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Titolo:
RADIOFREQUENCY CATHETER ABLATION IN PATIENTS WITH WOLFF-PARKINSON-WHITE SYNDROME
Autore:
THAKUR RK; KLEIN GJ; YEE R;
Indirizzi:
THORAC & CARDIOVASC INST,ARRHYTHMIA SERV,110-405 W GREENLAWN LANSING MI 48910 UNIV WESTERN ONTARIO,DEPT MED LONDON ON CANADA
Titolo Testata:
CMAJ. Canadian Medical Association journal
fascicolo: 6, volume: 151, anno: 1994,
pagine: 771 - 776
SICI:
0820-3946(1994)151:6<771:RCAIPW>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACCESSORY ATRIOVENTRICULAR PATHWAYS; VENTRICULAR-FIBRILLATION; ATRIAL-FIBRILLATION; CORONARY SINUS; KENT BUNDLES; ENERGY; TACHYCARDIA; PREEXCITATION; EXPERIENCES; CONNECTIONS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
34
Recensione:
Indirizzi per estratti:
Citazione:
R.K. Thakur et al., "RADIOFREQUENCY CATHETER ABLATION IN PATIENTS WITH WOLFF-PARKINSON-WHITE SYNDROME", CMAJ. Canadian Medical Association journal, 151(6), 1994, pp. 771-776

Abstract

Objective: To report on the experience with radiofrequency catheter ablation of accessory atrioventricular pathways in patients with Wolff-Parkinson-White syndrome in terms of the duration of fluoroscopy exposure to the patient and the operator and the effect of accessory-pathway location and operator experience on the success rate. Design: Retrospective review. Setting: Tertiary care university hospital. Patients: Two hundred consecutive patients with Wolff-Parkinson-White syndrome who underwent radiofrequency catheter ablation between September 1990 and June 1992. Interventions: Electrophysiologic study and radiofrequency catheter ablation. Main outcome measures: Success rate, duration offluoroscopy, complications and longterm follow-up. Results: Of the 224 accessory pathways in the 200 patients 135 were left free wall, 47 posteroseptal, 32 right free wall and 10 anteroseptal. The overall success rate increased from 53% in the first 3 months of the study period to 96% in the last 3 months. The success rate depended on the locationof the accessory pathway. The duration of fluoroscopic exposure decreased from 50 (standard deviation [SD] 21) minutes in the first 3 months to 40 (SD 15) minutes in the last 3 months (p < 0.05). Complicationsoccurred in 3.5% of the patients; they included hemopericardium, cerebral embolism, perforation of the right atrial wall, air embolism in acoronary artery and hematoma at the arterial perforation site. None of the complications resulted in death. Conclusions: With experience, radiofrequency catheter ablation of accessory pathways can have an overall success rate of more than 95% and a complication rate of less than4%. Such rates make this procedure suitable for first-line therapy for patients with Wolff-Parkinson-White syndrome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 04:31:31