Closed-chest ablation of left lateral atrioventricular accessory pathways.
Identifieur interne : 001841 ( PubMed/Corpus ); précédent : 001840; suivant : 001842Closed-chest ablation of left lateral atrioventricular accessory pathways.
Auteurs : M. Haissaguerre ; J F WarinSource :
- European heart journal [ 0195-668X ] ; 1989.
English descriptors
- KwdEn :
- Adult, Electric Countershock (instrumentation), Electric Countershock (methods), Electrocardiography, Electrocoagulation (methods), Female, Follow-Up Studies, Heart Conduction System (surgery), Humans, Male, Middle Aged, Tachycardia (diagnosis), Tachycardia (surgery), Wolff-Parkinson-White Syndrome (surgery).
- MESH :
- diagnosis : Tachycardia.
- instrumentation : Electric Countershock.
- methods : Electric Countershock, Electrocoagulation.
- surgery : Heart Conduction System, Tachycardia, Wolff-Parkinson-White Syndrome.
- Adult, Electrocardiography, Female, Follow-Up Studies, Humans, Male, Middle Aged.
Abstract
Thirty patients with a left lateral accessory pathway and drug refractory tachycardia underwent attempted transcatheter ablation of the accessory pathway. Three had a concealed accessory pathway and 27 had the Wolff-Parkinson-White syndrome. A quadripolar electrode catheter was positioned within the coronary sinus in order to locate the earliest retrograde atrial activation during orthodromic reciprocating tachycardia. The appropriate bipole was used as the radiographic and electrophysiologic reference of the insertion of the accessory pathway. A catheter was then introduced into the left atrium, through a patent foramen ovale (six patients) or after transseptal catheterization (14 patients) according to Croft's technique, or using a retrograde transaortic approach (10 patients). The mitral annulus was mapped with the left atrial catheter in order to record a synchronous or earlier atrial deflection than reference during reciprocating tachycardia. VA' time at the preablation site was 82 +/- 12 ms. Two to seven 160 J cathodal shocks (650 +/- 205 J cumulative per patient) were delivered at this site in 38 sessions. No significant side-effects occurred except for one case of right coronary artery spasm leading to inferior wall infarction. Following fulguration, accessory pathway conduction was abolished in all patients but one with a second accessory pathway. During follow-up of 1-34 months, all patients but one were free of tachycardia: reciprocating tachycardia recurred in one patient, who had a concealed accessory pathway, on the third day. Accessory pathway conduction, assessed in 10 other patients 3-26 months after the procedure, was absent. Coronary arteriography performed in seven patients was normal.(ABSTRACT TRUNCATED AT 250 WORDS)
PubMed: 2767073
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pubmed:2767073Le document en format XML
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Haissaguerre</name><affiliation><nlm:affiliation>Service de Cardiologie et Médecine Interne, Hôpital Saint-André, France.</nlm:affiliation></affiliation></author><author><name sortKey="Warin, J F" sort="Warin, J F" uniqKey="Warin J" first="J F" last="Warin">J F Warin</name></author></analytic><series><title level="j">European heart journal</title><idno type="ISSN">0195-668X</idno><imprint><date when="1989" type="published">1989</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Electric Countershock (instrumentation)</term><term>Electric Countershock (methods)</term><term>Electrocardiography</term><term>Electrocoagulation (methods)</term><term>Female</term><term>Follow-Up Studies</term><term>Heart Conduction System (surgery)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Tachycardia (diagnosis)</term><term>Tachycardia (surgery)</term><term>Wolff-Parkinson-White Syndrome (surgery)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Tachycardia</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Electric Countershock</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electric Countershock</term><term>Electrocoagulation</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Heart Conduction System</term><term>Tachycardia</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Electrocardiography</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Thirty patients with a left lateral accessory pathway and drug refractory tachycardia underwent attempted transcatheter ablation of the accessory pathway. Three had a concealed accessory pathway and 27 had the Wolff-Parkinson-White syndrome. A quadripolar electrode catheter was positioned within the coronary sinus in order to locate the earliest retrograde atrial activation during orthodromic reciprocating tachycardia. The appropriate bipole was used as the radiographic and electrophysiologic reference of the insertion of the accessory pathway. A catheter was then introduced into the left atrium, through a patent foramen ovale (six