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Titolo:
TRANS-SEPTAL CATHETERIZATION FOR RADIOFREQUENCY CATHETER ABLATION OF CARDIAC-ARRHYTHMIAS - RESULTS AND SAFETY OF A SIMPLIFIED METHOD
Autore:
DEPONTI R; ZARDINI M; STORTI C; LONGOBARDI M; SALERNOURIARTE JA;
Indirizzi:
UNIV PAVIA,DIV CARDIOL CC MATER DOMINI,FAC MED & CHIRURG VARESE,VIA GERENZANO 2 I-21053 CASTELLANZA VA ITALY IST CITTA PAVIA,DIV CARDIOL PAVIA ITALY
Titolo Testata:
European heart journal
fascicolo: 6, volume: 19, anno: 1998,
pagine: 943 - 950
SICI:
0195-668X(1998)19:6<943:TCFRCA>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
LEFT-HEART CATHETERIZATION; TRANSVENOUS MITRAL COMMISSUROTOMY; SIDED ACCESSORY PATHWAYS; TRANSSEPTAL CATHETERIZATION; BALLOON CATHETER; ATRIAL; PUNCTURE; ECHOCARDIOGRAPHY; FIBRILLATION; EXPERIENCE;
Keywords:
TRANS-SEPTAL LEFT HEART CATHETERIZATION; RADIOFREQUENCY CATHETER ABLATION; NONPHARMACOLOGICAL TREATMENT OF CARDIAC ARRHYTHMIAS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
26
Recensione:
Indirizzi per estratti:
Citazione:
R. Deponti et al., "TRANS-SEPTAL CATHETERIZATION FOR RADIOFREQUENCY CATHETER ABLATION OF CARDIAC-ARRHYTHMIAS - RESULTS AND SAFETY OF A SIMPLIFIED METHOD", European heart journal, 19(6), 1998, pp. 943-950

Abstract

Aim This study reports on the results and safety of a simplified method of trans-septal catheterization for radio-frequency catheter ablation of cardiac arrhythmias. Method and Results Over 5 years, 411 patients underwent trans-septal catheterization for radiofrequency catheter ablation: 388 patients had a left-sided accessory pathway, 19 a left-sided focal atrial tachycardia, two atrial fibrillation and two post-infarction ventricular tachycardia. All but one patient with ventriculartachycardia underwent elective trans-septal catheterization. In the absence of a patent foramen ovale, puncture of the atrial septum was performed by using an 8F Mullins sheath and a Brockenbrough needle, according to the simplified method described in this paper. Trans-septal catheterization was accomplished in 383/388 patients (98.7%); in 41 patients a second trans-septal catheterization and radiofrequency catheter ablation was performed for initial failure or recurrence. Radiofrequency catheter ablation was successful in 96% of accessory pathway patients, 90% of atrial tachycardia patients, in both patients with atrialfibrillation and in both patients with ventricular tachycardia. No complication related to trans-septal catheterization was observed. Conclusion In experienced hands and according to the method described in this paper, the elective use of transseptal catheterization for radiofrequency catheter ablation in a large cohort of patients with cardiac arrhythmias is feasible, safe and allows successful ablation in the vastmajority of the patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 12:05:47