ParkinsonFranceV1, Main, Exploration, bibRecord, 003B93

Efficacy and safety of an irrigated-tip catheter for the ablation of accessory pathways resistant to conventional radiofrequency ablation

Identifieur interne : 003B93 ( Main/Exploration ); précédent : 003B92; suivant : 003B94

Efficacy and safety of an irrigated-tip catheter for the ablation of accessory pathways resistant to conventional radiofrequency ablation

Auteurs : Teiichi Yamane [France] ; Pierre Jaïs [France] ; Dipen C. Shah [France] ; Mélèze Hocini [France] ; JING TIAN PENG [France] ; Isabel Deisenhofer [France] ; Jacques Clementy [France] ; Michel Haïssaguerre [France]

Source :

Circulation : (New York, N.Y.) [ 0009-7322 ] ; 2000.

RBID : Pascal:01-0036991

Descripteurs français

Pascal (Inist)
- Wolff Parkinson White syndrome, Homme, Traitement, Cathétérisme, Technique, Irrigation, Efficacité traitement, Toxicité, Irradiation haute fréquence, Voie conduction accessoire.
Wicri :
- topic : Homme, Irrigation.

English descriptors

KwdEn :
- Catheterization, Human, Irrigation, Radiofrequency irradiation, Technique, Toxicity, Treatment, Treatment efficiency, Wolff Parkinson White syndrome.

Abstract

Background-Radiofrequency catheter ablation of accessory pathways (APs) is very effective in all but a minority of patients. We examined the usefulness and safety of irrigated-tip catheters in treating patients with APs resistant to conventional catheter ablation. Methods and Results-Among 314 APs in 301 consecutive patients, conventional ablation failed to eliminate AP conduction in 18 APs in 18 patients (5.7%), 6 of which were located in the left free wall, 5 in the middle/posterior-septal space, and 7 inside the coronary sinus (CS) or its tributaries. Irrigated-tip catheter ablation was subsequently performed with temperature control mode (target temperature, 50°C), a moderate saline flow rate (17 mL/min), and a power limit of 50 W (outside CS) or 20 to 30 W (inside CS) at previously resistant sites. Seventeen of the 18 resistant APs (94%) were successfully ablated with a median of 3 applications using irrigated-tip catheters. A significant increase in power delivery was achieved (20.3 ± 11.5 versus 36.5 ± 8.2 W; P<0.01) with irrigated-tip catheters, irrespective of the AP location, particularly inside the CS or its tributaries. No serious complications occurred. Conclusions-Irrigated-tip catheter ablation is safe and effective in eliminating AP conduction resistant to conventional catheters, irrespective of the location.

Affiliations:

France

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 001282
to stream PascalFrancis, to step Curation: 000156
to stream PascalFrancis, to step Checkpoint: 001220
to stream Main, to step Merge: 004257
to stream Main, to step Curation: 003B93

Le document en format XML

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<series><title level="j" type="main">Circulation : (New York, N.Y.)</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Catheterization</term>
<term>Human</term>
<term>Irrigation</term>
<term>Radiofrequency irradiation</term>
<term>Technique</term>
<term>Toxicity</term>
<term>Treatment</term>
<term>Treatment efficiency</term>
<term>Wolff Parkinson White syndrome</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Wolff Parkinson White syndrome</term>
<term>Homme</term>
<term>Traitement</term>
<term>Cathétérisme</term>
<term>Technique</term>
<term>Irrigation</term>
<term>Efficacité traitement</term>
<term>Toxicité</term>
<term>Irradiation haute fréquence</term>
<term>Voie conduction accessoire</term>
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<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
<term>Irrigation</term>
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<front><div type="abstract" xml:lang="en">Background-Radiofrequency catheter ablation of accessory pathways (APs) is very effective in all but a minority of patients. We examined the usefulness and safety of irrigated-tip catheters in treating patients with APs resistant to conventional catheter ablation. Methods and Results-Among 314 APs in 301 consecutive patients, conventional ablation failed to eliminate AP conduction in 18 APs in 18 patients (5.7%), 6 of which were located in the left free wall, 5 in the middle/posterior-septal space, and 7 inside the coronary sinus (CS) or its tributaries. Irrigated-tip catheter ablation was subsequently performed with temperature control mode (target temperature, 50°C), a moderate saline flow rate (17 mL/min), and a power limit of 50 W (outside CS) or 20 to 30 W (inside CS) at previously resistant sites. Seventeen of the 18 resistant APs (94%) were successfully ablated with a median of 3 applications using irrigated-tip catheters. A significant increase in power delivery was achieved (20.3 ± 11.5 versus 36.5 ± 8.2 W; P<0.01) with irrigated-tip catheters, irrespective of the AP location, particularly inside the CS or its tributaries. No serious complications occurred. Conclusions-Irrigated-tip catheter ablation is safe and effective in eliminating AP conduction resistant to conventional catheters, irrespective of the location.</div>
</front>
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<tree><country name="France"><noRegion><name sortKey="Yamane, Teiichi" sort="Yamane, Teiichi" uniqKey="Yamane T" first="Teiichi" last="Yamane">Teiichi Yamane</name>
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<name sortKey="Clementy, Jacques" sort="Clementy, Jacques" uniqKey="Clementy J" first="Jacques" last="Clementy">Jacques Clementy</name>
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<name sortKey="Haissaguerre, Michel" sort="Haissaguerre, Michel" uniqKey="Haissaguerre M" first="Michel" last="Haïssaguerre">Michel Haïssaguerre</name>
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<name sortKey="Jing Tian Peng" sort="Jing Tian Peng" uniqKey="Jing Tian Peng" last="Jing Tian Peng">JING TIAN PENG</name>
<name sortKey="Shah, Dipen C" sort="Shah, Dipen C" uniqKey="Shah D" first="Dipen C." last="Shah">Dipen C. Shah</name>
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   |clé=     Pascal:01-0036991
   |texte=   Efficacy and safety of an irrigated-tip catheter for the ablation of accessory pathways resistant to conventional radiofrequency ablation
}}

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	La maladie de Parkinson en France (serveur d'exploration)
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La maladie de Parkinson en France (serveur d'exploration)

Efficacy and safety of an irrigated-tip catheter for the ablation of accessory pathways resistant to conventional radiofrequency ablation

Efficacy and safety of an irrigated-tip catheter for the ablation of accessory pathways resistant to conventional radiofrequency ablation

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