We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Catheter Atrioventricular Junctional Ablation in Patients with Accessory Pathways.
- Authors
Eldar, Michael; Griffin, Jerry C.; Seger, John J.; Abbott, Joseph A.; Ruder, Michael A.; Davis, Jesse C.; Herre, John M.; Scheinman, Melvin M.
- Abstract
Seven patients with accessory pathway and symptomatic atrioventricular reciprocating tachycardia underwent catheter ablation of the atrioventricular junction (AVJ). Four patients had the Wolff-Parkinson- White syndrome, two had concealed left free-wall accessory pathways, and one patient had a nodoventricular connection. All patients failed multiple antiarrhythmic drugs and one failed attempted surgical ablation of a posteroseptal accessory pathway. Chronic interruption of atrioventricular node-His conduction was achieved in all patients. Over a mean follow-up period of 21 ± 14 months, four patients remained asymptomatic without antiarrhythmic therapy. One patient developed atrial fibrillation after magnet application lo her VVI pacemaker, another developed atrial flutter, and a third had nonparoxysmal sinus or atrial tachycardia. Two patients required chronic quinidine therapy. Two patients with concealed accessory pathways had pacemaker-mediated tachycardia which was controlled by pacemaker reprogramming. Atrioventricular junctional ablation in patients with accessory pathways proved effective in that ail are currently controlled without need for surgical intervention. On follow-up, a relatively high incidence of atrial arrhythmias requiring antiarrhythmic therapy was found.
- Subjects
CATHETER ablation; ARRHYTHMIA; ATRIOVENTRICULAR node; VAGUS nerve; HEART conduction system; CATHETERIZATION; ELECTROSURGERY
- Publication
Pacing & Clinical Electrophysiology, 1986, Vol 9, Issue 6, p810
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1111/j.1540-8159.1986.tb06630.x