Wolff-Parkinson-White ablation after a prior failure: a 7-year multicentre experience.
Identifieur interne : 000A80 ( PubMed/Corpus ); précédent : 000A79; suivant : 000A81Wolff-Parkinson-White ablation after a prior failure: a 7-year multicentre experience.
Auteurs : Frederic Sacher ; Matthew Wright ; Usha B. Tedrow ; Mark D. O'Neill ; Pierre Jais ; Mélèze Hocini ; Rosie Macdonald ; D Wyn Davies ; Prapa Kanagaratnam ; Nicolas Derval ; Laurence Epstein ; Nicholas S. Peters ; William G. Stevenson ; Michel HaissaguerreSource :
- Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology [ 1532-2092 ] ; 2010.
English descriptors
- KwdEn :
- Adolescent, Adult, Atrioventricular Node (physiopathology), Atrioventricular Node (surgery), Catheter Ablation (methods), Child, Coronary Sinus, Cryosurgery (methods), Echocardiography, Electrocardiography, Female, Heart Conduction System (physiopathology), Heart Septum (physiopathology), Heart Septum (surgery), Humans, Male, Recurrence, Reoperation, Retrospective Studies, Subclavian Artery, Treatment Failure, Wolff-Parkinson-White Syndrome (diagnostic imaging), Wolff-Parkinson-White Syndrome (physiopathology), Wolff-Parkinson-White Syndrome (surgery), Young Adult.
- MESH :
- diagnostic imaging : Wolff-Parkinson-White Syndrome.
- methods : Catheter Ablation, Cryosurgery.
- physiopathology : Atrioventricular Node, Heart Conduction System, Heart Septum, Wolff-Parkinson-White Syndrome.
- surgery : Atrioventricular Node, Heart Septum, Wolff-Parkinson-White Syndrome.
- Adolescent, Adult, Child, Coronary Sinus, Echocardiography, Electrocardiography, Female, Humans, Male, Recurrence, Reoperation, Retrospective Studies, Subclavian Artery, Treatment Failure, Young Adult.
Abstract
Catheter ablation for Wolff-Parkinson-White syndrome (WPW) can be challenging and is associated with failure in approximately 1-5% of cases. We analysed the reasons for failure.
DOI: 10.1093/europace/euq050
PubMed: 20223787
Links to Exploration step
pubmed:20223787Le document en format XML
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<author><name sortKey="Sacher, Frederic" sort="Sacher, Frederic" uniqKey="Sacher F" first="Frederic" last="Sacher">Frederic Sacher</name>
<affiliation><nlm:affiliation>CHU de Bordeaux/Université Bordeaux II, Hôpital Cardiologique du Haut-Lévêque, Avenue de Magellan, 33604 Bordeaux-Pessac, France. frederic.sacher@chu-bordeaux.fr</nlm:affiliation>
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<author><name sortKey="Wright, Matthew" sort="Wright, Matthew" uniqKey="Wright M" first="Matthew" last="Wright">Matthew Wright</name>
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<author><name sortKey="Tedrow, Usha B" sort="Tedrow, Usha B" uniqKey="Tedrow U" first="Usha B" last="Tedrow">Usha B. Tedrow</name>
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<author><name sortKey="Macdonald, Rosie" sort="Macdonald, Rosie" uniqKey="Macdonald R" first="Rosie" last="Macdonald">Rosie Macdonald</name>
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<author><name sortKey="Davies, D Wyn" sort="Davies, D Wyn" uniqKey="Davies D" first="D Wyn" last="Davies">D Wyn Davies</name>
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<author><name sortKey="Kanagaratnam, Prapa" sort="Kanagaratnam, Prapa" uniqKey="Kanagaratnam P" first="Prapa" last="Kanagaratnam">Prapa Kanagaratnam</name>
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<author><name sortKey="Derval, Nicolas" sort="Derval, Nicolas" uniqKey="Derval N" first="Nicolas" last="Derval">Nicolas Derval</name>
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<author><name sortKey="Epstein, Laurence" sort="Epstein, Laurence" uniqKey="Epstein L" first="Laurence" last="Epstein">Laurence Epstein</name>
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<author><name sortKey="Peters, Nicholas S" sort="Peters, Nicholas S" uniqKey="Peters N" first="Nicholas S" last="Peters">Nicholas S. Peters</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Wolff-Parkinson-White ablation after a prior failure: a 7-year multicentre experience.</title>
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<author><name sortKey="Wright, Matthew" sort="Wright, Matthew" uniqKey="Wright M" first="Matthew" last="Wright">Matthew Wright</name>
