L'ablation endocavitaire: une nouvelle approache therapeutique des tachycardies supraventriculaires. [Endocavitary ablation: a new therapeutic approach to supraventricular tachycardia]

Détails

ID Serval
serval:BIB_AED4FF21764B
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
L'ablation endocavitaire: une nouvelle approache therapeutique des tachycardies supraventriculaires. [Endocavitary ablation: a new therapeutic approach to supraventricular tachycardia]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur(s)
Schlapfer  J., Goy  J. J., Fromer  M., Kappenberger  L.
ISSN
0036-7672 (Print)
Statut éditorial
Publié
Date de publication
03/1992
Volume
122
Numéro
12
Pages
409-15
Notes
English Abstract
Journal Article
Review --- Old month value: Mar 21
Résumé
Nowadays patients suffering from supraventricular tachycardia are first treated with antiarrhythmic drugs. In refractory cases alternative treatment is antitachycardia pacemaker implantation or surgery. Recently new percutaneous catheter techniques have been developed to ablate directly the anatomical substrate responsible for the arrhythmia by delivering energy (high or low energy shock or radiofrequency) at the tip of a catheter. This article summarizes the results of clinical application of these different techniques and briefly presents our experience. The very recent studies with RF in patients with drug-refractory av nodal reentry or accessory pathway related tachycardia (WPW syndrome) report a success rate of 92-99% with a very low complication rate. If the long term success of radiofrequency is confirmed this technique will emerge in the near future as the treatment of choice in patients suffering from symptomatic supraventricular tachycardia, since it avoids expensive, longlasting drug treatment with the permanent risk of side effects.
Mots-clé
Atrial Fibrillation/surgery Electrocardiography Electrocoagulation/*methods Humans Tachycardia, Atrioventricular Nodal Reentry/surgery Tachycardia, Supraventricular/*surgery Wolff-Parkinson-White Syndrome/surgery
Pubmed
Web of science
Création de la notice
15/02/2008 12:28
Dernière modification de la notice
20/08/2019 16:18
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