PMID: 9417746Aug 1, 1997Paper

10 years radiofrequency ablation of accessory conduction pathways

Zeitschrift für Kardiologie
D PfeifferB Lüderitz

Abstract

Catheter ablation of the preexcitation syndrome is a curative treatment. Accessory pathways between structures of the specific conduction system or working myocardium are morphologic prerequisites for orthodromic or antidromic reentrant tachycardia of various frequency, duration, and rate. Detection of mechanisms of tachyarrhythmias and understanding the role of accessory pathways in tachycardia, mapping of accessory connections, function of nodal conduction system, and additional accessory pathways are necessary for successful catheter ablation. Anomalies of the tricuspid valve and coronary sinus and concomitant disease of the heart should be investigated prior to catheter ablation using echocardiography and contrast injection. Different variations of the preexcitation syndrome and the results of catheter ablation in 300 patients are demonstrated. Catheter ablation is indicated in refractory tachyarrhythmias on the basis of accessory pathways. The treatment is performed in a catheterization laboratory by two highly experienced cardiologists in the field of electrophysiology after training in 100 procedures. The investigators need experience in interventional treatment of coronary artery disease, in transseptal puncture, and in...Continue Reading

Citations

Jul 17, 2008·Herzschrittmachertherapie & Elektrophysiologie·Damir Erkapic, Heinz-Friedrich Pitschner
Mar 19, 1999·Medizinische Klinik·P Weismüller, H J Trappe
Jan 27, 2007·Srpski arhiv za celokupno lekarstvo·Dejan VukajlovićAleksandar N Nesković

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