Radiofrequency Catheter Ablation of an Atriofascicular Pathway During Atrial Fibrillation:
Identifieur interne : 001729 ( Main/Corpus ); précédent : 001728; suivant : 001730Radiofrequency Catheter Ablation of an Atriofascicular Pathway During Atrial Fibrillation:
Auteurs : John M. Miller ; Glenn R. Harper ; Steven A. Rothman ; Henry H. HsiaSource :
- Journal of Cardiovascular Electrophysiology [ 1045-3873 ] ; 1994-10.
English descriptors
Abstract
Atriofascicular Ablation During Fibrillation. Introduction: A male patient with an atriofascicular pathway underwent catheter ablation of the atriofascicular pathway during atrial fibrillation. Methods and Results: The patient had preexcited atrial fibrillation both clinically and repeatedly during electrophysioiogic study. A preexcited tachycardia with a 1:1 AV relationship and regular RR intervals was also induced. Catheter ablation of the atriofascicular pathway could only be performed during persistent atrial fibrillation, based on mapping of the pathway's insertion into the right bundle branch. Following successful ablation and cardioversion to sinus rhythm, a regular QRS tachycardia (atrioventricular [AV] nodal reentry) having (he same rate, atrial activation sequence, and His‐atrial time as the regular preexcited tachycardia noted preablation was initiated. An AV nodal slow pathway modification eliminated this tachycardia. Neither atrial fibrillation nor AV nodal reentry has recurred on follow‐up. Conclusion: This is the first report of atriofascicular mapping and ablation performed exclusively during atrial fibrillation and illustrates the utility of mapping the pathway's ventricular insertion. Other unusual features (“bystander” pathway activation during AV nodal reentry, possible role of the pathway in genesis of atrial fibrillation) are discussed.
Url:
DOI: 10.1111/j.1540-8167.1994.tb01123.x
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ISTEX:114C00B9C794CD784E5A2060D4322F5AB707C901Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Radiofrequency Catheter Ablation of an Atriofascicular Pathway During Atrial Fibrillation:</title><author><name sortKey="Miller, John M" sort="Miller, John M" uniqKey="Miller J" first="John M." last="Miller">John M. Miller</name><affiliation><mods:affiliation>Department of Medicine, Temple University Hospital, Philadelphia</mods:affiliation></affiliation></author><author><name sortKey="Harper, Glenn R" sort="Harper, Glenn R" uniqKey="Harper G" first="Glenn R." last="Harper">Glenn R. Harper</name><affiliation><mods:affiliation>Department of Medicine, The Bryn Mawr Hospital, Bryn Mawr. Pennsylvania</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Medicine, Temple University Hospital, Philadelphia</mods:affiliation></affiliation></author><author><name sortKey="Rothman, Steven A" sort="Rothman, Steven A" uniqKey="Rothman S" first="Steven A." last="Rothman">Steven A. Rothman</name><affiliation><mods:affiliation>Department of Medicine, Temple University Hospital, Philadelphia</mods:affiliation></affiliation></author><author><name sortKey="Hsia, Henry H" sort="Hsia, Henry H" uniqKey="Hsia H" first="Henry H." last="Hsia">Henry H. 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Miller</name><affiliation><mods:affiliation>Department of Medicine, Temple University Hospital, Philadelphia</mods:affiliation></affiliation></author><author><name sortKey="Harper, Glenn R" sort="Harper, Glenn R" uniqKey="Harper G" first="Glenn R." last="Harper">Glenn R. Harper</name><affiliation><mods:affiliation>Department of Medicine, The Bryn Mawr Hospital, Bryn Mawr. Pennsylvania</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Medicine, Temple University Hospital, Philadelphia</mods:affiliation></affiliation></author><author><name sortKey="Rothman, Steven A" sort="Rothman, Steven A" uniqKey="Rothman S" first="Steven A." last="Rothman">Steven A. Rothman</name><affiliation><mods:affiliation>Department of Medicine, Temple University Hospital, Philadelphia</mods:affiliation></affiliation></author><author><name sortKey="Hsia, Henry H" sort="Hsia, Henry H" uniqKey="Hsia H" first="Henry H." last="Hsia">Henry H. Hsia</name><affiliation><mods:affiliation>Department of Medicine, Temple University Hospital, Philadelphia</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Cardiovascular Electrophysiology</title><idno type="ISSN">1045-3873</idno><idno type="eISSN">1540-8167</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1994-10">1994-10</date><biblScope unit="volume">5</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="846">846</biblScope><biblScope unit="page" to="853">853</biblScope></imprint><idno