Gated blood-pool SPECT evaluation of changes after radiofrequency catheter ablation of accessory pathways: evidence for persistent ventricular preexcitation despite successful therapy.
Identifieur interne : 001323 ( PubMed/Curation ); précédent : 001322; suivant : 001324Gated blood-pool SPECT evaluation of changes after radiofrequency catheter ablation of accessory pathways: evidence for persistent ventricular preexcitation despite successful therapy.
Auteurs : P. Chevalier [France] ; L. Bontemps ; M. Fatemi ; S. Velon ; E. Bonnefoy ; G. Kirkorian ; R. Itti ; P. TouboulSource :
- Journal of the American College of Cardiology [ 0735-1097 ] ; 1999.
English descriptors
- KwdEn :
- Adult, Catheter Ablation, Female, Gated Blood-Pool Imaging, Heart Conduction System (abnormalities), Humans, Male, Middle Aged, Prospective Studies, Tomography, Emission-Computed, Single-Photon, Treatment Outcome, Ventricular Function, Left, Ventricular Premature Complexes (complications), Wolff-Parkinson-White Syndrome (diagnostic imaging), Wolff-Parkinson-White Syndrome (physiopathology), Wolff-Parkinson-White Syndrome (therapy).
- MESH :
- abnormalities : Heart Conduction System.
- complications : Ventricular Premature Complexes.
- diagnostic imaging : Wolff-Parkinson-White Syndrome.
- physiopathology : Wolff-Parkinson-White Syndrome.
- therapy : Wolff-Parkinson-White Syndrome.
- Adult, Catheter Ablation, Female, Gated Blood-Pool Imaging, Humans, Male, Middle Aged, Prospective Studies, Tomography, Emission-Computed, Single-Photon, Treatment Outcome, Ventricular Function, Left.
Abstract
This study was designed to prospectively evaluate the effects of radiofrequency ablation in Wolff-Parkinson-White (WPW) syndrome by scintigraphic analysis.
PubMed: 10577579
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pubmed:10577579Le document en format XML
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<author><name sortKey="Chevalier, P" sort="Chevalier, P" uniqKey="Chevalier P" first="P" last="Chevalier">P. Chevalier</name>
<affiliation wicri:level="1"><nlm:affiliation>Service de Cardiologie et Soins Intensifs, Hôpital Cardiovasculaire et Pneumologique Louis Pradel, Lyon, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de Cardiologie et Soins Intensifs, Hôpital Cardiovasculaire et Pneumologique Louis Pradel, Lyon</wicri:regionArea>
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<author><name sortKey="Bontemps, L" sort="Bontemps, L" uniqKey="Bontemps L" first="L" last="Bontemps">L. Bontemps</name>
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<author><name sortKey="Fatemi, M" sort="Fatemi, M" uniqKey="Fatemi M" first="M" last="Fatemi">M. Fatemi</name>
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<author><name sortKey="Velon, S" sort="Velon, S" uniqKey="Velon S" first="S" last="Velon">S. Velon</name>
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<author><name sortKey="Bonnefoy, E" sort="Bonnefoy, E" uniqKey="Bonnefoy E" first="E" last="Bonnefoy">E. Bonnefoy</name>
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<author><name sortKey="Kirkorian, G" sort="Kirkorian, G" uniqKey="Kirkorian G" first="G" last="Kirkorian">G. Kirkorian</name>
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<author><name sortKey="Itti, R" sort="Itti, R" uniqKey="Itti R" first="R" last="Itti">R. Itti</name>
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<author><name sortKey="Touboul, P" sort="Touboul, P" uniqKey="Touboul P" first="P" last="Touboul">P. Touboul</name>
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<author><name sortKey="Velon, S" sort="Velon, S" uniqKey="Velon S" first="S" last="Velon">S. Velon</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Catheter Ablation</term>
<term>Female</term>
<term>Gated Blood-Pool Imaging</term>
<term>Heart Conduction System (abnormalities)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Tomography, Emission-Computed, Single-Photon</term>
<term>Treatment Outcome</term>
<term>Ventricular Function, Left</term>
<term>Ventricular Premature Complexes (complications)</term>
<term>Wolff-Parkinson-White Syndrome (diagnostic imaging)</term>
<term>Wolff-Parkinson-White Syndrome (physiopathology)</term>
<term>Wolff-Parkinson-White Syndrome (therapy)</term>
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<keywords scheme="MESH" qualifier="abnormalities" xml:lang="en"><term>Heart Conduction System</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Ventricular Premature Complexes</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Catheter Ablation</term>
