Should Radiofrequency Current Ablation be Performed in Asymptomatic Patients with the Wolff‐Parkinson‐White Syndrome?
Identifieur interne : 000209 ( Main/Corpus ); précédent : 000208; suivant : 000210Should Radiofrequency Current Ablation be Performed in Asymptomatic Patients with the Wolff‐Parkinson‐White Syndrome?
Auteurs : Gerhard SteinbeckSource :
- Pacing and Clinical Electrophysiology [ 0147-8389 ] ; 1993-03.
English descriptors
Abstract
The exiting new method of ablation of accessory pathways using radiofrequency current applied by catheters will dramatically change our therapeutic decisions in these patients in the near future. This brief survey reviews the existing literature about the risk of the disease as well as of the procedure of catheter ablation. From these data, the risk of sudden death appears to be extremely low in asymptomatic Wolff‐Parkinsan‐White (WPW) individuals. Side effects of catheter ablation may result from the invasive procedure as well as from radiation exposure (the latter to the patienl as well as to operating physicians). While the complication rate in experienced centers is extremely low, a multicenter registry of the success and complication rate is urgently needed in view of the many centers starting with catheter ablation. Based on a subjective benefit‐to‐risk analysis, asymptomatic WPW individuals should be offered catheter ablation only under special circumstances (high risk profession, athletes, family history of sudden death). On the other hand, catheter ablation need not be and should not be considered generally in asymptomatic individuals with WPW pattern. Finally, this author cannot imagine that the energy, time, and money spent for mass screening and eventual catheter ablation of asymptomatic WPW individuals with its attending risks can be outweighed by the potential benefits for these asymptomatic individuals.
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DOI: 10.1111/j.1540-8159.1993.tb01638.x
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ISTEX:749334D6E2BC8AFE7845A0CBDB338B045C5A0976Le document en format XML
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This brief survey reviews the existing literature about the risk of the disease as well as of the procedure of catheter ablation. From these data, the risk of sudden death appears to be extremely low in asymptomatic Wolff‐Parkinsan‐White (WPW) individuals. Side effects of catheter ablation may result from the invasive procedure as well as from radiation exposure (the latter to the patienl as well as to operating physicians). While the complication rate in experienced centers is extremely low, a multicenter registry of the success and complication rate is urgently needed in view of the many centers starting with catheter ablation. Based on a subjective benefit‐to‐risk analysis, asymptomatic WPW individuals should be offered catheter ablation only under special circumstances (high risk profession, athletes, family history of sudden death). On the other hand, catheter ablation need not be and should not be considered generally in asymptomatic individuals with WPW pattern. Finally, this author cannot imagine that the energy, time, and money spent for mass screening and eventual catheter ablation of asymptomatic WPW individuals with its attending risks can be outweighed by the potential benefits for these asymptomatic individuals.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>GERHARD STEINBECK</name><affiliations><json:string>Medical Hospital I of the University of Munich, Klinikum Grosshadern, Munich, Germany</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Wolff‐Parkinson‐ White syndrome</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>sudden death</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>radiofrequency current</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>catheter ablation</value></json:item></subject><articleId><json:string>PACE649</json:string></articleId><language><json:string>eng</json:string></language><abstract>The exiting new method of ablation of accessory pathways using radiofrequency current applied by catheters will dramatically change our therapeutic decisions in these patients in the near future. This brief survey reviews the existing literature about the risk of the disease as well as of the procedure of catheter ablation. From these data, the risk of sudden death appears to be extremely low in asymptomatic Wolff‐Parkinsan‐White (WPW) individuals. Side effects of catheter ablation may result from the invasive procedure as well as from radiation exposure (the latter to the patienl as well as to operating physicians). While the complication rate in experienced centers is extremely low, a multicenter registry of the success and complication rate is urgently needed in view of the many centers starting with catheter ablation. Based on a subjective benefit‐to‐risk analysis, asymptomatic WPW individuals should be offered catheter ablation only under special circumstances (high risk profession, athletes, family history of sudden death). On the other hand, catheter ablation need not be and should not be considered generally in asymptomatic individuals with WPW pattern. Finally, this author cannot imagine that the energy, time, and money spent for mass screening and eventual catheter ablation of asymptomatic WPW individuals with its attending risks can be outweighed by the potential benefits for these asymptomatic individuals.