type="ISSN">1045-3873</idno></series><idno type="istex">114C00B9C794CD784E5A2060D4322F5AB707C901</idno><idno type="DOI">10.1111/j.1540-8167.1994.tb01123.x</idno><idno type="ArticleID">JCE846</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1045-3873</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Mahaim fibers</term><term>atriofascicular ablation</term><term>supraventricular tachycardia</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Atriofascicular Ablation During Fibrillation. Introduction: A male patient with an atriofascicular pathway underwent catheter ablation of the atriofascicular pathway during atrial fibrillation. Methods and Results: The patient had preexcited atrial fibrillation both clinically and repeatedly during electrophysioiogic study. A preexcited tachycardia with a 1:1 AV relationship and regular RR intervals was also induced. Catheter ablation of the atriofascicular pathway could only be performed during persistent atrial fibrillation, based on mapping of the pathway's insertion into the right bundle branch. Following successful ablation and cardioversion to sinus rhythm, a regular QRS tachycardia (atrioventricular [AV] nodal reentry) having (he same rate, atrial activation sequence, and His‐atrial time as the regular preexcited tachycardia noted preablation was initiated. An AV nodal slow pathway modification eliminated this tachycardia. Neither atrial fibrillation nor AV nodal reentry has recurred on follow‐up. Conclusion: This is the first report of atriofascicular mapping and ablation performed exclusively during atrial fibrillation and illustrates the utility of mapping the pathway's ventricular insertion. Other unusual features (“bystander” pathway activation during AV nodal reentry, possible role of the pathway in genesis of atrial fibrillation) are discussed.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>JOHN M. MILLER M.D.</name><affiliations><json:string>Department of Medicine, Temple University Hospital, Philadelphia</json:string></affiliations></json:item><json:item><name>GLENN R. HARPER M.D.</name><affiliations><json:string>Department of Medicine, The Bryn Mawr Hospital, Bryn Mawr. Pennsylvania</json:string><json:string>Department of Medicine, Temple University Hospital, Philadelphia</json:string></affiliations></json:item><json:item><name>STEVEN A. ROTHMAN M.D.</name><affiliations><json:string>Department of Medicine, Temple University Hospital, Philadelphia</json:string></affiliations></json:item><json:item><name>HENRY H. HSIA M.D.</name><affiliations><json:string>Department of Medicine, Temple University Hospital, Philadelphia</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>supraventricular tachycardia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Mahaim fibers</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>atriofascicular ablation</value></json:item></subject><articleId><json:string>JCE846</json:string></articleId><language><json:string>eng</json:string></language><abstract>Atriofascicular Ablation During Fibrillation. Introduction: A male patient with an atriofascicular pathway underwent catheter ablation of the atriofascicular pathway during atrial fibrillation. Methods and Results: The patient had preexcited atrial fibrillation both clinically and repeatedly during electrophysioiogic study. A preexcited tachycardia with a 1:1 AV relationship and regular RR intervals was also induced. Catheter ablation of the atriofascicular pathway could only be performed during persistent atrial fibrillation, based on mapping of the pathway's insertion into the right bundle branch. Following successful ablation and cardioversion to sinus rhythm, a regular QRS tachycardia (atrioventricular [AV] nodal reentry) having (he same rate, atrial activation sequence, and His‐atrial time as the regular preexcited tachycardia noted preablation was initiated. An AV nodal slow pathway modification eliminated this tachycardia. Neither atrial fibrillation nor AV nodal reentry has recurred on follow‐up. Conclusion: This is the first report of atriofascicular mapping and ablation performed exclusively during atrial fibrillation and illustrates the utility of mapping the pathway's ventricular insertion. Other unusual features (“bystander” pathway activation during AV nodal reentry, possible role of the pathway in genesis of atrial fibrillation) are discussed.