patients) or after transseptal catheterization (14 patients) according to Croft's technique, or using a retrograde transaortic approach (10 patients). The mitral annulus was mapped with the left atrial catheter in order to record a synchronous or earlier atrial deflection than reference during reciprocating tachycardia. VA' time at the preablation site was 82 +/- 12 ms. Two to seven 160 J cathodal shocks (650 +/- 205 J cumulative per patient) were delivered at this site in 38 sessions. No significant side-effects occurred except for one case of right coronary artery spasm leading to inferior wall infarction. Following fulguration, accessory pathway conduction was abolished in all patients but one with a second accessory pathway. During follow-up of 1-34 months, all patients but one were free of tachycardia: reciprocating tachycardia recurred in one patient, who had a concealed accessory pathway, on the third day. Accessory pathway conduction, assessed in 10 other patients 3-26 months after the procedure, was absent. Coronary arteriography performed in seven patients was normal.(ABSTRACT TRUNCATED AT 250 WORDS)</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">2767073</PMID><DateCreated><Year>1989</Year><Month>09</Month><Day>27</Day></DateCreated><DateCompleted><Year>1989</Year><Month>09</Month><Day>27</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0195-668X</ISSN><JournalIssue CitedMedium="Print"><Volume>10</Volume><Issue>7</Issue><PubDate><Year>1989</Year><Month>Jul</Month></PubDate></JournalIssue><Title>European heart journal</Title><ISOAbbreviation>Eur. Heart J.</ISOAbbreviation></Journal><ArticleTitle>Closed-chest ablation of left lateral atrioventricular accessory pathways.</ArticleTitle><Pagination><MedlinePgn>602-10</MedlinePgn></Pagination><Abstract><AbstractText>Thirty patients with a left lateral accessory pathway and drug refractory tachycardia underwent attempted transcatheter ablation of the accessory pathway. Three had a concealed accessory pathway and 27 had the Wolff-Parkinson-White syndrome. A quadripolar electrode catheter was positioned within the coronary sinus in order to locate the earliest retrograde atrial activation during orthodromic reciprocating tachycardia. The appropriate bipole was used as the radiographic and electrophysiologic reference of the insertion of the accessory pathway. A catheter was then introduced into the left atrium, through a patent foramen ovale (six patients) or after transseptal catheterization (14 patients) according to Croft's technique, or using a retrograde transaortic approach (10 patients). The mitral annulus was mapped with the left atrial catheter in order to record a synchronous or earlier atrial deflection than reference during reciprocating tachycardia. VA' time at the preablation site was 82 +/- 12 ms. Two to seven 160 J cathodal shocks (650 +/- 205 J cumulative per patient) were delivered at this site in 38 sessions. No significant side-effects occurred except for one case of right coronary artery spasm leading to inferior wall infarction. Following fulguration, accessory pathway conduction was abolished in all patients but one with a second accessory pathway. During follow-up of 1-34 months, all patients but one were free of tachycardia: reciprocating tachycardia recurred in one patient, who had a concealed accessory pathway, on the third day. Accessory pathway conduction, assessed in 10 other patients 3-26 months after the procedure, was absent. Coronary arteriography performed in seven patients was normal.(ABSTRACT TRUNCATED AT 250 WORDS)</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Haissaguerre</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Service de Cardiologie et Médecine Interne, Hôpital Saint-André, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Warin</LastName><ForeName>J F</ForeName><Initials>JF</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur Heart J</MedlineTA><NlmUniqueID>8006263</NlmUniqueID><ISSNLinking>0195-668X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004554" MajorTopicYN="N">Electric Countershock</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004562" MajorTopicYN="N">Electrocardiography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004564" MajorTopicYN="N">Electrocoagulation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006329" MajorTopicYN="N">Heart Conduction System</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013610" MajorTopicYN="N">Tachycardia</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><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>7</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1989</Year><Month>7</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1989</Year><Month>7</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">2767073</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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