Abstract |
A new technique for ablation of atrioventricular nodal reentrant tachycardia, using catheter-directed continuous wave Nd-YAG laser light, 1064 nm, via a novel pin- electrode laser catheter, was applied in 10 patients aged 15-63 years (mean 43 years). A total of 22 laser pulses, 1-5 per patient, at 20 or 30 W, of 10-45 s (mean 27 s) were aimed at the postero-inferior aspect of the tricuspid annulus. In all patients the tachycardia was rendered non-inducible at baseline as well as during orciprenaline administration. The amplitudes of the local atrial potentials diminished from 2.0 +/- 0.5 before to 0.4 +/- 0.4 mV after ablation, atrio-His intervals increased from 73 +/- 7 to 157 +/- 36 ms. Anterograde atrioventricular nodal refractory periods (212 +/- 31 vs 238 +/- 31 ms) and Wenckebach rate (174 +/- 8 vs 167 +/- 8 beats.min-1) did not change significantly (P > 0.05). There were no complications or recurrent arrhythmias in a follow-up of 12-35 (mean 27) months. Anatomically guided laser catheter coagulation of the postero-inferior aspect of the tricuspid valve ring is a safe and effective method for the cure of patients with common atrioventricular reentrant tachycardia.
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Authors | H P Weber, W Kaltenbrunner, A Heinze, K Steinbach |
Journal | European heart journal
(Eur Heart J)
Vol. 18
Issue 3
Pg. 487-95
(Mar 1997)
ISSN: 0195-668X [Print] England |
PMID | 9076387
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adult
- Atrioventricular Node
(physiopathology, surgery)
- Cardiac Pacing, Artificial
- Catheter Ablation
(instrumentation, methods)
- Electrocardiography
- Female
- Follow-Up Studies
- Humans
- Laser Coagulation
- Male
- Metaproterenol
- Tachycardia, Atrioventricular Nodal Reentry
(diagnosis, surgery)
- Time Factors
- Treatment Outcome
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