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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
17
|
| pubmed:dateCreated |
1992-1-16
|
| pubmed:abstractText |
Success rates of approximately 90% have recently been reported with radiofrequency catheter ablation of accessory pathways. This study determined whether this success could be repeated using a conservative approach generally limiting fluoroscopy time to 1 hour. Consecutive patients referred for management of arrhythmias associated with accessory atrioventricular pathways were included over a 9-month period. Ablation was attempted in 75 patients with 84 pathways. Overall success rate (including second attempts in 9 patients) was 60 of 84 accessory pathways (71%). Success rates for the first 3 months (n = 23) were 52%, the second 3 months (n = 23) 60% and the last 3 months (n = 38) 90%. Success rate varied with pathway location, with left lateral pathways having the best early success rates. Mean fluoroscopy time for successful procedures of 33 +/- 21 minutes was shorter than the time for unsuccessful procedures of 63 +/- 24 minutes (p = 0.001). There were no major complications and no patients with successful procedures (n = 53) have had recurrence of accessory pathway conduction or reciprocating tachycardia (follow-up 1 to 10 months). A conservative approach can yield success rates approaching 90% in a short time. The absence of major complications supports earlier reports suggesting that radiofrequency catheter ablation of accessory pathways is a reasonable first-line therapy in the Wolff-Parkinson-White syndrome.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Dec
|
| pubmed:issn |
0002-9149
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:day |
15
|
| pubmed:volume |
68
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1651-5
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:1746468-Adolescent,
pubmed-meshheading:1746468-Adult,
pubmed-meshheading:1746468-Aged,
pubmed-meshheading:1746468-Atrial Fibrillation,
pubmed-meshheading:1746468-Atrioventricular Node,
pubmed-meshheading:1746468-Child,
pubmed-meshheading:1746468-Creatine Kinase,
pubmed-meshheading:1746468-Electrocardiography,
pubmed-meshheading:1746468-Electrocoagulation,
pubmed-meshheading:1746468-Female,
pubmed-meshheading:1746468-Follow-Up Studies,
pubmed-meshheading:1746468-Humans,
pubmed-meshheading:1746468-Isoenzymes,
pubmed-meshheading:1746468-Male,
pubmed-meshheading:1746468-Middle Aged,
pubmed-meshheading:1746468-Myocardial Infarction,
pubmed-meshheading:1746468-Reoperation,
pubmed-meshheading:1746468-Tachycardia, Supraventricular,
pubmed-meshheading:1746468-Wolff-Parkinson-White Syndrome
|
| pubmed:year |
1991
|
| pubmed:articleTitle |
Radiofrequency catheter ablation of accessory pathways: a learning experience.
|
| pubmed:affiliation |
Department of Medicine, University of Western Ontario, London, Canada.
|
| pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|