CATHETER ABLATION OF THE LEFT-BUNDLE-BRANCH FOR THE TREATMENT OF SUSTAINED BUNDLE-BRANCH REENTRANT VENTRICULAR-TACHYCARDIA

被引：30

作者：

BLANCK, Z ^{[1
]}

DESHPANDE, S ^{[1
]}

JAZAYERI, MR ^{[1
]}

AKHTAR, M ^{[1
]}

机构：

[1] UNIV WISCONSIN,SINAI SAMARITAN MED CTR,MILWAUKEE HEART INST,ELECTROPHYSIOL LAB,MILWAUKEE,WI 53201

来源：

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | 1995年 / 6卷 / 01期

关键词：

VENTRICULAR TACHYCARDIA; BUNDLE BRANCH REENTRY; CATHETER ABLATION; LEFT BUNDLE BRANCH; ATRIOVENTRICULAR BLOCK;

D O I：

10.1111/j.1540-8167.1995.tb00755.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Sustained Bundle Branch Reentrant VT. Radiofrequency catheter ablation of the left bundle branch (LBB) was attempted in a patient with sustained bundle branch reentry. During sinus rhythm, the QRS had a complete LBB block pattern, and the LBB was activated retrogradely (transseptal). Ablation of the LBB eliminated inducibility of the tachycardia, while the QRS complex and the duration of the HV interval (70 msec) remained unchanged, Successful ablation of the LBB eliminated bundle branch reentry and yet maintained the anterograde conduction properties of the His-Purkinje system, obviating implantation of a permanent pacemaker.

引用

页码：40 / 43

页数：4

共 9 条

[1] BIDIRECTIONAL BUNDLE-BRANCH REENTRY TACHYCARDIA ASSOCIATED WITH EBSTEINS-ANOMALY - CURED BY EXTENSIVE CRYOABLATION OF THE RIGHT BUNDLE-BRANCH [J].

ANDRESS, JD ;

VANDERSALM, TJ ;

HUANG, SKS .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1991, 14 (11) :1639-1647

[2] BUNDLE-BRANCH REENTRY - A MECHANISM OF VENTRICULAR-TACHYCARDIA IN THE ABSENCE OF MYOCARDIAL OR VALVULAR DYSFUNCTION [J].

BLANCK, Z ;

JAZAYERI, M ;

DHALA, A ;

DESHPANDE, S ;

SRA, J ;

AKHTAR, M .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1993, 22 (06) :1718-1722

[3] BUNDLE-BRANCH REENTRANT VENTRICULAR-TACHYCARDIA - CUMULATIVE EXPERIENCE IN 48 PATIENTS [J].

BLANCK, Z ;

DHALA, A ;

DESHPANDE, S ;

SRA, J ;

JAZAYERI, M ;

AKHTAR, M .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 1993, 4 (03) :253-262

[4] SUSTAINED BUNDLE-BRANCH REENTRY AS A MECHANISM OF CLINICAL TACHYCARDIA [J].

CACERES, J ;

JAZAYERI, M ;

MCKINNIE, J ;

AVITALL, B ;

DENKER, ST ;

TCHOU, P ;

AKHTAR, M .

CIRCULATION, 1989, 79 (02) :256-270

[5] RADIOFREQUENCY CATHETER ABLATION FOR TREATMENT OF BUNDLE-BRANCH REENTRANT VENTRICULAR-TACHYCARDIA - RESULTS AND LONG-TERM FOLLOW-UP [J].

COHEN, TJ ;

CHIEN, WW ;

LURIE, KG ;

YOUNG, C ;

GOLDBERG, HR ;

WANG, YS ;

LANGBERG, JJ ;

LESH, MD ;

LEE, MA ;

GRIFFIN, JC ;

SCHEINMAN, MM .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 18 (07) :1767-1773

[6] RETROGRADE (TRANSSEPTAL) ACTIVATION OF RIGHT BUNDLE-BRANCH DURING SINUS RHYTHM [J].

JAZAYERI, MR ;

DESHPANDE, SS ;

SRA, JS ;

AKHTAR, M .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 1993, 4 (03) :280-287

[7] TREATMENT OF MACROREENTRANT VENTRICULAR-TACHYCARDIA WITH RADIOFREQUENCY ABLATION OF THE RIGHT BUNDLE-BRANCH [J].

LANGBERG, JJ ;

DESAI, J ;

DULLET, N ;

SCHEINMAN, MM .

AMERICAN JOURNAL OF CARDIOLOGY, 1989, 63 (13) :1010-1013

[8] TRANSCATHETER ELECTRICAL ABLATION OF RIGHT BUNDLE-BRANCH - A METHOD OF TREATING MACROREENTRANT VENTRICULAR-TACHYCARDIA ATTRIBUTED TO BUNDLE-BRANCH REENTRY [J].

TCHOU, P ;

JAZAYERI, M ;

DENKER, S ;

DONGAS, J ;

CACERES, J ;

AKHTAR, M .

CIRCULATION, 1988, 78 (02) :246-257

[9] BUNDLE-BRANCH REENTRANT TACHYCARDIA TREATED BY ELECTRICAL ABLATION OF THE RIGHT BUNDLE-BRANCH [J].

TOUBOUL, P ;

KIRKORIAN, G ;

ATALLAH, G ;

LAVAUD, P ;

MOLEUR, P ;

LAMAUD, M ;

MATHIEU, MP .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1986, 7 (06) :1404-1409

← 1 →