Expérience initiale dans l'ablation percutanée par radiofréquence des voies accessoires atrioventriculaires [Initial experience of percutaneous catheter ablation using radiofrequency of atrioventricular accessory pathways]

Details

Serval ID
serval:BIB_C1A26A4E68C8
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Expérience initiale dans l'ablation percutanée par radiofréquence des voies accessoires atrioventriculaires [Initial experience of percutaneous catheter ablation using radiofrequency of atrioventricular accessory pathways]
Journal
Archives Des Maladies Du Coeur et Des Vaisseaux
Author(s)
Schläpfer J., Goy J.J., Fromer M., Kappenberger L.
ISSN
0003-9683[print], 0003-9683[linking]
Publication state
Published
Issued date
02/1993
Volume
86
Number
2
Pages
219-224
Language
french
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Abstract
This paper reports the authors' preliminary experience in catheter ablation by radiofrequency current of 46 accessory atrioventricular pathways in 45 symptomatic patients with supraventricular tachyarrhythmias resistant to medical therapy. With an average follow-up period of 5.5 +/- 4 months the global success rate was 80%, ranging from 96% in left lateral to 33% in antero septal accessory pathways. It increased from 65% in the first 20 patients to 88% in the last 25 patients. The average duration of radioscopy was significantly shorter in left lateral pathways than in other localisations (p < 0.02); it was also shorter when ablation was successful. Complications were observed in 4 patients (9%) and included one complete atrioventricular block and 3 femoral arterial lesions. Anaesthetic assistance was required in 14 cases (31%), either at the patient's request or to allow reduction of atrial fibrillation. Percutaneous catheter ablation of accessory atrioventricular pathways with radiofrequency current is effective and gives good results; very strict selection of initial patients and the respect of certain conditions taking into account the experience of the medical team, the technically difficult approach of certain accessory pathways and the risks of ablation of pathways running near the atrioventricular node or His bundle, are necessary for successful results when learning this technique.
Keywords
Adolescent, Adult, Aged, Catheter Ablation, Female, Heart Conduction System/surgery, Humans, Male, Middle Aged, Tachycardia, Supraventricular/surgery
Pubmed
Web of science
Create date
15/02/2008 11:29
Last modification date
20/08/2019 15:36
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