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

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Wolff-Parkinson-White ablation after a prior failure: a 7-year multicentre experience.

Identifieur interne : 000A80 ( PubMed/Corpus ); précédent : 000A79; suivant : 000A81

Wolff-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 Haissaguerre

Source :

RBID : pubmed:20223787

English descriptors

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:20223787

Le document en format XML

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<title xml:lang="en">Wolff-Parkinson-White ablation after a prior failure: a 7-year multicentre experience.</title>
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<name sortKey="Sacher, Frederic" sort="Sacher, Frederic" uniqKey="Sacher F" first="Frederic" last="Sacher">Frederic Sacher</name>
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<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>
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<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>
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<DateCreated>
<Year>2010</Year>
<Month>05</Month>
<Day>25</Day>
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<Month>08</Month>
<Day>23</Day>
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<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
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<ISSN IssnType="Electronic">1532-2092</ISSN>
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<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>
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<ArticleTitle>Wolff-Parkinson-White ablation after a prior failure: a 7-year multicentre experience.</ArticleTitle>
<Pagination>
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<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>
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<LastName>Sacher</LastName>
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<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>
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<PublicationType UI="D016428">Journal Article</PublicationType>
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<Year>2010</Year>
<Month>03</Month>
<Day>11</Day>
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<Country>England</Country>
<MedlineTA>Europace</MedlineTA>
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<RefSource>Europace. 2010 Jun;12(6):772-3</RefSource>
<PMID Version="1">20466814</PMID>
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