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[High frequency current catheter ablation in treatment of supraventricular and atrioventricular tachycardia].
Z Kardiol. 1995; 84 Suppl 2:103-21.ZK

Abstract

Radiofrequency catheter ablation has been established as a first line therapy for the curative treatment of patients with atrioventricular nodal reentrant tachycardia and atrioventricular tachycardia encompassing accessory pathways as well as for ablation of the "normal" AV-junction. For these indications, the success rates exceed 90%. Acute complications during ablation of accessory pathway and ablation of the "normal" AV-junction occur in approximately 2-5% of patients treated. The incidence of complications during modification of the atrioventricular node to cure AV-nodal reentrant tachycardias clearly depends on the ablation technique used. The anterior approach with ablation of the so-called "fast pathway" carries a significantly higher risk of complete AV-block when compared to the inferior approach (so-called "slow pathway ablation") (approximately 4-8% vs. 2%). Arrhythmia recurrence after successful ablation of the "normal" AV-junction occurs only rarely, while the recurrence rate after modification of the AV-node or ablation of accessory pathway is approximately 10% during long-term follow-up. Recently, it has been shown that other, rare types of supraventricular tachycardia (sinus-atrial reentrant tachycardia, ectopic atrial tachycardia, human type I atrial flutter) can also be successfully ablated using radiofrequency current. In addition, first clinical results indicate that modification of anterograde AV-nodal conduction properties in patients with atrial fibrillation and fast ventricular rate by radiofrequency application to postero- and midseptal sites might be a useful therapeutic tool to slow ventricular rate. Because of the high success-rate and the relative low incidence of severe procedure related complications, the indications of radiofrequency ablation procedures for the treatment of supraventricular tachycardias will be extended in the future. In addition, it might be reasonable to expect that during the next years, all types of supraventricular tachycardia, except atrial fibrillation, can be targeted and cured by radiofrequency ablation in the majority of cases.

Authors+Show Affiliations

Medizinische Klinik und Poliklinik, Universitätsklinik Münster.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

ger

PubMed ID

7571774

Citation

Hindricks, G, et al. "[High Frequency Current Catheter Ablation in Treatment of Supraventricular and Atrioventricular Tachycardia]." Zeitschrift Fur Kardiologie, vol. 84 Suppl 2, 1995, pp. 103-21.
Hindricks G, Kottkamp H, Willems S, et al. [High frequency current catheter ablation in treatment of supraventricular and atrioventricular tachycardia]. Z Kardiol. 1995;84 Suppl 2:103-21.
Hindricks, G., Kottkamp, H., Willems, S., Chen, X., Wichter, T., Haverkamp, W., Yli-Mäyry, S., Breithardt, G., & Borggrefe, M. (1995). [High frequency current catheter ablation in treatment of supraventricular and atrioventricular tachycardia]. Zeitschrift Fur Kardiologie, 84 Suppl 2, 103-21.
Hindricks G, et al. [High Frequency Current Catheter Ablation in Treatment of Supraventricular and Atrioventricular Tachycardia]. Z Kardiol. 1995;84 Suppl 2:103-21. PubMed PMID: 7571774.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [High frequency current catheter ablation in treatment of supraventricular and atrioventricular tachycardia]. AU - Hindricks,G, AU - Kottkamp,H, AU - Willems,S, AU - Chen,X, AU - Wichter,T, AU - Haverkamp,W, AU - Yli-Mäyry,S, AU - Breithardt,G, AU - Borggrefe,M, PY - 1995/1/1/pubmed PY - 1995/1/1/medline PY - 1995/1/1/entrez SP - 103 EP - 21 JF - Zeitschrift fur Kardiologie JO - Z Kardiol VL - 84 Suppl 2 N2 - Radiofrequency catheter ablation has been established as a first line therapy for the curative treatment of patients with atrioventricular nodal reentrant tachycardia and atrioventricular tachycardia encompassing accessory pathways as well as for ablation of the "normal" AV-junction. For these indications, the success rates exceed 90%. Acute complications during ablation of accessory pathway and ablation of the "normal" AV-junction occur in approximately 2-5% of patients treated. The incidence of complications during modification of the atrioventricular node to cure AV-nodal reentrant tachycardias clearly depends on the ablation technique used. The anterior approach with ablation of the so-called "fast pathway" carries a significantly higher risk of complete AV-block when compared to the inferior approach (so-called "slow pathway ablation") (approximately 4-8% vs. 2%). Arrhythmia recurrence after successful ablation of the "normal" AV-junction occurs only rarely, while the recurrence rate after modification of the AV-node or ablation of accessory pathway is approximately 10% during long-term follow-up. Recently, it has been shown that other, rare types of supraventricular tachycardia (sinus-atrial reentrant tachycardia, ectopic atrial tachycardia, human type I atrial flutter) can also be successfully ablated using radiofrequency current. In addition, first clinical results indicate that modification of anterograde AV-nodal conduction properties in patients with atrial fibrillation and fast ventricular rate by radiofrequency application to postero- and midseptal sites might be a useful therapeutic tool to slow ventricular rate. Because of the high success-rate and the relative low incidence of severe procedure related complications, the indications of radiofrequency ablation procedures for the treatment of supraventricular tachycardias will be extended in the future. In addition, it might be reasonable to expect that during the next years, all types of supraventricular tachycardia, except atrial fibrillation, can be targeted and cured by radiofrequency ablation in the majority of cases. SN - 0300-5860 UR - https://www.unboundmedicine.com/medline/citation/7571774/[High_frequency_current_catheter_ablation_in_treatment_of_supraventricular_and_atrioventricular_tachycardia]_ DB - PRIME DP - Unbound Medicine ER -