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

[31] Svenson RH., Littman L., Splinter R, Et al., Application of lasers for arrhythmia ablation, Cardiac Electrophysiology: From Cell to Bedside, pp. 986-996, (1990)
[32] Littmann LL, Svenson RH., Chuang CH., Et al., Transcatheter laser photoablation of AV conduction from the aortic root in dogs, Circulation, 84, pp. 11-712, (1991)
[33] Jackman WM, Twidale N., Prior, Et al., Facilitation of radiofrequency catheter ablation of left free wall accessory AV pathways by a new “dumbbell” electrode, Circulation, 84, pp. 11-647, (1991)
[34] Avitall B., Hare J., Lessila C, Et al., New generation of catheters for mapping and ablation: A rotating tip and lateral deflectable catheters, Circulation, 84, pp. 11-25, (1991)
[35] Gursoy S., Chiladakis I, Schluter M, Et al., Usefulness of right coronary epicardial mapping with a new bipolar electrode catheter in right‐sided accessory pathways, PACE, 15, (1992)
[36] Heinz G., Siostroznek P., Kreiner G., Et al., Improvement in left ventricular systolic function after successful radiofrequency His bundle ablation for drug refractory, chronic atrial fibrillation and recurrent atrial flutter, Am J Cardiol, 69, pp. 489-492, (1992)
[37] Budde T., Borggrefe M., Martinez-Rubio A, Et al., Ergebnisse der Hochfrequenz‐Katheterablation des AV‐Überleitungssystems beim Menschen, Z Kardiol, 78, (1989)
[38] Huang SKS., Chenarides JG, Cuenoud H, Et al., Longterm follow‐up of radiofrequency catheter ablation of atrioventricular node for supra ventricular tachyarrhythmias, Journal of the American College of Cardiology, 15, (1990)
[39] Langberg JJ., Chin MC., Rosenqvist M., Et al., Catheter ablation of the atrioventricular junction with radiofrequency energy, Circulation, 80, pp. 1527-1535, (1989)
[40] Sousa J., El-Atassi R., Rosenheck S, Et al., Radiofrequency ablation of the atrioventricular junction from the left ventricle, Circulation, 84, pp. 567-571, (1991)

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