Document Detail

Catheter ablation of accessory pathway in the permanent form of junctional reciprocating tachycardia.
MedLine Citation:
PMID:  3938259     Owner:  NLM     Status:  MEDLINE    
Successful transvenous catheter ablation of accessory pathway (AP) in a patient (pt) with the permanent form of junctional reciprocating tachycardia is reported. A concealed AP with long conduction time comprised the retrograde limb of tachycardia circuit. The atrial end of the AP was near the coronary sinus (CS) orifice. Catheter ablative technique was performed after assessment of its feasibility and safety by using a canine model. During an electrophysiologic study CS mapping was obtained; the earliest retrograde activity was recorded 1-2 cm inside the orifice of the CS. Two unipolar shocks of 120 J were delivered on the sites exhibiting the earliest retrograde atrial activity. After the procedure, the AP was no longer conducting in both anterograde and retrograde direction. During a follow-up period of 13 months, the pt remained free of tachycardia on no antiarrhythmic medication.
G Critelli; J J Gallagher; V Monda; M Scherillo; M Condorelli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives des maladies du coeur et des vaisseaux     Volume:  78 Spec No     ISSN:  0003-9683     ISO Abbreviation:  Arch Mal Coeur Vaiss     Publication Date:  1985 Oct 
Date Detail:
Created Date:  1986-04-04     Completed Date:  1986-04-04     Revised Date:  2009-02-13    
Medline Journal Info:
Nlm Unique ID:  0406011     Medline TA:  Arch Mal Coeur Vaiss     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  49-55     Citation Subset:  IM    
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MeSH Terms
Bundle of His / surgery*
Electrosurgery / instrumentation,  methods*
Heart Conduction System / surgery*
Neural Pathways / surgery
Tachycardia / physiopathology,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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