Efficacy and safety of an irrigated-tip catheter for the ablation of accessory pathways resistant to conventional radiofrequency ablation
Identifieur interne : 001282 ( PascalFrancis/Corpus ); précédent : 001281; suivant : 001283Efficacy and safety of an irrigated-tip catheter for the ablation of accessory pathways resistant to conventional radiofrequency ablation
Auteurs : Teiichi Yamane ; Pierre Jaïs ; Dipen C. Shah ; Mélèze Hocini ; JING TIAN PENG ; Isabel Deisenhofer ; Jacques Clementy ; Michel HaïssaguerreSource :
- Circulation : (New York, N.Y.) [ 0009-7322 ] ; 2000.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
Notice en format standard (ISO 2709)
Pour connaître la documentation sur le format Inist Standard.
pA |
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Format Inist (serveur)
NO : | PASCAL 01-0036991 INIST |
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ET : | Efficacy and safety of an irrigated-tip catheter for the ablation of accessory pathways resistant to conventional radiofrequency ablation |
AU : | YAMANE (Teiichi); JAÏS (Pierre); SHAH (Dipen C.); HOCINI (Mélèze); JING TIAN PENG; DEISENHOFER (Isabel); CLEMENTY (Jacques); HAÏSSAGUERRE (Michel) |
AF : | Hôpital Cardiologique du Haut-Lévêque/Bordeaux-Pessa c/France (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut., 8 aut.) |
DT : | Publication en série; Courte communication, note brève; Niveau analytique |
SO : | Circulation : (New York, N.Y.); ISSN 0009-7322; Coden CIRCAZ; Etats-Unis; Da. 2000; Vol. 102; No. 21; Pp. 2565-2568; Bibl. 7 ref. |
LA : | Anglais |
EA : | 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. |
CC : | 002B26E |
FD : | Wolff Parkinson White syndrome; Homme; Traitement; Cathétérisme; Technique; Irrigation; Efficacité traitement; Toxicité; Irradiation haute fréquence; Voie conduction accessoire |
FG : | Appareil circulatoire pathologie; Cardiopathie; Trouble rythme cardiaque; Trouble excitabilité; Trouble conduction; Préexcitation ventriculaire syndrome; Traitement instrumental |
ED : | Wolff Parkinson White syndrome; Human; Treatment; Catheterization; Technique; Irrigation; Treatment efficiency; Toxicity; Radiofrequency irradiation |
EG : | Cardiovascular disease; Heart disease; Arrhythmia; Excitability disorder; Conduction disorder; Preexcitation ventricular syndrome; Instrumentation therapy |
SD : | Wolff Parkinson White síndrome; Hombre; Tratamiento; Cateterización; Técnica; Irrigación; Eficacia tratamiento; Toxicidad; Irradiación alta frecuencia |
LO : | INIST-5907.354000092829560020 |
ID : | 01-0036991 |
Links to Exploration step
Pascal:01-0036991Le document en format XML
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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>
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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>
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<fC01 i1="01" l="ENG"><s0>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.</s0>
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<s5>04</s5>
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<fC03 i1="04" i2="X" l="ENG"><s0>Catheterization</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Cateterización</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Technique</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Technique</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Técnica</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Irrigation</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Irrigation</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Irrigación</s0>
<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Efficacité traitement</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Treatment efficiency</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Eficacia tratamiento</s0>
<s5>07</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Toxicité</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Toxicity</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Toxicidad</s0>
<s5>08</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Irradiation haute fréquence</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Radiofrequency irradiation</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Irradiación alta frecuencia</s0>
<s5>09</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Voie conduction accessoire</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Appareil circulatoire pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Cardiovascular disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Cardiopathie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Heart disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Cardiopatía</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Trouble rythme cardiaque</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Arrhythmia</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Arritmia</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Trouble excitabilité</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Excitability disorder</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Trastorno excitabilidad</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Trouble conduction</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Conduction disorder</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Trastorno conducción</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Préexcitation ventriculaire syndrome</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Preexcitation ventricular syndrome</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Preexcitación ventricular síndrome</s0>
<s5>42</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Traitement instrumental</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Instrumentation therapy</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Tratamiento instrumental</s0>
<s5>43</s5>
</fC07>
<fN21><s1>022</s1>
</fN21>
</pA>
</standard>
<server><NO>PASCAL 01-0036991 INIST</NO>
<ET>Efficacy and safety of an irrigated-tip catheter for the ablation of accessory pathways resistant to conventional radiofrequency ablation</ET>
<AU>YAMANE (Teiichi); JAÏS (Pierre); SHAH (Dipen C.); HOCINI (Mélèze); JING TIAN PENG; DEISENHOFER (Isabel); CLEMENTY (Jacques); HAÏSSAGUERRE (Michel)</AU>
<AF>Hôpital Cardiologique du Haut-Lévêque/Bordeaux-Pessa c/France (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut., 8 aut.)</AF>
<DT>Publication en série; Courte communication, note brève; Niveau analytique</DT>
<SO>Circulation : (New York, N.Y.); ISSN 0009-7322; Coden CIRCAZ; Etats-Unis; Da. 2000; Vol. 102; No. 21; Pp. 2565-2568; Bibl. 7 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B26E</CC>
<FD>Wolff Parkinson White syndrome; Homme; Traitement; Cathétérisme; Technique; Irrigation; Efficacité traitement; Toxicité; Irradiation haute fréquence; Voie conduction accessoire</FD>
<FG>Appareil circulatoire pathologie; Cardiopathie; Trouble rythme cardiaque; Trouble excitabilité; Trouble conduction; Préexcitation ventriculaire syndrome; Traitement instrumental</FG>
<ED>Wolff Parkinson White syndrome; Human; Treatment; Catheterization; Technique; Irrigation; Treatment efficiency; Toxicity; Radiofrequency irradiation</ED>
<EG>Cardiovascular disease; Heart disease; Arrhythmia; Excitability disorder; Conduction disorder; Preexcitation ventricular syndrome; Instrumentation therapy</EG>
<SD>Wolff Parkinson White síndrome; Hombre; Tratamiento; Cateterización; Técnica; Irrigación; Eficacia tratamiento; Toxicidad; Irradiación alta frecuencia</SD>
<LO>INIST-5907.354000092829560020</LO>
<ID>01-0036991</ID>
</server>
</inist>
</record>
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