Document Detail

Modification of a left-sided accessory atrioventricular pathway by radiofrequency current using a bipolar epicardial-endocardial electrode configuration.
MedLine Citation:
PMID:  3181179     Owner:  NLM     Status:  MEDLINE    
Transcatheter ablation of a left posterolateral free wall accessory atrioventricular pathway using radiofrequency current and a bipolar epicardial-endocardial electrode configuration was attempted in a 19-year-old woman. The patient had suffered from recurrent syncope due to atrial fibrillation with rapid conduction to the ventricles. Following applications of radiofrequency current between one electrode in the coronary sinus and another in the left ventricle placed high against the mitral annulus, the anterograde effective refractory period was increased from less than 205 ms to a lasting value of 460 ms. Radiofrequency application could be performed without general anaesthesia and caused no side-effects.
K H Kuck; K P Kunze; M Schlüter; M Geiger; W M Jackman; G V Naccarelli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European heart journal     Volume:  9     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1988 Aug 
Date Detail:
Created Date:  1988-11-30     Completed Date:  1988-11-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  927-32     Citation Subset:  IM    
Department of Cardiology, University Hospital Eppendorf, Hamburg, F.R.G.
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MeSH Terms
Electrocoagulation / adverse effects,  instrumentation,  methods*
Heart Conduction System / physiopathology,  surgery*
Radio Waves / adverse effects
Refractory Period, Electrophysiological
Wolff-Parkinson-White Syndrome / physiopathology,  surgery*

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