</abstract><qualityIndicators><score>6.493</score><pdfVersion>1.6</pdfVersion><pdfPageSize>578 x 788 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>3</keywordCount><abstractCharCount>1380</abstractCharCount><pdfWordCount>2809</pdfWordCount><pdfCharCount>18622</pdfCharCount><pdfPageCount>9</pdfPageCount><abstractWordCount>182</abstractWordCount></qualityIndicators><title>Radiofrequency Catheter Ablation of an Atriofascicular Pathway During Atrial Fibrillation:</title><genre><json:string>case report</json:string></genre><host><volume>5</volume><publisherId><json:string>JCE</json:string></publisherId><pages><total>8</total><last>853</last><first>846</first></pages><issn><json:string>1045-3873</json:string></issn><issue>10</issue><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1540-8167</json:string></eissn><title>Journal of Cardiovascular Electrophysiology</title><doi><json:string>10.1111/(ISSN)1540-8167</json:string></doi></host><publicationDate>1994</publicationDate><copyrightDate>1994</copyrightDate><doi><json:string>10.1111/j.1540-8167.1994.tb01123.x</json:string></doi><id>114C00B9C794CD784E5A2060D4322F5AB707C901</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/114C00B9C794CD784E5A2060D4322F5AB707C901/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/114C00B9C794CD784E5A2060D4322F5AB707C901/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/114C00B9C794CD784E5A2060D4322F5AB707C901/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Radiofrequency Catheter Ablation of an Atriofascicular Pathway During Atrial Fibrillation:</title><title level="a" type="sub" xml:lang="en">A Case Report</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><p>WILEY</p></availability><date>1994</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Radiofrequency Catheter Ablation of an Atriofascicular Pathway During Atrial Fibrillation:</title><title level="a" type="sub" xml:lang="en">A Case Report</title><author><persName><forename type="first">JOHN M.</forename><surname>MILLER</surname></persName><roleName type="degree">M.D.</roleName><note type="correspondence"><p>Correspondence: John M. Miller, M.D., Room 903 Parkinson Pavilion, Temple University Hospital, 3401 North Broad Street, Philadelphia, PA 19140. Fax: 215‐707‐4521.</p></note><affiliation>Department of Medicine, Temple University Hospital, Philadelphia</affiliation></author><author><persName><forename type="first">GLENN R.</forename><surname>HARPER</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Department of Medicine, The Bryn Mawr Hospital, Bryn Mawr. Pennsylvania</affiliation><affiliation>Department of Medicine, Temple University Hospital, Philadelphia</affiliation></author><author><persName><forename type="first">STEVEN A.</forename><surname>ROTHMAN</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Department of Medicine, Temple University Hospital, Philadelphia</affiliation></author><author><persName><forename type="first">HENRY H.</forename><surname>HSIA</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Department of Medicine, Temple University Hospital, Philadelphia</affiliation></author></analytic><monogr><title level="j">Journal of Cardiovascular Electrophysiology</title><idno type="pISSN">1045-3873</idno><idno type="eISSN">1540-8167</idno><idno type="DOI">10.1111/(ISSN)1540-8167</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1994-10"></date><biblScope unit="volume">5</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="846">846</biblScope><biblScope unit="page" to="853">853</biblScope></imprint></monogr><idno type="istex">114C00B9C794CD784E5A2060D4322F5AB707C901</idno><idno type="DOI">10.1111/j.1540-8167.1994.tb01123.x</idno><idno type="ArticleID">JCE846</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1994</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Atriofascicular Ablation During Fibrillation. Introduction: A male patient with an atriofascicular pathway underwent catheter ablation of the atriofascicular pathway during atrial fibrillation. Methods and Results: The patient had preexcited atrial fibrillation both clinically and repeatedly during electrophysioiogic study. A preexcited tachycardia with a 1:1 AV relationship and regular RR intervals was also induced. Catheter ablation of the atriofascicular pathway could only be performed during persistent atrial fibrillation, based on mapping of the pathway's insertion into the right bundle branch. Following successful ablation and cardioversion to sinus rhythm, a regular QRS tachycardia (atrioventricular [AV] nodal reentry) having (he same rate, atrial activation sequence, and His‐atrial time as the regular preexcited tachycardia noted preablation was initiated. An AV nodal slow pathway modification eliminated this tachycardia. Neither atrial fibrillation nor AV nodal reentry has recurred on follow‐up. Conclusion: This is the first report of atriofascicular mapping and ablation performed exclusively during atrial fibrillation and illustrates the utility of mapping the pathway's ventricular insertion. Other unusual features (“bystander” pathway activation during AV nodal reentry, possible role of the pathway in genesis of atrial fibrillation) are discussed.