Relation between the AH interval and the ablation site in patients with atrioventricular nodal reentrant tachycardia

PACE - Pacing and Clinical Electrophysiology

Volumn 27, Issue 10, 2004, Pages 1347-1354

  Geller, J Christoph ^a   Biblo, Lee A ^a   Carlson, Mark D ^a  

^a UNIVERSITY HOSPITALS OF CLEVELAND   (United States)

Author keywords

Atrioventricular nodal reentrant tachycardia; Electrophysiological studies; Heart; Physiology; Radiofrequency catheter ablation

Indexed keywords

ADOLESCENT; ADULT; AGED; ANATOMY; ARTICLE; ATRIOVENTRICULAR CONDUCTION; CATHETER ABLATION; CLINICAL ARTICLE; CONTROLLED STUDY; CORONARY SINUS; CORRELATION ANALYSIS; FEMALE; FLUOROSCOPY; HEART ATRIUM PACING; HEART ELECTROPHYSIOLOGY; HIS BUNDLE; HIS BUNDLE ELECTROGRAM; HUMAN; MALE; REENTRY TACHYCARDIA; SINUS RHYTHM;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CATHETER ABLATION; ELECTROPHYSIOLOGY; FEMALE; HUMANS; MALE; MIDDLE AGED; TACHYCARDIA, ATRIOVENTRICULAR NODAL REENTRY;

EID: 7744244036     PISSN: 01478389     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1540-8159.2004.00638.x     Document Type: Article

References (48)

