Gradual power titration using radiofrequency energy: A safe method for slow-pathway ablation in the setting of atrioventricular nodal re-entrant tachycardia

Europace

Volumn 11, Issue 2, 2009, Pages 178-183

  Bortone, Agustín ^a,b   Boveda, Serge ^a   Jandaud, Serge ^a   Combes, Nicolas ^a   Donzeau, Jean Pierre ^a   Marijon, Eloi ^a   Albenque, Jean Paul ^a  

^a CLINIQUE PASTEUR   (France)

^b Hopital Prive Les Franciscaines   (France)

Author keywords

Atrioventricular nodal re entrant tachycardia; Complete heart block; Gradual power titration; Radiofrequency energy; Slow pathway ablation

Indexed keywords

ACCELERATION; ADOLESCENT; ADULT; AGED; ARTICLE; ARTIFICIAL HEART PACEMAKER; ATRIOVENTRICULAR BLOCK; ATRIOVENTRICULAR JUNCTION ARRHYTHMIA; ATRIOVENTRICULAR NODAL REENTRANT TACHYCARDIA; CARDIOVASCULAR RISK; CATHETER ABLATION; CLINICAL FEATURE; COMPLETE HEART BLOCK; FEMALE; FOLLOW UP; HUMAN; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; POWER SUPPLY; PRIORITY JOURNAL; RADIOFREQUENCY; REENTRY TACHYCARDIA; TEMPERATURE; TITRIMETRY;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CATHETER ABLATION; FEMALE; HEART BLOCK; HUMANS; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; RISK FACTORS; TACHYCARDIA, ATRIOVENTRICULAR NODAL REENTRY; TREATMENT OUTCOME; YOUNG ADULT;

EID: 59449092546     PISSN: 10995129     EISSN: 15322092     Source Type: Journal    
DOI: 10.1093/europace/eun333     Document Type: Article

References (24)

