Ablation specifique percutanee par radiofrequence des flutters auriculaires. [Specific percutaneous radiofrequency ablation of atrial flutter]

Détails

ID Serval
serval:BIB_D9F5A00910AC
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Ablation specifique percutanee par radiofrequence des flutters auriculaires. [Specific percutaneous radiofrequency ablation of atrial flutter]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur⸱e⸱s
Schlapfer  J., Kappenberger  L., Fromer  M.
ISSN
0036-7672 (Print)
Statut éditorial
Publié
Date de publication
09/1996
Volume
126
Numéro
38
Pages
1591-6
Notes
English Abstract
Journal Article --- Old month value: Sep 21
Résumé
Radiofrequency catheter ablation has recently been successfully applied to patients suffering from atrial flutter. We report our experience in the ablation of typical atrial flutter in 17 consecutive patients refractory to drug treatment. The procedure was initially successful restoring sinus rhythm in 16 patients (94%). During a mean follow-up of 9 months atrial flutter recurred in 4 patients (23%). A second procedure was successfully performed in 2 patients; the other two patients are presently in sinus rhythm under amiodarone which was formerly ineffective. Finally, 59% of the patients were able to discontinue antiarrhythmic medication. In 4 out of 7 patients with dilated cardiomyopathy, the left ventricular ejection fraction normalized a few weeks after ablation. This successful technique should be considered early in the therapeutic approach to patients suffering from typical atrial flutter, to avoid numerous drug treatments, multiple hospitalizations and possible evolution toward non reversible dilated cardiomyopathy.
Mots-clé
Adult Aged Anti-Arrhythmia Agents/therapeutic use Atrial Flutter/diagnosis/drug therapy/*therapy Cardiomyopathy, Dilated/therapy Catheter Ablation/*methods Drug Tolerance Electrocardiography Humans Male Middle Aged Prognosis Prospective Studies
Pubmed
Web of science
Création de la notice
15/02/2008 11:28
Dernière modification de la notice
20/08/2019 15:59
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