1. Mendez C, Moe GK. Demonstration of dual A-V nodal conduction system in the isolated rabbit heart. Circ Res 1966; 19:378-393.
2. Denes P, Wu D, Dhingra RC, et al. Demonstration of dual A-V nodal pathway in patients with paroxysmal supraventricular tachycardia. Circulation 1973; 48:549-555.
3. Janse MJ, van Capelle FJL, Freud GE, et al. Circus movement within the A-V node as a basis for supraventricular tachycardia as shown by multiple microelectrode recording in the isolated rabbit heart. Circ Res 1971; 28:403-414.
4. Kay GN, Epstein AE, Dailey SM, et al. Selective radiofrequency ablation of 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.
5. 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; 85:1318-1228.
6. Wu D, Yeh SJ, Wang CC, et al. A simple technique for selective radiofrequency ablation of the slow pathway in atrioventricular node reentrant tachycardia. J Am Coll Cardiol 1993; 21:1612-1621.
7. Jackman WM, Beckman KJ, McClelland JH, et al. Treatment of supraventricular tachycardia due to atrioventricular nodal reentry by radiofrequency ablation of slow-pathway conduction. N Engl J Med 1992; 327:313-318.
8. 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.
9. Sung RJ, Waxman HL, Saksena S, et al. Sequence of retrograde atrial activation in patients with dual atrioventricular nodal pathways. Circulation 1981; 64:1059-1067.
10. McGuire MA, Lau KC, Johnson DC. Patients with two types of atrioventricular junctional (AV nodal) reentrant tachycardia: Evidence that a common pathway of nodal tissue is not present above the reentrant circuit. Circulation 1991; 83:1832-1841.
11. Ueng KC, Chen SA, Chiang CW, et al. Dimension and related anatomical distance of Koch's triangle in patients with atrioventricular nodal reentrant tachycardia. J Cardiovasc Electrophysiol 1996; 7:1017-1023.
12. McGuire MA, Johnson DC, Robotin M, et al. Dimensions of the triangle of Koch in humans. Am J Cardiol 1992; 70:829-820.
13. Philippon F, Plumb VJ, Epstein AE, et al. Multiple slow AV nodal pathways in individuals with AV nodal reentry: Effect of conduction interval on site of pathway ablation. (abstract) Circulation 1993; 88(Suppl.I):I-492.
14. Tai CT, Chen SA, Chiang CE, et al. Multiple anterograde atrioventricular node pathways in patients with atrioventricular node reentrant tachycardia. J Am Coll Cardiol 1996; 28:725-731.
15. Tawara S. Das Reizleitungssystem des Säugetierherzens. Jena, Germany, Gustav Fischer Verlag, 1906.
16. McGuire MA, Bourke JP, Robotin M, et al. High resolution mapping of Koch's Triangle using sixty electrodes in humans with atrioventricular junctional (AV nodal) reentrant tachycardia. Circulation 1993; 88:2315-2328.
17. Widran J, Lev M. The dissection of the atrioventricular node, bundle and bundle branches in the human heart. Circulation 1951; 4:863-867.
18. James TN. Morphology of the human atrioventricular node, with remarks pertinent to its electrophysiology. Am Heart J 1961; 62:756-771.
19. Becker A, Anderson R. Morphology of the human atrioventricular junctional area. In HJJ Wellens, KI Lie, MJ Janse, (eds): The Conduction System of the Heart. The Hague, the Netherlands, Martinus Nijhoff, 1978, pp. 263-286.
20. Scherf L, James TN, Woods WT. Function of atrioventricular node considered on the basis of observed histologic and fine structure. J Am Coll Cardiol 1985; 5:770-780.
21. Ho SY, McComb JM, Scott CD, et al. Morphology of the cardiac conduction system in patients with electrophysiologically proven dual atrioventricular nodal pathways. J Cardiovasc Electrophysiol 1993; 4:504-512.
22. Ho SY, Kilpatrick L, Kanai T, et al. The architecture of the atrioventricular conduction axis in dog compared to man: Its significance to ablation of the atrioventricular nodal approaches. J Cardiovasc Electrophysiol 1995; 6:26-39.
23. Bharati S, Lev M. Anatomy of the normal conduction system, disease-related changes, and their relationship to arrhythmogenesis. In PJ Podrid, PR Kowey, (eds): Cardiac Arrhythmia: Mechanisms, Diagnosis, and Management. Baltimore, Williams & Wilkins, 1995, pp. 1-15.
24. Rossi L. Interatrial, internodal, and dual reentrant atrioventricular nodal pathways: An anatomical update of arrhythmogenic substrates. Cardiologia 1996; 41:129-134.
25. Sanchez-Quintana D, Davies DW, Ho SY, et al. Architecture of the atrial musculature in and around the triangle of Koch: Its potential relevance to atrioventricular nodal reentry. J Cardiovasc Electrophysiol 1997; 8:1396-1407.
26. Gamache MC, Bharati S, Lev M, et al. Histopathological study following catheter guided radiofrequency current ablation of the slow pathway in a patient with atrioventricular nodal reentrant tachycardia. PACE 1994; 17:247-251.
27. Olgin JE, Ursell P, Kao AK, et al. Pathological findings following slow pathway ablation for AV nodal reentrant tachycardia. J Cardiovasc Electrophysiol 1996; 7:625-631.
28. Paes de Carvalho A, de Almeida DF. Spread of activity through the atrioventricular node. Circ Res 1960; 8:801-809.
29. Spach MS, Lieberman M, Scott JG, et al. Excitation sequences of the atrial septum and the AV node in isolated hearts of the dog and rabbit. Circ Res 1971; 29:156-172.
30. Anderson RH, Janse MJ, vanCapelle FJL, et al. A combined morphologic and electrophysiological study of the atrioventricular node of the rabbit heart. Circ Res 1974; 35:909-922.
31. Mazgalev T, Dreifus LS, Blanchi J, et al. The mechanism of A-V junctional reentry: Role of the atrio-nodal junction. Anat Rec 1981; 201:179-188.
32. Iinuma H, Dreifus LS, Mazgalev T, et al. Role of the perinodal region in atrioventricular nodal reentry; Evidence in an isolated rabbit preparation. J Am Coll Cardiol 1983; 2:465-473.
33. Chang BC, Schuessler RB, Stone CM, et al. Computerized activation sequence mapping of the human atrial septum. AnnThorac Surg 1990; 49:231-241.
34. Keim S, Werner P, Jazayeri M, et al. Localization of the fast and slow pathways in atrioventricular nodal reentrant tachycardia by intraoperative ice mapping. Circulation 1992; 86:919-925.
35. McGuire M, Robotin M, Yip AS, et al. Electrophysiologic and histologie effects of dissection of the connections between the atrium and posterior part of the atrioventricular node. J Am Coll Cardiol 1994; 23:693-701.
36. Medkour D, Becker AE, Khalife K, et al. Anatomic and functional characteristics of a slow posterior AV nodal pathway. Role in dual-pathway physiology and reentry. Circulation 1998; 98:164-174.
37. Inoue S, Becker AE. Posterior extensions of the human compact atrioventricular node: A neglected anatomic feature of potential clinical significance. Circulation 1998; 97:188-193.
38. Zipes DP, Mendez C, Moe GK. Evidence for summation and voltage dependence in rabbit atrioventricular nodal fibers. Circ Res 1973; 32:170-177.
39. Mazgalev T, Dreifus LS, Ininuma H, et al. Effects of site and timing of atrioventricular nodal input on atrioventricular conduction in the isolated perfused rabbit heart. Circulation 1984; 70:748-759.
40. Billette J, Janse M, vanCapelle FJL, et al. Cycle-length-dependent properties of AV nodal activation in rabbit hearts. Am J Physiol 1976; 231:1129-1139.
41. Billette J. Atrioventricular nodal activation during premature stimulation of the atrium. Am J Physiol 1987; 252;H163-H177
42. Ross DL, Brugada P, Bar FWHM, et al. Comparison of right and left atrial stimulation in demonstration of dual atrioventricular nodal pathways and induction of intranodal reentry. Circulation 1981; 64:1051-1058.
43. Janse MJ. Influence of the direction of the atrial wavefront on AV nodal transmission in isolated hearts of rabbits. Circ Res 1969; 25:439-449.
44. Spach MS, Miller WT III, Dolber PC, et al. The functional role of structural complexities in the propagation of depolarization in the atrium of the dog. Cardiac conduction disturbances due to discontinuities of effective axial resistivity. Circ Res 1982; 50:175-191.
45. Efimov IR, Mazgalev TN. High-resolution, three-dimensional fluorescent imaging reveals multilayer conduction pattern in the atrioventricular node. Circulation 1998; 98:54-57.
46. Paparella N, Alboni P, Pirani R, et al. Effects of autonomic blockade on dual atrioventricular node pathways pattern. J Electrocardiol 1986; 19:269-274.
47. Natale A, Klein G, Yee R, et al. Shortening of fast pathway refractory period after slow pathway ablation. Effect of autonomic blockade. Circulation 1994; 89:1103-1108.
48. Geller JC, Biblo LA, Mackall JA, et al. A simple calculation using the slow pathway conduction time (AH interval) predicts the successful ablation site. Circulation 1995; 92(Suppl. I):I-14.