., Chuen W.C., Yang C.J., Cheng C.C., Wang S.P., Chiang B.N., Chang M.S., Selective radiofrequency catheter ablation of fast and slow pathways in 100 patients with atrioventricular nodal reentrant tachycardia, Am Heart J, 125, pp. 1-10, (1993)

[3]

Chiyoda K., Kobayashi Y., Jinbo Y., Miyata A., Nakagawa H., Tanno K., Kurano K., Kikushima S., Baba T., Mukai H., Katagiri, Selective slow pathway ablation in atrioventricular nodal reentrant tachycardia: Comparison of different methods and the site of slow pathway ablation, Jpn Circ J, 60, pp. 861-870, (1996)

[4]

Denes P., Wu D., Dhingra R.C., Chuquimia R., Rosen K.M., Demonstration of dual A-V nodal pathways in patients with paroxysmal supraventricular tachycardia, Circulation, 48, pp. 549-555, (1973)

[5]

Deshpande S., Akhtar M., Panotopoulos P., Catheter ablation for atrioventricular nodal reentrant tachycardia, Cardiol Clin, 15, pp. 623-645, (1997)

[6]

Goy J.J., Fromer M., Schlaepfer J., Kappenberger L., Clinical efficacy of radiofrequency current in the treatment of patients with atrioventricular node reentrant tachycardia, J Am Coll Cardiol, 16, pp. 418-423, (1990)

[7]

Haissaguerre M., Warin F., Lemetayer P., Saoudi N., Guillem J.P., Blanchot P., Closed chest ablation of retrograde conduction in patients with atrioventricular nodal reentrant tachycardia, N Engl J Med, 320, pp. 426-433, (1989)

[8]

Haissaguerre M., Gaita F., Fischer B., Commenges D., Montserrat P., D'Ivernois C., Lemetayer P., Warin J.F., Elimination of atrioventricular nodal reentrant tachycardia using discrete slow potentials to guide application of radiofrequency energy, Circulation, 85, pp. 2162-2175, (1992)

[9]

Jackman W.M., Beckman K.J., McClelland J.H., Wang X., Friday K.J., Roman C.A., Moulton K.P., Twidale N., Hazlitt H.A., Prior M.I., Oren J., Overholt E.D., Lazzara R., Treatment of supraventricular tachycardia due to atrioventricular nodal reentry by radiofrequency catheter ablation of slow-pathway conduction, N Engl J Med, 327, pp. 313-318, (1992)

[10]

Jazayeri M.R., Hempe A.L., Sra J.S., Dhala A.A., Blanck Z., Deshpande S.S., Avitall B., Krum D.P., Gilbert C.J., Akhtar M., Selective transcatheter ablation of the fast and slow pathways using radiofrequency energy in patients with atrioventricular nodal reentrant tachycardia, Circulation, 85, pp. 1318-1328, (1992)

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