1. Jackman WM, Lockwood D, Nakagawa H, Po SS, Beckman KJ, Wu R et al. Catheter ablation of atrioventricular nodal reentrant tachycardia. In Wilber DJ, Packer DL, Stevenson WG (eds). Catheter Ablation of Cardiac Arrhythmias. Basic Concepts and Clinical Applications. 3rd ed. Malden, MA: Blackwell Futura; 2008. p120-48.
2. Jackman WM, Beckman KJ, McClelland JH, Wang X, Friday KJ, Roman CA et al. Treatment of supraventricular tachycardia due to atrioventricular nodal reentry, by radiofrequency catheter ablation of slow-pathway conduction. N Engl J Med 1992;327:313-8.
3. Haïssaguerre M, Gaita F, Fischer B, Commenges D, Montserrat P, d'Ivernois C et al. Elimination of atrioventricular nodal reentrant tachycardia using discrete slow potentials to guide application of radiofrequency energy. Circulation 1992;82:2162-75.
4. Clague JR, Dagres N, Kottkamp H, Breithardt G, Borggrefe M. Targeting the slow pathway for atrioventricular nodal reentrant tachycardia: initial results and long-term follow-up in 379 consecutive patients. Eur Heart J 2001;22:82-8.
5. Taylor GW, Kay NG. Selective slow pathway ablation for treatment of AV nodal reentrant tachycardia. In Huang SK, Wilber DJ (eds). Radiofrequency Catheter Ablation of Cardiac Arrhythmias. Armonk, NY: Futura Publishing; 2000. p423-61.
6. Scheinman MM, Huang S. The NASPE prospective catheter ablation registry. Pacing Clin Electrophysiol 2000;23:1020-8.
7. Gaita F, Riccardi R, Marco S, Caponi D. Catheter ablation of typical atrioventricular nodal reentrant tachycardia. In Zipes DP, Haïssaguerre M (eds). Catheter Ablation of Arrhythmias. 2nd ed. Armonk, NY: Futura; 2002. p225-48.
8. Heidbüchel H, Jackman WM. Catheter ablation of atypical atrioventricular nodal reentrant tachycardia. In Zipes DP, Haïssaguerre M (eds). Catheter Ablation of Arrhythmias. 2nd ed. Armonk, NY: Futura; 2002. p249-76.
9. Topilski I, Rogowski O, Glick A, Viskin S, Eldar M, Belhassen B. Radiofrequency ablation of atrioventricular nodal reentry tachycardia: a 14 year experience with 901 patients at the Tel Aviv Sourasky Medical Center. Isr Med Assoc J 2006;8:455-9.
10. Yu WC, Chen SA, Tai CT, Chiang CE, Lee SH, Chiou CW et al. Radiofrequency catheter ablation of slow pathway in 760 patients with atrioventricular nodal reentrant tachycardia - long-term results. Chin Med J (Taipei) 1997;59:71-7.
11. Calkins H, Yong P, Miller JM, Olshansky B, Carlson M, Saul JP et al. for the Atakr Multicenter Investigators Group. Catheter ablation of accessory pathways, atrioventricular nodal reentrant tachycardia, and the atrioventricular junction final results of a prospective, multicenter clinical trial. Circulation 1999;99:262-70.
12. Heidbüchel H, Jackman WM. Characterization of subforms of AV nodal reentrant tachycardia. Europace 2004;6:316-29.
13. Katritsis DG, Camm AJ. Classification and differential diagnosis of atrioventricular nodal re-entrant tachycardia. Europace 2006;8:29-36.
14. Strickberger SA, Tokano T, Tse HF, Kim MH, Oral H, Flemming M et al. Target temperatures of 488C versus 608C during slow pathway ablation: a randomized comparison. J Cardiovasc Electrophysiol 1999;10:799- 803.
15. Lipscomb KJ, Zaidi AM, Fitzpatrick AP, Lefroy D. Slow pathway modification for atrioventricular node reentrant tachycardia: fast junctional rhythm predicts adverse prognosis. Heart 2001;85:44-7.
16. Thakur RK, Klein GJ, Yee R, Stites HW. Junctional tachycardia: a useful marker during radiofrequency ablation for atrioventricular nodal reentrant tachycardia. J Am Coll Cardiol 1993;22:1706-10.
17. Jentzer J, Goyal R, Williamson B, Man KC, Niebauer M, Daoud E et al. Analysis of junctional ectopy during radiofrequency ablation of the slow pathway in patients with atrioventricular node re-entrant tachycardia. Circulation 1994;90:2820-6.
18. Topilski I, Rogowski O, Glick A, Viskin S, Eldar M, Belhassen B. Catheter-induced mechanical trauma to fast and slow pathways during radiofrequency ablation of atrioventricular nodal reentry tachycardia: incidence, predictors, and clinical implications. Pacing Clin Electrophysiol 2007;30:1233-41.
19. Steinberg C, Levin AR, Engle MA. Transient complete heart block following percutaneous balloon pulmonary valvuloplasty: treatment with systemic corticosteroids. Pediatr Cardiol 1992;13:181-3.
20. Aber CP, Jones EW. Complete heart block treated with corticotrophin and corticosteroid. Br Heart J 1960;22:723-8.
21. Haïssaguerre M, Marcus F, Poquet F, Gencel L, Le Metayer P, Clémenty J. Electrocardiographic characteristics and catheter ablation of parahissian accessory pathways. Circulation 1994;90:1124-8.
22. Langberg JJ, Leon A, Borganelli M, Kalbfleisch SJ, el-Atassi R, Calkins H et al. A randomized, prospective comparison of anterior and posterior approaches to radiofrequency catheter ablation of atrioventricular nodal reentry tachycardia. Circulation 1993;87:1551-6.
23. Pasquié JL, Scalzi J, Macia JC, Leclerq F, Grolleau-Raoux R. Long-term safety and efficacy of slow pathway ablation in patients with atrioventricular nodal re-entrant tachycardia and pre-existing prolonged PR interval. Europace 2006;8:129-33.
24. Rivard L, Dubuc M, Guerra PG, Novak P, Roy D, Macle L et al. Cryoablation outcomes for AV nodal reentrant tachycardia comparing 4-mm versus 6-mm electrode-tip catheters. Heart Rhythm 2008;5:230-4.