A report on selective radiofrequency ablation of dual atrioventricular node pathways in 34 cases.

Abstract:

:Selective ablation of slow pathway by radiofrequency (RF) current in 34 patients with atrioventricular (AV) node pathways and tachycardia was performed with two methods in our section; posterior approach was used in the first 12 patients, the slow pathways were ablated successfully. Inferior approach was performed in the other 22 patients. Slow pathways were interrupted in 14 patients. Retrograde fast pathways and/or slow pathways were ablated in 6 patients. Retrograde fast pathways and slow pathways were abolished and antegrade fast pathways were injured transitorily in 2 cases. The total procedure time was shorter, RF applications were fewer by inferior approach than by posterior approach (P < 0.05). Both antegrade and retrograde conduction of fast pathways had not been affected after slow pathways were ablated (P > 0.05). After a mean of 8 months follow-up, two patients recurred and were ablated successfully again. We come to the conclusion that inferior approach might be a preferable method compared with posterior approach; the slow pathways is the compact node and its posterior input of transitional cells; the retrograde fast pathway may be the anterior superficial group of transitional cells and is not always in the same location of antegrade fast pathway.

journal_name

Chin Med J (Engl)

journal_title

Chinese medical journal

authors

Hu DY,Ding YS,Ma CS,Li YG,Li YF,Wang LX,Wang LH

subject

Has Abstract

pub_date

1994-08-01 00:00:00

pages

577-82

issue

8

eissn

0366-6999

issn

2542-5641

journal_volume

107

pub_type

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