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<author><name sortKey="Tedrow, Usha B" sort="Tedrow, Usha B" uniqKey="Tedrow U" first="Usha B" last="Tedrow">Usha B. Tedrow</name>
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<author><name sortKey="O Neill, Mark D" sort="O Neill, Mark D" uniqKey="O Neill M" first="Mark D" last="O'Neill">Mark D. O'Neill</name>
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<author><name sortKey="Kanagaratnam, Prapa" sort="Kanagaratnam, Prapa" uniqKey="Kanagaratnam P" first="Prapa" last="Kanagaratnam">Prapa Kanagaratnam</name>
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<author><name sortKey="Derval, Nicolas" sort="Derval, Nicolas" uniqKey="Derval N" first="Nicolas" last="Derval">Nicolas Derval</name>
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<series><title level="j">Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology</title>
<idno type="eISSN">1532-2092</idno>
<imprint><date when="2010" type="published">2010</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Atrioventricular Node (physiopathology)</term>
<term>Atrioventricular Node (surgery)</term>
<term>Catheter Ablation (methods)</term>
<term>Child</term>
<term>Coronary Sinus</term>
<term>Cryosurgery (methods)</term>
<term>Echocardiography</term>
<term>Electrocardiography</term>
<term>Female</term>
<term>Heart Conduction System (physiopathology)</term>
<term>Heart Septum (physiopathology)</term>
<term>Heart Septum (surgery)</term>
<term>Humans</term>
<term>Male</term>
<term>Recurrence</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Subclavian Artery</term>
<term>Treatment Failure</term>
<term>Wolff-Parkinson-White Syndrome (diagnostic imaging)</term>
<term>Wolff-Parkinson-White Syndrome (physiopathology)</term>
<term>Wolff-Parkinson-White Syndrome (surgery)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Catheter Ablation</term>
<term>Cryosurgery</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Atrioventricular Node</term>
<term>Heart Conduction System</term>
<term>Heart Septum</term>
<term>Wolff-Parkinson-White Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Atrioventricular Node</term>
<term>Heart Septum</term>
<term>Wolff-Parkinson-White Syndrome</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Child</term>
<term>Coronary Sinus</term>
<term>Echocardiography</term>
<term>Electrocardiography</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Recurrence</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Subclavian Artery</term>
<term>Treatment Failure</term>
<term>Young Adult</term>
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<front><div type="abstract" xml:lang="en">Catheter ablation for Wolff-Parkinson-White syndrome (WPW) can be challenging and is associated with failure in approximately 1-5% of cases. We analysed the reasons for failure.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20223787</PMID>
<DateCreated><Year>2010</Year>
<Month>05</Month>
<Day>25</Day>
</DateCreated>
<DateCompleted><Year>2010</Year>
<Month>08</Month>
<Day>23</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2092</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>12</Volume>
<Issue>6</Issue>
<PubDate><Year>2010</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology</Title>
<ISOAbbreviation>Europace</ISOAbbreviation>
</Journal>
<ArticleTitle>Wolff-Parkinson-White ablation after a prior failure: a 7-year multicentre experience.</ArticleTitle>
<Pagination><MedlinePgn>835-41</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1093/europace/euq050</ELocationID>
<Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">Catheter ablation for Wolff-Parkinson-White syndrome (WPW) can be challenging and is associated with failure in approximately 1-5% of cases. We analysed the reasons for failure.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">All patients (89 patients, 28 +/- 16 years old) referred for WPW ablation after a prior failure were studied. Reasons for the prior failure as well as for the acute success were analysed. The repeat procedure was successful in 81 (91%) patients. Multiple (2.7 +/- 0.9) or large accessory pathways (APs) were seen in 13 patients. For left lateral APs, inaccurate mapping and lack of transseptal access during the index procedure accounted for failure (n = 15). An irrigated-tip catheter was required for epicardial APs (n = 7). In addition, seven posteroseptal APs required bi-atrial and coronary sinus (CS) applications in order to succeed. For parahisian and midseptal APs, radiofrequency was cautiously titrated from 5 to 30 W, eliminating the AP in three patients. Cryoablation was used in seven patients (acute success in six but delayed recurrences in three of these). For patients with CS AP, irrigated ablation in the CS was crucial to deliver adequate power. For anteroseptal and right lateral APs, a successful outcome was achieved with long sheaths (n = 5) or a left subclavian approach (anteroseptal, n = 4).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Failure in WPW ablation may be due to a variety of reasons but catheter manipulation and inaccurate mapping remain the two major causes. Knowledge of the reasons for failure depending on the location of the WPW may facilitate a successful outcome.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sacher</LastName>
<ForeName>Frederic</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>CHU de Bordeaux/Université Bordeaux II, Hôpital Cardiologique du Haut-Lévêque, Avenue de Magellan, 33604 Bordeaux-Pessac, France. frederic.sacher@chu-bordeaux.fr</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wright</LastName>
<ForeName>Matthew</ForeName>
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<Author ValidYN="Y"><LastName>Tedrow</LastName>
<ForeName>Usha B</ForeName>
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<Author ValidYN="Y"><LastName>O'Neill</LastName>
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<Author ValidYN="Y"><LastName>Jais</LastName>
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<Author ValidYN="Y"><LastName>Hocini</LastName>
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<Author ValidYN="Y"><LastName>Macdonald</LastName>
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<Author ValidYN="Y"><LastName>Davies</LastName>
<ForeName>D Wyn</ForeName>
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</Author>
<Author ValidYN="Y"><LastName>Kanagaratnam</LastName>
<ForeName>Prapa</ForeName>
<Initials>P</Initials>
</Author>
<Author ValidYN="Y"><LastName>Derval</LastName>
<ForeName>Nicolas</ForeName>
<Initials>N</Initials>
</Author>
<Author ValidYN="Y"><LastName>Epstein</LastName>
<ForeName>Laurence</ForeName>
<Initials>L</Initials>
</Author>
<Author ValidYN="Y"><LastName>Peters</LastName>
<ForeName>Nicholas S</ForeName>
<Initials>NS</Initials>
</Author>
<Author ValidYN="Y"><LastName>Stevenson</LastName>
<ForeName>William G</ForeName>
<Initials>WG</Initials>
</Author>
<Author ValidYN="Y"><LastName>Haissaguerre</LastName>
<ForeName>Michel</ForeName>
<Initials>M</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y"><Grant><GrantID>RG/10/11/28457</GrantID>
<Agency>British Heart Foundation</Agency>
<Country>United Kingdom</Country>
</Grant>
</GrantList>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016448">Multicenter Study</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2010</Year>
<Month>03</Month>
<Day>11</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Europace</MedlineTA>
<NlmUniqueID>100883649</NlmUniqueID>
<ISSNLinking>1099-5129</ISSNLinking>
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<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Europace. 2010 Jun;12(6):772-3</RefSource>
<PMID Version="1">20466814</PMID>
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<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D004452" MajorTopicYN="N">Echocardiography</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004562" MajorTopicYN="N">Electrocardiography</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D006329" MajorTopicYN="N">Heart Conduction System</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
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<MeshHeading><DescriptorName UI="D006346" MajorTopicYN="N">Heart Septum</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName>
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