</abstract><qualityIndicators><score>5.814</score><pdfVersion>1.6</pdfVersion><pdfPageSize>568 x 791 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>4</keywordCount><abstractCharCount>1441</abstractCharCount><pdfWordCount>1746</pdfWordCount><pdfCharCount>11248</pdfCharCount><pdfPageCount>5</pdfPageCount><abstractWordCount>214</abstractWordCount></qualityIndicators><title>Should Radiofrequency Current Ablation be Performed in Asymptomatic Patients with the Wolff‐Parkinson‐White Syndrome?</title><genre><json:string>article</json:string></genre><host><volume>16</volume><publisherId><json:string>PACE</json:string></publisherId><pages><total>4</total><last>652</last><first>649</first></pages><issn><json:string>0147-8389</json:string></issn><issue>3</issue><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1540-8159</json:string></eissn><title>Pacing and Clinical Electrophysiology</title><doi><json:string>10.1111/(ISSN)1540-8159</json:string></doi></host><publicationDate>1993</publicationDate><copyrightDate>1993</copyrightDate><doi><json:string>10.1111/j.1540-8159.1993.tb01638.x</json:string></doi><id>749334D6E2BC8AFE7845A0CBDB338B045C5A0976</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/749334D6E2BC8AFE7845A0CBDB338B045C5A0976/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/749334D6E2BC8AFE7845A0CBDB338B045C5A0976/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/749334D6E2BC8AFE7845A0CBDB338B045C5A0976/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Should Radiofrequency Current Ablation be Performed in Asymptomatic Patients with the Wolff‐Parkinson‐White Syndrome?</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><p>WILEY</p></availability><date>1993</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Should Radiofrequency Current Ablation be Performed in Asymptomatic Patients with the Wolff‐Parkinson‐White Syndrome?</title><author><persName><forename type="first">GERHARD</forename><surname>STEINBECK</surname></persName><note type="correspondence"><p>Correspondence: Address for reprints: G. Steinbeck, M.D., Klinikum Grosshadern, Medical Hospital I, Marchioninistr. 15, D‐8000 München 70, Germany. Fax: 089‐7095‐8830.</p></note><affiliation>Medical Hospital I of the University of Munich, Klinikum Grosshadern, Munich, Germany</affiliation></author></analytic><monogr><title level="j">Pacing and Clinical Electrophysiology</title><idno type="pISSN">0147-8389</idno><idno type="eISSN">1540-8159</idno><idno type="DOI">10.1111/(ISSN)1540-8159</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1993-03"></date><biblScope unit="volume">16</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="649">649</biblScope><biblScope unit="page" to="652">652</biblScope></imprint></monogr><idno type="istex">749334D6E2BC8AFE7845A0CBDB338B045C5A0976</idno><idno type="DOI">10.1111/j.1540-8159.1993.tb01638.x</idno><idno type="ArticleID">PACE649</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1993</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>The exiting new method of ablation of accessory pathways using radiofrequency current applied by catheters will dramatically change our therapeutic decisions in these patients in the near future. This brief survey reviews the existing literature about the risk of the disease as well as of the procedure of catheter ablation. From these data, the risk of sudden death appears to be extremely low in asymptomatic Wolff‐Parkinsan‐White (WPW) individuals. Side effects of catheter ablation may result from the invasive procedure as well as from radiation exposure (the latter to the patienl as well as to operating physicians). While the complication rate in experienced centers is extremely low, a multicenter registry of the success and complication rate is urgently needed in view of the many centers starting with catheter ablation. Based on a subjective benefit‐to‐risk analysis, asymptomatic WPW individuals should be offered catheter ablation only under special circumstances (high risk profession, athletes, family history of sudden death). On the other hand, catheter ablation need not be and should not be considered generally in asymptomatic individuals with WPW pattern. Finally, this author cannot imagine that the energy, time, and money spent for mass screening and eventual catheter ablation of asymptomatic WPW individuals with its attending risks can be outweighed by the potential benefits for these asymptomatic individuals.