Treatment of rhythm disorders by endocardial fulguration.
Identifieur interne : 001688 ( PubMed/Checkpoint ); précédent : 001687; suivant : 001689Treatment of rhythm disorders by endocardial fulguration.
Auteurs : G. Fontaine [France] ; R. Frank ; J. Tonet ; I. Rougier ; G. Farenq ; Y. GrosgogeatSource :
- The American journal of cardiology [ 0002-9149 ] ; 1989.
English descriptors
- KwdEn :
- MESH :
- physiopathology : Atrioventricular Node, Tachycardia.
- surgery : Arrhythmias, Cardiac, Bundle of His, Endocardium, Tachycardia, Tachycardia, Supraventricular, Wolff-Parkinson-White Syndrome.
- Electrocoagulation, Humans.
Abstract
The fulguration procedure was originally introduced for the treatment of supraventricular arrhythmias by a pervenous interruption of His bundle conduction. This procedure has been extended to the treatment of almost any cardiac arrhythmia resistant to antiarrhythmic drug therapy. Recent results suggest that ablation could be selectively applied to the site of abnormal conduction. Overall results obtained at the Jean Rostand Hospital are reported for a series of 104 patients ranging in age from 14 to 83 years with atrial, junctional and ventricular tachycardias. The follow-up extends up to 65 months. Clinical efficacy, defined as a control of the arrhythmias by fulguration used alone or in association with drug therapy that was previously ineffective, lead to a success rate ranging from 80 to 85%. Mortality was less than 10% in the worst situation (chronic resistant ventricular tachycardia). Mortality was always related to inappropriate protocols. Therefore, fulguration, which was originally reserved to treat the most difficult cases, is now considered for non-life-threatening but incapacitating arrhythmias. Despite these results the technique is not simple. Fulguration should be performed by groups knowledgeable in electrophysiology and with expertise in high voltage electricity and biophysics.
PubMed: 2596416
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Fontaine</name><affiliation wicri:level="1"><nlm:affiliation>Service de Rythmologie et de Stimulation Cardiaque, Hôpital Jean Rostand, Ivry, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Rythmologie et de Stimulation Cardiaque, Hôpital Jean Rostand, Ivry</wicri:regionArea><wicri:noRegion>Ivry</wicri:noRegion><wicri:noRegion>Ivry</wicri:noRegion></affiliation></author><author><name sortKey="Frank, R" sort="Frank, R" uniqKey="Frank R" first="R" last="Frank">R. Frank</name></author><author><name sortKey="Tonet, J" sort="Tonet, J" uniqKey="Tonet J" first="J" last="Tonet">J. Tonet</name></author><author><name sortKey="Rougier, I" sort="Rougier, I" uniqKey="Rougier I" first="I" last="Rougier">I. Rougier</name></author><author><name sortKey="Farenq, G" sort="Farenq, G" uniqKey="Farenq G" first="G" last="Farenq">G. Farenq</name></author><author><name sortKey="Grosgogeat, Y" sort="Grosgogeat, Y" uniqKey="Grosgogeat Y" first="Y" last="Grosgogeat">Y. Grosgogeat</name></author></analytic><series><title level="j">The American journal of cardiology</title><idno type="ISSN">0002-9149</idno><imprint><date when="1989" type="published">1989</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arrhythmias, Cardiac (surgery)</term><term>Atrioventricular Node (physiopathology)</term><term>Bundle of His (surgery)</term><term>Electrocoagulation</term><term>Endocardium (surgery)</term><term>Humans</term><term>Tachycardia (physiopathology)</term><term>Tachycardia (surgery)</term><term>Tachycardia, Supraventricular (surgery)</term><term>Wolff-Parkinson-White Syndrome (surgery)</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Atrioventricular Node</term><term>Tachycardia</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Arrhythmias, Cardiac</term><term>Bundle of His</term><term>Endocardium</term><term>Tachycardia</term><term>Tachycardia, Supraventricular</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Electrocoagulation</term><term>Humans</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The fulguration procedure was originally introduced for the treatment of supraventricular arrhythmias by a pervenous interruption of His bundle conduction. This procedure has been extended to the treatment of almost any cardiac arrhythmia resistant to antiarrhythmic drug therapy. Recent results suggest that ablation could be selectively applied to the site of abnormal conduction. Overall results obtained at the Jean Rostand Hospital are reported for a series of 104 patients ranging in age from 14 to 83 years with atrial, junctional and ventricular tachycardias. The follow-up extends up to 65 months. Clinical efficacy, defined as a control of the arrhythmias by fulguration used alone or in association with drug therapy that was previously ineffective, lead to a success rate ranging from 80 to 85%. Mortality was less than 10% in the worst situation (chronic resistant ventricular tachycardia). Mortality was always related to inappropriate protocols. Therefore, fulguration, which was originally reserved to treat the most difficult cases, is now considered for non-life-threatening but incapacitating arrhythmias. Despite these results the technique is not simple. Fulguration should be performed by groups knowledgeable in electrophysiology and with expertise in high voltage electricity and biophysics.