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>supraventricular tachycardia</term></item><item><term>Mahaim fibers</term></item><item><term>atriofascicular ablation</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1994-10">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/114C00B9C794CD784E5A2060D4322F5AB707C901/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)1540-8167</doi><issn type="print">1045-3873</issn><issn type="electronic">1540-8167</issn><idGroup><id type="product" value="JCE"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY">Journal of Cardiovascular Electrophysiology</title></titleGroup></publicationMeta><publicationMeta level="part" position="10010"><doi origin="wiley">10.1111/jce.1994.5.issue-10</doi><numberingGroup><numbering type="journalVolume" number="5">5</numbering><numbering type="journalIssue" number="10">10</numbering></numberingGroup><coverDate startDate="1994-10">October 1994</coverDate></publicationMeta><publicationMeta level="unit" type="caseStudy" position="0084600" status="forIssue"><doi origin="wiley">10.1111/j.1540-8167.1994.tb01123.x</doi><idGroup><id type="unit" value="JCE846"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><titleGroup><title type="tocHeading1">CASE REPORTS</title></titleGroup><eventGroup><event type="firstOnline" date="2007-04-29"></event><event type="publishedOnlineFinalForm" date="2007-04-29"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-10"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-29"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-24"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="846">846</numbering><numbering type="pageLast" number="853">853</numbering></numberingGroup><correspondenceTo>John M. Miller, M.D., Room 903 Parkinson Pavilion, Temple University Hospital, 3401 North Broad Street, Philadelphia, PA 19140. Fax: 215‐707‐4521.</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JCE.JCE846.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Manuscript received 12 August 1994; Accepted for publication 16 September 1994</unparsedEditorialHistory><countGroup><count type="referenceTotal" number="18"></count><count type="linksCrossRef" number="6"></count></countGroup><titleGroup><title type="main">Radiofrequency Catheter Ablation of an Atriofascicular Pathway During Atrial Fibrillation:</title><title type="subtitle">A Case Report</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>JOHN M.</givenNames><familyName>MILLER</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2 #a1"><personName><givenNames>GLENN R.</givenNames><familyName>HARPER</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>STEVEN A.</givenNames><familyName>ROTHMAN</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>HENRY H.</givenNames><familyName>HSIA</familyName><degrees>M.D.</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Department of Medicine, Temple University Hospital, Philadelphia</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="US"><unparsedAffiliation>Department of Medicine, The Bryn Mawr Hospital, Bryn Mawr. Pennsylvania</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">supraventricular tachycardia</keyword><keyword xml:id="k2">Mahaim fibers</keyword><keyword xml:id="k3">atriofascicular ablation</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p>Atriofascicular Ablation During Fibrillation. <i>Introduction:</i> A male patient with an atriofascicular pathway underwent catheter ablation of the atriofascicular pathway during atrial fibrillation.</p><p> <i>Methods and Results:</i> The patient had preexcited atrial fibrillation both clinically and repeatedly during electrophysioiogic study. A preexcited tachycardia with a 1:1 AV relationship and regular RR intervals was also induced. Catheter ablation of the atriofascicular pathway could only be performed during persistent atrial fibrillation, based on mapping of the pathway's insertion into the right bundle branch. Following successful ablation and cardioversion to sinus rhythm, a regular QRS tachycardia (atrioventricular [AV] nodal reentry) having (he same rate, atrial activation sequence, and His‐atrial time as the regular preexcited tachycardia noted preablation was initiated. An AV nodal slow pathway modification eliminated this tachycardia. Neither atrial fibrillation nor AV nodal reentry has recurred on follow‐up.