RADIOFREQUENCY CURRENT CATHETER ABLATION FOR CONTROL OF SUPRAVENTRICULAR ARRHYTHMIAS

被引：9

作者：

GURSOY, S ^{[1
]}

SCHLUTER, M ^{[1
]}

KUCK, KH ^{[1
]}

机构：

[1] UNIV HAMBURG,KRANKENHAUS EPPENDORF,DEPT CARDIOL,MARTINISTR 52,W-2000 HAMBURG 20,GERMANY

来源：

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | 1993年 / 4卷 / 02期

关键词：

WOLFF-PARKINSON-WHITE SYNDROME; ATRIOVENTRICULAR NODAL REENTRANT TACHYCARDIA; ATRIAL FIBRILLATION; ATRIAL FLUTTER;

D O I：

10.1111/j.1540-8167.1993.tb01223.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

With the advent of radiofrequency energy, catheter ablation techniques have become an accepted form of treatment for a variety of supraventricular arrhythmias. The ablation of the atrioventricular (AV) node was performed first and is now widely used in patients with refractory atrial fibrillation or flutter. Ablation has also replaced surgery in patients with preexcitation syndromes, and as the complication rate in experienced centers is low, it has become the first line of treatment in these institutions. The results of catheter ablation in AV nodal reentrant tachycardia are excellent as well, although there is still debate about whether ''slow'' pathway ablation is superior to ''fast'' pathway ablation. Radiofrequency current ablation has also contributed to a better understanding of the pathophysiology of AV nodal reentrant tachycardia, as it has provided evidence for atrial participation in the reentrant circuit. Experience with atrial tachycardias and tachycardias due to Mahaim fibers remains limited. The ideal source of energy for specific arrhythmias is still unknown and improvement in catheter technology is needed.

引用

页码：194 / 205

页数：12

共 88 条

[11] Morady F., Scheinman MM, Transvenous catheter ablation of a posterosepal pathway in a patient with the Wolff‐Parkinson‐White syndrome, N Engl J Med, 310, pp. 705-707, (1984)
[12] Warin JF., Haissaguerre M., Lemetayer P., Et al., Catheter ablation of accessory pathways with a direct approach: Results in 35 patients, Circulation, 78, pp. 800-815, (1988)
[13] Haissaguerre M, Warin JF., Lemateyer P., Et al., Closed chest ablation of retrograde conduction in patients with atrioventricular nodal reentrant tachycardia, N Engl J Med, 320, pp. 426-433, (1989)
[14] Borggrefe M., Budde T., Podczeck A, Et al., High frequency alternaring current ablation of an accessory pathway in humans, J Am Coil Cardiol, 10, pp. 576-582, (1987)
[15] Kunze KP., Schluter M., Kuck KH., Et al., Modulation of AV nodal conduction using radiofrequency current, Am J Cardiol, 61, (1988)
[16] Huang SK., Bharati S., Graham AR., Et al., Closed chest catheter dessication of the atrioventricular junction using radiofrequency energy‐A new method of catheter ablation, J Am Coll Cardiol, 9, pp. 349-358, (1987)
[17] Huang SKS, Advances in applications of radiofrequency current to catheter ablation Therapy, PACE, 14, (1991)
[18] Wittkampf FHM., Hauer RNW., Robles, de Medina EO, Control of radiofrequency lesion size by power regulation, Circulation, 80, pp. 962-976, (1989)
[19] Twidale N., Beckman K., Hazlitt HA, Et al., Radiofrequency ablation of accessory pathways: Are the ventricular lesions arrhythmogenic, Circulation, 84, pp. 11-710, (1991)
[20] Evans GT, Scheinman MM., Et al., The Percutaneous Cardiac Mapping and Ablation Registry: Final summary of results, PACE, 11, pp. 1621-1626, (1988)

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