Patterns of accelerated junctional rhythm during slow pathway catheter ablation for atrioventricular nodal reentrant tachycardia: Temperature dependence, prognostic value, and insights into the nature of the slow pathway

Journal of Cardiovascular Electrophysiology

Volumn 11, Issue 3, 2000, Pages 244-254

  Wagshal, Alan B ^a,b   Crystal, Eugene ^a   Katz, Amos ^a  

^a BEN GURION UNIVERSITY OF THE NEGEV   (Israel)

^b BEN GURION UNIVERSITY OF THE NEGEV   (Israel)

Author keywords

Ablation recurrence; Accelerated junctional rhythm; Atrioventricular nodal reentrant tachycardia; Catheter ablation; Slow pathway; Temperature monitoring

Indexed keywords

ADULT; AGED; ANISOTROPY; ARTICLE; CATHETER ABLATION; CLINICAL ARTICLE; CORONARY ARTERY BLOOD FLOW; ELECTROCARDIOGRAM; ENERGY; FEMALE; HEART ELECTROPHYSIOLOGY; HUMAN; MALE; PRIORITY JOURNAL; RECURRENT DISEASE; REENTRY TACHYCARDIA; TEMPERATURE MEASUREMENT;

EID: 0034060903     PISSN: 10453873     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2000.tb01793.x     Document Type: Article

References (41)