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">2596416</PMID><DateCreated><Year>1990</Year><Month>01</Month><Day>17</Day></DateCreated><DateCompleted><Year>1990</Year><Month>01</Month><Day>17</Day></DateCompleted><DateRevised><Year>2007</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0002-9149</ISSN><JournalIssue CitedMedium="Print"><Volume>64</Volume><Issue>20</Issue><PubDate><Year>1989</Year><Month>Dec</Month><Day>05</Day></PubDate></JournalIssue><Title>The American journal of cardiology</Title><ISOAbbreviation>Am. J. Cardiol.</ISOAbbreviation></Journal><ArticleTitle>Treatment of rhythm disorders by endocardial fulguration.</ArticleTitle><Pagination><MedlinePgn>83J-86J</MedlinePgn></Pagination><Abstract><AbstractText>The fulguration procedure was originally introduced for the treatment of supraventricular arrhythmias by a pervenous interruption of His bundle conduction. This procedure has been extended to the treatment of almost any cardiac arrhythmia resistant to antiarrhythmic drug therapy. Recent results suggest that ablation could be selectively applied to the site of abnormal conduction. Overall results obtained at the Jean Rostand Hospital are reported for a series of 104 patients ranging in age from 14 to 83 years with atrial, junctional and ventricular tachycardias. The follow-up extends up to 65 months. Clinical efficacy, defined as a control of the arrhythmias by fulguration used alone or in association with drug therapy that was previously ineffective, lead to a success rate ranging from 80 to 85%. Mortality was less than 10% in the worst situation (chronic resistant ventricular tachycardia). Mortality was always related to inappropriate protocols. Therefore, fulguration, which was originally reserved to treat the most difficult cases, is now considered for non-life-threatening but incapacitating arrhythmias. Despite these results the technique is not simple. Fulguration should be performed by groups knowledgeable in electrophysiology and with expertise in high voltage electricity and biophysics.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fontaine</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Service de Rythmologie et de Stimulation Cardiaque, Hôpital Jean Rostand, Ivry, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Frank</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Tonet</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Rougier</LastName><ForeName>I</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Farenq</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Grosgogeat</LastName><ForeName>Y</ForeName><Initials>Y</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Cardiol</MedlineTA><NlmUniqueID>0207277</NlmUniqueID><ISSNLinking>0002-9149</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001145" MajorTopicYN="N">Arrhythmias, Cardiac</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001283" MajorTopicYN="N">Atrioventricular Node</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002036" MajorTopicYN="N">Bundle of His</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004564" MajorTopicYN="Y">Electrocoagulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004699" MajorTopicYN="N">Endocardium</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013610" MajorTopicYN="N">Tachycardia</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013617" MajorTopicYN="N">Tachycardia, Supraventricular</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014927" MajorTopicYN="N">Wolff-Parkinson-White Syndrome</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1989</Year><Month>12</Month><Day>5</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1989</Year><Month>12</Month><Day>5</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1989</Year><Month>12</Month><Day>5</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">2596416</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country></list><tree><noCountry><name sortKey="Farenq, G" sort="Farenq, G" uniqKey="Farenq G" first="G" last="Farenq">G. Farenq</name><name sortKey="Frank, R" sort="Frank, R" uniqKey="Frank R" first="R" last="Frank">R. Frank</name><name sortKey="Grosgogeat, Y" sort="Grosgogeat, Y" uniqKey="Grosgogeat Y" first="Y" last="Grosgogeat">Y. Grosgogeat</name><name sortKey="Rougier, I" sort="Rougier, I" uniqKey="Rougier I" first="I" last="Rougier">I. Rougier</name><name sortKey="Tonet, J" sort="Tonet, J" uniqKey="Tonet J" first="J" last="Tonet">J. Tonet</name></noCountry><country name="France"><noRegion><name sortKey="Fontaine, G" sort="Fontaine, G" uniqKey="Fontaine G" first="G" last="Fontaine">G. Fontaine</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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