<term>Female</term>
<term>Gated Blood-Pool Imaging</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Tomography, Emission-Computed, Single-Photon</term>
<term>Treatment Outcome</term>
<term>Ventricular Function, Left</term>
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<front><div type="abstract" xml:lang="en">This study was designed to prospectively evaluate the effects of radiofrequency ablation in Wolff-Parkinson-White (WPW) syndrome by scintigraphic analysis.</div>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10577579</PMID>
<DateCreated><Year>1999</Year>
<Month>12</Month>
<Day>10</Day>
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<Issue>6</Issue>
<PubDate><Year>1999</Year>
<Month>Nov</Month>
<Day>15</Day>
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</JournalIssue>
<Title>Journal of the American College of Cardiology</Title>
<ISOAbbreviation>J. Am. Coll. Cardiol.</ISOAbbreviation>
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<ArticleTitle>Gated blood-pool SPECT evaluation of changes after radiofrequency catheter ablation of accessory pathways: evidence for persistent ventricular preexcitation despite successful therapy.</ArticleTitle>
<Pagination><MedlinePgn>1839-46</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">This study was designed to prospectively evaluate the effects of radiofrequency ablation in Wolff-Parkinson-White (WPW) syndrome by scintigraphic analysis.</AbstractText>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The functional changes triggered by radiofrequency current ablation of atrioventricular accessory pathways are not fully known.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Forty-four patients with WPW syndrome were consecutively investigated before and 48 h after radiofrequency therapy. Fourteen patients had right sided atrioventricular pathways and 30 patients had left sided bypass-tracts. Planar gated imaging and gated blood pool tomography were performed in all of these patients.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A significant increase in the left ventricular ejection fraction (LVEF) was demonstrated in patients with left preexcitation (62.2+/-7.9% before ablation against 64.4+/-6.3% after ablation, p = 0.02) but not for those with right sided anomalous pathway. Phase analysis only gave significant differences following ablation of right sided pathways (left-to-right phase difference = 14.4+/-13.8 degrees before ablation versus 7.5+/-7.2 degrees after ablation, p<0.05). Early abnormal ventricular contraction persisted in 12 patients with right accessory pathways and in 8 patients with left accessory pathways despite the complete disappearance of any abnormal conduction as proven electrophysiologically.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Following catheter ablation of atrioventricular accessory pathways: 1) an improvement of left ventricular function may be seen, particularly in patients with left sided accessory pathways, and 2) unexpected persistence of local ventricular preexcitation at the site of successful ablation may be detected.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chevalier</LastName>
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<AffiliationInfo><Affiliation>Service de Cardiologie et Soins Intensifs, Hôpital Cardiovasculaire et Pneumologique Louis Pradel, Lyon, France.</Affiliation>
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<Author ValidYN="Y"><LastName>Fatemi</LastName>
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<Author ValidYN="Y"><LastName>Velon</LastName>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D017115" MajorTopicYN="Y">Catheter Ablation</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
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<MeshHeading><DescriptorName UI="D015899" MajorTopicYN="Y">Tomography, Emission-Computed, Single-Photon</DescriptorName>
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<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<MeshHeading><DescriptorName UI="D016277" MajorTopicYN="N">Ventricular Function, Left</DescriptorName>
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<MeshHeading><DescriptorName UI="D018879" MajorTopicYN="N">Ventricular Premature Complexes</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
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<MeshHeading><DescriptorName UI="D014927" MajorTopicYN="N">Wolff-Parkinson-White Syndrome</DescriptorName>
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