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Frequency and long term follow up of valvar insufficiency caused by retrograde aortic radiofrequency catheter ablation procedures.
Heart 1999; 81(3):292-6H

Abstract

OBJECTIVE

To assess the frequency of valvar complications caused by left sided radiofrequency catheter ablation using the retrograde aortic technique.

METHODS

179 patients (118 male) with a mean (SD) age of 43 (17) years underwent 216 procedures at one centre. The target of the ablation was an accessory atrioventricular pathway in 144 patients, the atrioventricular junction in 29 patients, and a ventricular tachycardia in six patients. In 25 patients structural heart disease was identified before the procedure (ischaemic heart disease 10, cardiomyopathy nine, valvar three, other three). Echo/Doppler examinations were performed the day before the procedure and within 24 hours postablation; the investigations were all reviewed by the same investigator. Patients with identified valvar injury caused by the procedure were followed for 42 (7) months.

RESULTS

Valvar injury caused by the ablation procedure was identified in four young (age 30 (8) years), otherwise healthy patients with left lateral atrioventricular accessory pathways. Mild mitral insufficiency with a central regurgitation jet was detected in two patients and remained unchanged at follow up. Mild aortic insufficiency was detected in another two patients. In one of these the regurgitation jet was central and remained unchanged at follow up. In one patient the regurgitation jet was located between the non-coronary and left cusps in relation to a loosely attached structure. Both the structure and the valvar regurgitation disappeared during follow up. No clinical complications occurred in any of the patients during follow up.

CONCLUSION

In this study, the frequency of valvar complications after left sided radiofrequency catheter ablation using the retrograde aortic technique was 1.9%.

Authors+Show Affiliations

Department of Clinical Physiology, Karolinska Hospital, S-171 76 Stockholm, Sweden.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10026355

Citation

Olsson, A, et al. "Frequency and Long Term Follow Up of Valvar Insufficiency Caused By Retrograde Aortic Radiofrequency Catheter Ablation Procedures." Heart (British Cardiac Society), vol. 81, no. 3, 1999, pp. 292-6.
Olsson A, Darpö B, Bergfeldt L, et al. Frequency and long term follow up of valvar insufficiency caused by retrograde aortic radiofrequency catheter ablation procedures. Heart. 1999;81(3):292-6.
Olsson, A., Darpö, B., Bergfeldt, L., & Rosenqvist, M. (1999). Frequency and long term follow up of valvar insufficiency caused by retrograde aortic radiofrequency catheter ablation procedures. Heart (British Cardiac Society), 81(3), pp. 292-6.
Olsson A, et al. Frequency and Long Term Follow Up of Valvar Insufficiency Caused By Retrograde Aortic Radiofrequency Catheter Ablation Procedures. Heart. 1999;81(3):292-6. PubMed PMID: 10026355.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Frequency and long term follow up of valvar insufficiency caused by retrograde aortic radiofrequency catheter ablation procedures. AU - Olsson,A, AU - Darpö,B, AU - Bergfeldt,L, AU - Rosenqvist,M, PY - 1999/2/23/pubmed PY - 1999/2/23/medline PY - 1999/2/23/entrez SP - 292 EP - 6 JF - Heart (British Cardiac Society) JO - Heart VL - 81 IS - 3 N2 - OBJECTIVE: To assess the frequency of valvar complications caused by left sided radiofrequency catheter ablation using the retrograde aortic technique. METHODS: 179 patients (118 male) with a mean (SD) age of 43 (17) years underwent 216 procedures at one centre. The target of the ablation was an accessory atrioventricular pathway in 144 patients, the atrioventricular junction in 29 patients, and a ventricular tachycardia in six patients. In 25 patients structural heart disease was identified before the procedure (ischaemic heart disease 10, cardiomyopathy nine, valvar three, other three). Echo/Doppler examinations were performed the day before the procedure and within 24 hours postablation; the investigations were all reviewed by the same investigator. Patients with identified valvar injury caused by the procedure were followed for 42 (7) months. RESULTS: Valvar injury caused by the ablation procedure was identified in four young (age 30 (8) years), otherwise healthy patients with left lateral atrioventricular accessory pathways. Mild mitral insufficiency with a central regurgitation jet was detected in two patients and remained unchanged at follow up. Mild aortic insufficiency was detected in another two patients. In one of these the regurgitation jet was central and remained unchanged at follow up. In one patient the regurgitation jet was located between the non-coronary and left cusps in relation to a loosely attached structure. Both the structure and the valvar regurgitation disappeared during follow up. No clinical complications occurred in any of the patients during follow up. CONCLUSION: In this study, the frequency of valvar complications after left sided radiofrequency catheter ablation using the retrograde aortic technique was 1.9%. SN - 1355-6037 UR - https://www.unboundmedicine.com/medline/citation/10026355/Frequency_and_long_term_follow_up_of_valvar_insufficiency_caused_by_retrograde_aortic_radiofrequency_catheter_ablation_procedures_ L2 - http://heart.bmj.com/cgi/pmidlookup?view=long&pmid=10026355 DB - PRIME DP - Unbound Medicine ER -