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Wolff‐Parkinson‐ White syndrome</term></item><item><term>sudden death</term></item><item><term>radiofrequency current</term></item><item><term>catheter ablation</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1993-03">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/749334D6E2BC8AFE7845A0CBDB338B045C5A0976/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1540-8159</doi><issn type="print">0147-8389</issn><issn type="electronic">1540-8159</issn><idGroup><id type="product" value="PACE"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="PACING CLINICAL ELECTROPHYSIOLOGY">Pacing and Clinical Electrophysiology</title></titleGroup></publicationMeta><publicationMeta level="part" position="03003"><doi origin="wiley">10.1111/pace.1993.16.issue-3</doi><numberingGroup><numbering type="journalVolume" number="16">16</numbering><numbering type="journalIssue" number="3">3</numbering></numberingGroup><coverDate startDate="1993-03">March 1993</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0064900" status="forIssue"><doi origin="wiley">10.1111/j.1540-8159.1993.tb01638.x</doi><idGroup><id type="unit" value="PACE649"></id></idGroup><countGroup><count type="pageTotal" number="4"></count></countGroup><titleGroup><title type="tocHeading1">RADIOFREQUENCY ABLATION</title></titleGroup><eventGroup><event type="firstOnline" date="2006-06-30"></event><event type="publishedOnlineFinalForm" date="2006-06-30"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-02"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-06"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-03"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="649">649</numbering><numbering type="pageLast" number="652">652</numbering></numberingGroup><correspondenceTo>Address for reprints: G. 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This brief survey reviews the existing literature about the risk of the disease as well as of the procedure of catheter ablation. From these data, the risk of sudden death appears to be extremely low in asymptomatic Wolff‐Parkinsan‐White (WPW) individuals. Side effects of catheter ablation may result from the invasive procedure as well as from radiation exposure (the latter to the patienl as well as to operating physicians). While the complication rate in experienced centers is extremely low, a multicenter registry of the success and complication rate is urgently needed in view of the many centers starting with catheter ablation. Based on a subjective benefit‐to‐risk analysis, asymptomatic WPW individuals should be offered catheter ablation only under special circumstances (high risk profession, athletes, family history of sudden death). On the other hand, catheter ablation need not be and should not be considered generally in asymptomatic individuals with WPW pattern. 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Steinbeck, M.D., Klinikum Grosshadern, Medical Hospital I, Marchioninistr. 15, D‐8000 München 70, Germany. Fax: 089‐7095‐8830.</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">1993-03</dateIssued><copyrightDate encoding="w3cdtf">1993</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="references">16</extent></physicalDescription><abstract lang="en">The exiting new method of ablation of accessory pathways using radiofrequency current applied by catheters will dramatically change our therapeutic decisions in these patients in the near future. This brief survey reviews the existing literature about the risk of the disease as well as of the procedure of catheter ablation. From these data, the risk of sudden death appears to be extremely low in asymptomatic Wolff‐Parkinsan‐White (WPW) individuals. Side effects of catheter ablation may result from the invasive procedure as well as from radiation exposure (the latter to the patienl as well as to operating physicians). While the complication rate in experienced centers is extremely low, a multicenter registry of the success and complication rate is urgently needed in view of the many centers starting with catheter ablation. Based on a subjective benefit‐to‐risk analysis, asymptomatic WPW individuals should be offered catheter ablation only under special circumstances (high risk profession, athletes, family history of sudden death). On the other hand, catheter ablation need not be and should not be considered generally in asymptomatic individuals with WPW pattern. Finally, this author cannot imagine that the energy, time, and money spent for mass screening and eventual catheter ablation of asymptomatic WPW individuals with its attending risks can be outweighed by the potential benefits for these asymptomatic individuals.</abstract><subject lang="en"><genre>Keywords</genre><topic>Wolff‐Parkinson‐ White syndrome</topic><topic>sudden death</topic><topic>radiofrequency current</topic><topic>catheter ablation</topic></subject><relatedItem type="host"><titleInfo><title>Pacing and Clinical Electrophysiology</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">0147-8389</identifier><identifier type="eISSN">1540-8159</identifier><identifier type="DOI">10.1111/(ISSN)1540-8159</identifier><identifier type="PublisherID">PACE</identifier><part><date>1993</date><detail type="volume"><caption>vol.</caption><number>16</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>649</start><end>652</end><total>4</total></extent></part></relatedItem><identifier type="istex">749334D6E2BC8AFE7845A0CBDB338B045C5A0976</identifier><identifier type="DOI">10.1111/j.1540-8159.1993.tb01638.x</identifier><identifier type="ArticleID">PACE649</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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