Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Transient complete atrioventricular block during catheter ablation of leftfree wall bypass tract
Autore:
Shiraishi, H; Shirayama, T; Yoshida, S; Inoue, D; Nakagawa, M;
Indirizzi:
Kyoto Prefectural Univ Med, Dept Med 2, Kamigyo Ku, Kyoto 6028566, Japan Kyoto Prefectural Univ Med Kyoto Japan 6028566 Ku, Kyoto 6028566, Japan
Titolo Testata:
JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION
fascicolo: 5, volume: 64, anno: 2000,
pagine: 399 - 403
SICI:
0047-1828(200005)64:5<399:TCABDC>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
PARKINSON-WHITE SYNDROME; RADIOFREQUENCY ABLATION; ACCESSORY PATHWAYS; TACHYCARDIA;
Keywords:
atrioventricular block; catheter ablation; left-sided accessory pathway; Wolff-Parkinson-White syndrome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
7
Recensione:
Indirizzi per estratti:
Indirizzo: Shiraishi, H Kyoto Prefectural Univ Med, Dept Med 2, Kamigyo Ku, Kawaramachi Hirokoji, Kyoto 6028566, Japan Kyoto Prefectural Univ Med Kawaramachi Hirokoji Kyoto Japan 6028566
Citazione:
H. Shiraishi et al., "Transient complete atrioventricular block during catheter ablation of leftfree wall bypass tract", JPN CIRC J, 64(5), 2000, pp. 399-403

Abstract

Radiofrequency catheter ablation of accessory bypass tracts associated with the Wolff-Parkinson-White (WPW) syndrome has become an accepted and widespread therapy. When bypass tracts are located in the free wall of the left ventricle, complete atrioventricular (AV) block is an unusual complication. Two cases of symptomatic WPW syndrome with transient complete atrioventricular block during catheter ablation are described. The first case was a 14-year-old female with an accessory pathway located in the left posterior wall, and the second was a 72-year-old female with an accessory pathway located in the left lateral wall. Radiofrequency energy application resulted in transient complete AV block with escape rhythm. In the first case, AV conduction with left bundle branch block resumed the next day, whereas in the second case, AV conduction soon resumed with prolongation of atrio-His (AH) interval and no evidence of pre-excitation. This phenomenon could have been due to either trauma to the AV node during catheter entry into the left ventricle or compression of the AV node with a catheter shaft during ablation because both patients' hearts were comparatively small.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 16:00:26