</p><p> <i>Conclusion:</i> This is the first report of atriofascicular mapping and ablation performed exclusively during atrial fibrillation and illustrates the utility of mapping the pathway's ventricular insertion. Other unusual features (“bystander” pathway activation during AV nodal reentry, possible role of the pathway in genesis of atrial fibrillation) are discussed.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Radiofrequency Catheter Ablation of an Atriofascicular Pathway During Atrial Fibrillation:</title><subTitle>A Case Report</subTitle></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Radiofrequency Catheter Ablation of an Atriofascicular Pathway During Atrial Fibrillation:</title></titleInfo><name type="personal"><namePart type="given">JOHN M.</namePart><namePart type="family">MILLER</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Department of Medicine, Temple University Hospital, Philadelphia</affiliation><description>Correspondence: John M. Miller, M.D., Room 903 Parkinson Pavilion, Temple University Hospital, 3401 North Broad Street, Philadelphia, PA 19140. Fax: 215‐707‐4521.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">GLENN R.</namePart><namePart type="family">HARPER</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Department of Medicine, The Bryn Mawr Hospital, Bryn Mawr. Pennsylvania</affiliation><affiliation>Department of Medicine, Temple University Hospital, Philadelphia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">STEVEN A.</namePart><namePart type="family">ROTHMAN</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Department of Medicine, Temple University Hospital, Philadelphia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">HENRY H.</namePart><namePart type="family">HSIA</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Department of Medicine, Temple University Hospital, Philadelphia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="case report" displayLabel="caseStudy"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">1994-10</dateIssued><edition>Manuscript received 12 August 1994; Accepted for publication 16 September 1994</edition><copyrightDate encoding="w3cdtf">1994</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">18</extent></physicalDescription><abstract lang="en">Atriofascicular Ablation During Fibrillation. Introduction: A male patient with an atriofascicular pathway underwent catheter ablation of the atriofascicular pathway during atrial fibrillation. Methods and Results: The patient had preexcited atrial fibrillation both clinically and repeatedly during electrophysioiogic study. A preexcited tachycardia with a 1:1 AV relationship and regular RR intervals was also induced. Catheter ablation of the atriofascicular pathway could only be performed during persistent atrial fibrillation, based on mapping of the pathway's insertion into the right bundle branch. Following successful ablation and cardioversion to sinus rhythm, a regular QRS tachycardia (atrioventricular [AV] nodal reentry) having (he same rate, atrial activation sequence, and His‐atrial time as the regular preexcited tachycardia noted preablation was initiated. An AV nodal slow pathway modification eliminated this tachycardia. Neither atrial fibrillation nor AV nodal reentry has recurred on follow‐up. Conclusion: This is the first report of atriofascicular mapping and ablation performed exclusively during atrial fibrillation and illustrates the utility of mapping the pathway's ventricular insertion. Other unusual features (“bystander” pathway activation during AV nodal reentry, possible role of the pathway in genesis of atrial fibrillation) are discussed.</abstract><subject lang="en"><genre>Keywords</genre><topic>supraventricular tachycardia</topic><topic>Mahaim fibers</topic><topic>atriofascicular ablation</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Cardiovascular Electrophysiology</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">1045-3873</identifier><identifier type="eISSN">1540-8167</identifier><identifier type="DOI">10.1111/(ISSN)1540-8167</identifier><identifier type="PublisherID">JCE</identifier><part><date>1994</date><detail type="volume"><caption>vol.</caption><number>5</number></detail><detail type="issue"><caption>no.</caption><number>10</number></detail><extent unit="pages"><start>846</start><end>853</end><total>8</total></extent></part></relatedItem><identifier type="istex">114C00B9C794CD784E5A2060D4322F5AB707C901</identifier><identifier type="DOI">10.1111/j.1540-8167.1994.tb01123.x</identifier><identifier type="ArticleID">JCE846</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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