Biomaterial Database

Catheter technique for ablation of accessory atrioventricular pathway: long-term results. 1989

H Weber, and L Schmitz

Department of Paediatric Cardiology, University of Goettingen, F.R.G.

Catheter ablation of an accessory atrioventricular pathway was attempted in six patients with recurrent tachyarrhythmias resistant to medication (four to five trials). Localization of the accessory pathway was performed by potential recordings with an electrode catheter from the region of the tricuspid and mitral valve rings during orthodromic supraventricular tachycardia (n = 4), during sinus rhythm (n = 1), and during ventricular pacing (n = 1). Using this mapping technique, the site of earliest atrial or ventricular activation through the accessory pathway was localized in the anterior septal (n = 2), right free wall (n = 2), posterior septal (n = 2), or left free wall (n = 1) region of the atrioventricular valve rings. The shortest ventriculo-atrial (VA) and atrio-ventricular (AV) intervals measured in the local electrograms ranged from VA = 45-70 ms, and AV = 45-65 ms, respectively. The accessory pathway responsible for the arrhythmia demonstrated exclusive retrograde (n = 4) or bidirectional (n = 2) conduction properties. A total of 13 direct-current transcatheter shocks (one to three per patient) of 20-200 J each were aimed at the site of the accessory pathway. Thereby, conduction through the accessory pathway was abolished (n = 5) or modified (n = 1) and the patients were freed from their syncope and disabling arrhythmias (follow-up: 4.6-5.9 years). The procedure was well tolerated without complications. Mapping-guided catheter ablation of accessory pathways is an effective treatment of refractory supraventricular tachyarrhythmias in selected patients.

UI	MeSH Term	Description	Entries
D004562	Electrocardiography	Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.	12-Lead ECG,12-Lead EKG,12-Lead Electrocardiography,Cardiography,ECG,EKG,Electrocardiogram,Electrocardiograph,12 Lead ECG,12 Lead EKG,12 Lead Electrocardiography,12-Lead ECGs,12-Lead EKGs,12-Lead Electrocardiographies,Cardiographies,ECG, 12-Lead,EKG, 12-Lead,Electrocardiograms,Electrocardiographies, 12-Lead,Electrocardiographs,Electrocardiography, 12-Lead
D004564	Electrocoagulation	Procedures using an electrically heated wire or scalpel to treat hemorrhage (e.g., bleeding ulcers) and to ablate tumors, mucosal lesions, and refractory arrhythmias. It is different from ELECTROSURGERY which is used more for cutting tissue than destroying and in which the patient is part of the electric circuit.	Diathermy, Surgical,Electrocautery,Endocavitary Fulguration,Galvanocautery,Surgical Diathermy,Thermocoagulation,Fulguration, Endocavitary
D005500	Follow-Up Studies	Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.	Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006328	Cardiac Catheterization	Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.	Catheterization, Cardiac,Catheterization, Heart,Heart Catheterization,Cardiac Catheterizations,Catheterizations, Cardiac,Catheterizations, Heart,Heart Catheterizations
D006329	Heart Conduction System	An impulse-conducting system composed of modified cardiac muscle, having the power of spontaneous rhythmicity and conduction more highly developed than the rest of the heart.	Conduction System, Heart,Conduction Systems, Heart,Heart Conduction Systems,System, Heart Conduction,Systems, Heart Conduction
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013610	Tachycardia	Abnormally rapid heartbeat, usually with a HEART RATE above 100 beats per minute for adults. Tachycardia accompanied by disturbance in the cardiac depolarization (cardiac arrhythmia) is called tachyarrhythmia.	Tachyarrhythmia,Tachyarrhythmias,Tachycardias
D014927	Wolff-Parkinson-White Syndrome	A form of ventricular pre-excitation characterized by a short PR interval and a long QRS interval with a delta wave. In this syndrome, atrial impulses are abnormally conducted to the HEART VENTRICLES via an ACCESSORY CONDUCTING PATHWAY that is located between the wall of the right or left atria and the ventricles, also known as a BUNDLE OF KENT. The inherited form can be caused by mutation of PRKAG2 gene encoding a gamma-2 regulatory subunit of AMP-activated protein kinase.	WPW Syndrome,Anomalous Ventricular Excitation Syndrome,Auriculoventricular Accessory Pathway Syndrome,False Bundle-Branch Block Syndrome,Ventricular Pre-Excitation with Arrhythmia,Wolf-Parkinson-White Syndrome,Syndrome, WPW,Syndrome, Wolf-Parkinson-White,Syndrome, Wolff-Parkinson-White,Wolf Parkinson White Syndrome,Wolff Parkinson White Syndrome

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