1. Thakur RK, Klein GJ, Yee R, et al: Junctional tachycardia: A useful marker during radiofrequency ablation for atrioventricular node reentrant tachycardia. J Am Coll Cardiol 1993;22:1706-1710.
2. Denes P, Wu D, Dhingra RC, et al: Demonstration of dual A-V nodal pathways in patients with paroxysmal supraventricular tachycardia. Circulation 1973;48:549-555.
3. Miles WM, Yee R, Klein GJ, et al: The preexcitation index: An aid in determining the mechanism of supraventricular tachycardia and localizing accessory pathways. Circulation 1986;74:493-500.
4. Miller JM, Rosenthal ME, Gottlieb CD, et al: Usefulness of the ΔHA interval to accurately distinguish atrioventricular nodal reentry from orthodromic septal bypass tract tachycardias. Am J Cardiol 1991;68:1037-1044.
5. Wagshal AB, Huang SKS, Pires LA, et al: Use of double ventricular extrastimulation to determine the preexcitation index in atrioventricular nodal reentrant tachycardia. PACE 1995;18:2041-052.
6. Wang X, McClelland JH, Beckman KJ, et al: Accelerated junctional rhythm during slow pathway ablation. (Abstract) Circulation 1991;84(II):583.
7. Kay GN, Epstein AE, Dailey SM, et al: Selective radiofrequency ablation of the slow pathway for the treatment of atrioventricular nodal reentrant tachycardia: Evidence for involvement of perinodal myocardium within the reentrant circuit. Circulation 1992;85: 1675-1688.
8. Jackman WM, Beckman KJ, McClelland JH, et al: Treatment of supraventricular tachycardia due to atrioventricular nodal reentry by radiofrequency catheter ablation of slow-pathway conduction. N Engl J Med 1992;327:313-318.
9. Moulton K, Miller B, Scott J, et al: Radiofrequency catheter ablation for AV nodal reentry: A technique for rapid transection of the slow AV nodal pathway. PACE 1993;16:760-768.
10. Jazayeri MR, Hempe SL, Sra JS, et al: Selective transcatheter ablation of the fast and slow pathways using radiofrequency energy in patients with atrioventricular nodal reentrant tachycardia. Circulation 1992;85:1318-1328.
11. Haissaguerre M, Gaita F, Fischer B, et al: Elimination of atrioventricular nodal reentrant tachycardia using discrete slow potentials to guide application of radiofrequency energy. Circulation 1992; 85:2162-2175.
12. Wu D, Weh SJ, Wang CC, et al: A simple technique for selective radiofrequency ablation of the slow pathway in atrioventricular node reentrant tachycardia. J Cardiovasc Electrophysiol 1993;21: 1612-1621.
13. Wathen M, Natale A, Wolfe K, et al: An anatomically guided approach to atrioventricular node slow pathway ablation. Am J Cardiol 1992;70:886-889.
14. Niebauer MJ, Daoud E, Williamson B, et al: Atrial electrogram characteristics in patients with and without atrioventricular nodal reentrant tachycardia. Circulation 1995;92:77-81.
15. Blouin LT, Marcus FI, Lampe L: Assessment of effects of a radiofrequency energy field and thermistor location in an electrode catheter on the accuracy of temperature measurement. PACE 1991; 14:807-813.
16. Simmers TA, De Bakker JMT, Coronel R, et al: Effects of intracavitary blood flow and electrode-target distance on radiofrequency power required for transient conduction block in a Langendorff-perfused canine model. J Am Coll Cardiol 1998;31:231-235.
17. Jentzer J, Goyal R, Williamson BD, et al: Analysis of junctional ectopy during radiofrequency ablation of the slow pathway in patients with atrioventricular nodal reentry tachycardia. Circulation 1994;90:2820-2826.
18. Yu JCL, Lauer M, Young C, et al: Localization of the origin of the atrioventricular junctional rhythm induced during selective tion of slow-pathway conduction in patients with atrioventricular node reentrant tachycardia. Am Heart J 1996;131:937-946.
19. Hsieh M-H, Chen S-A, Tai C-T, et al: Absence of junctional rhythm during successful slow-pathway ablation in patients with atrioventricular nodal reentrant tachycardia. Circulation 1998;98: 2296-2300.
20. Nath S, Lynch C, Whayne JG, et al: Cellular electrophysiologic effects of hyperthermia on isolated guinea pig papillary muscle: Implications for catheter ablation. Circulation 1993;88:1826-1831.
21. Nath S, DiMarco JP, Mounsey JP, et al: Correlation of temperature and pathophysiological effect during radiofrequency catheter ablation of the AV junction. Circulation 1995;92:1188-1192.
22. Calkins H, Prystowsky E, Carlson M, et al: Temperature monitoring during radiofrequency catheter ablation procedures using closed loop control. Circulation 1994;90:1279-1286.
23. Kavesh NG, Gosnell MR, Shorofsky SR, et al: Comparison of power- and temperature-guided radiofrequency modification of the atrioventricular node. Am J Cardiol 1997;80:1444-1447.
24. Li HG, Klein GJ, Stites HW, et al: Elimination of slow pathway conduction: An accurate indicator of clinical success after radiofrequency atrioventricular node modification. J Am Coll Cardiol 1993;22:1849-1853.
25. Baker JH III, Plumb VJ, Epstein AE, et al: Predictors of recurrent atrioventricular nodal reentry after selective slow pathway ablation. Am J Cardiol 1994;73:765-769.
26. Lindsay BD, Chung MK, Gamache C, et al: Therapeutic end points for the treatment of atrioventricular node reentrant tachycardia by catheter-guided radiofrequency current. J Am Coll Cardiol 1993; 22:733-740.
27. Hummel JD, Strickberger SA, Williamson BD, et al: Effect of slow pathway function on the time course of recurrences of atrioventricular nodal reentrant tachycardia after radiofrequency ablation of the slow pathway. Am J Cardiol 1995;75:628-630.
28. Chen S-A, Wu T-J, Chiang C-E, et al: Recurrent tachycardia after selective ablation of slow pathway in patients with atrioventricular nodal reentrant tachycardia. Am J Cardiol 1995;76:131-137.
29. Jazayeri MR, Sra JS, Deshpande SS, et al: Electrophysiologic spectrum of atrioventricular nodal behavior in patients with atrioventricular nodal reentrant tachycardia undergoing selective fast or slow pathway ablation. J Cardiovasc Electrophysiol 1993;4:99-111.
30. Manolis AS, Wang PJ, Estes NA: Radiofrequency ablation of slow pathway in patients with atrioventricular nodal reentrant tachycardia: Do arrhythmia recurrences correlate with persistent slow pathway conduction or site of successful ablation? Circulation 1994; 90:2815-2819.
31. Calkins H, Prystowsky E, Berger RD, et al: Recurrence of conduction following radiofrequency catheter ablation procedures: Relationship to ablation target and electrode temperature. J Cardiovasc Electrophysiol 1996;7:704-712.
32. Sung RJ, Lauer MR, Chun H: Atrioventricular node reentry: Current concepts and new perspectives. PACE 1994;17:1413-1430.
33. Ward DE, Garratt CJ: The substrate for atrioventricular "nodal" reentrant tachycardia: Is there a "third pathway?" J Cardiovasc Electrophysiol 1993;4:62-67.
34. Boyle NG, Anselme F, Monahan K, et al: Origin of junctional rhythm during radiofrequency ablation of atrioventricular nodal reentrant tachycardia in patients without structural heart disease. Am J Cardiol 1997;80:575-580.
35. Anselme F, Hook B, Monahan K, et al: Heterogeneity of retrograde fast pathway conduction in patients with atrioventricular nodal reentry tachycardia: Observations using high density mapping of Koch's triangle. Circulation 1996;93:960-968.
36. Spach MS, Josephson ME: Initiating reentry: The role of nonuniform anisotropy in small circuits. J Cardiovasc Electrophysiol 1994;5:182-209.
37. McGuire MA, Janse MJ, Ross DL: "AV nodal" reentry: Part II: AV nodal, AV junctional, or atrionodal reentry? J Cardiovasc Electrophysiol 1993;4:573-586.
38. Nath S, Lynch C III, Whayne JG, et al: Cellular electrophysiological effects of hyperthermia on isolated guinea pig papillary muscle: Implications for catheter ablation. Circulation 1993;88:1826-1831.
39. Thibault B, De Bakker JMT, Hocini M, et al: Origin of heat-induced accelerated junctional rhythm. J Cardiovasc Electrophysiol 1998;9:631-641.
40. Wagshal AB, Pires LA, Yong PG, et al: Usefulness of follow-up electrophysiologic study and event monitoring after successful radiofrequency catheter ablation of supraventricular tachycardia. Am J Cardiol 1995;75:50-52.
41. Chen S-A, Chiang C-E, Yang C-J, et al: Usefulness of serial follow-up electrophysiologic studies in predicting late outcome of radiofrequency ablation for accessory pathways and atrioventricular nodal reentrant tachycardia. Am Heart J 1993;126:619-625.