Radiofrequency ablation of atrioventricular accessory pathways associated with discordant atrioventricular connections

2002 ◽  
Vol 12 (6) ◽  
pp. 542-548
Author(s):  
Pedro Iturralde ◽  
Leonardo Rivera-Rodríguez ◽  
Milton E. Guevara-Valdivia ◽  
Luis Colín ◽  
Manlio F. Márquez ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Right Ventricle ◽  
Electrophysiological Study ◽  
Double Outlet Right Ventricle ◽  
White Syndrome ◽  
Accessory Pathways ◽  
Electrophysiological Studies ◽  
The Right ◽  
Wolff Parkinson White Syndrome

Discordant atrioventricular connections associated with Wolff-Parkinson-White syndrome increase the challenge of radiofrequency ablation. We report the results and techniques of radiofrequency ablation in three patients with discordant atrioventricular connections, including one patient having double outlet right ventricle with atrioventricular reentry tachycardias. There were two males and one female, aged 14 and 22 years old. We found four accessory pathways during our electrophysiological studies, with two of them manifest on the electrocardiogram, corresponding to left paraseptal and right midseptal regions. The electrophysiological study confirmed this localization, and showed two concealed accessory pathways in the right and left paraseptal regions. Radiofrequency ablation was successful in all cases without recurrence at a mean follow-up of 18.6 months. No complications were observed during the procedures. We conclude that radiofrequency ablation is feasible and effective in the ablation of accessory pathways in patients with discordant atrioventricular connections.

Giant diverticulum of coronary sinus with multiple accessory pathways treated with catheter ablation

2021 ◽  
pp. 1-4
Author(s):  
Sinem N. Selcuk ◽  
İlker Ertugrul ◽  
Tevfik Karagoz
Keyword(s):  
Catheter Ablation ◽  
Coronary Sinus ◽  
Inadequate Response ◽  
Multidrug Therapy ◽  
White Syndrome ◽  
Ablation Therapy ◽  
Accessory Pathways ◽  
Giant Diverticulum ◽  
Wolff Parkinson White Syndrome

Abstract Coronary sinus abnormalities are usually associated with arrhythmia disorders when symptomatic. We report a 5-year-old 14 kg patient with a giant diverticulum of coronary sinus and Wolff-Parkinson-White syndrome. Catheter ablation therapy was decided during follow-up due to inadequate response to multidrug therapy. Posteroseptal and left posterolateral accessory pathways were established and radiofrequency ablation was performed successfully through coronary sinus.

scholarly journals Radiofrequency ablation of accessory pathways in patients with the Wolff–Parkinson–White syndrome: long-term risk of mortality and coronary events

EP Europace ◽  
2017 ◽  
Vol 20 (6) ◽  
pp. 1035-1042 ◽  
Author(s):  
Wanwarang Wongcharoen ◽  
Yenn-Jiang Lin ◽  
Fa-Po Chung ◽  
Yun-Yu Chen ◽  
Tze-Fan Chao ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
White Syndrome ◽  
Accessory Pathways ◽  
Risk Of Mortality ◽  
Coronary Events ◽  
Wolff Parkinson White Syndrome

scholarly journals Reappraisal of Intermediate-Term Follow-Up of Radiofrequency Ablation of Accessory Atrioventricular Pathways for Treatment of Wolff-Parkinson-White Syndrome.

1992 ◽  
Vol 33 (6) ◽  
pp. 755-769
Author(s):  
Shih-Ann CHEN ◽  
Wing-Ping TSANG ◽  
Chih-Ping HSIA ◽  
Der-Chih WANG ◽  
Chen-En CHIANG ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
White Syndrome ◽  
Wolff Parkinson White Syndrome

scholarly journals Comprehensive assessment of Mahaim accessory pathways’ anatomic distribution

2022 ◽  
Vol 50 (1) ◽  
pp. 030006052110697
Author(s):  
Suat Gormel ◽  
Salim Yasar ◽  
Erkan Yildirim ◽  
Serkan Asil ◽  
Veysel Ozgur Baris ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Electrophysiological Study ◽  
Mitral Annulus ◽  
Mapping Technique ◽  
Apical Region ◽  
Ablation Therapy ◽  
Accessory Pathways ◽  
Potential Mapping ◽  
Anatomic Distribution ◽  
The Right

Objective To present the authors’ experience of Mahaim-type accessory pathways (MAPs), focusing on anatomic localizations. Methods Data from consecutive patients who underwent electrophysiological study (EPS) for MAP ablation in two tertiary centres, between January 1998 and June 2020, were retrospectively analysed. Results Of the 55 included patients, 27 (49.1%) were male, and the overall mean age was 29.5 ± 11.6 years (range, 12–66 years). MAPs were ablated at the tricuspid annulus in 43 patients (78.2%), mitral annulus in four patients (7.3%), paraseptal region in three patients (5.5%), and right ventricle mid-apical region in five patients (9.1%). Among 49 patients who planned for ablation therapy, the success rate was 91.8% (45 patients). Conclusion MAPs were most often ablated at the lateral aspect of the tricuspid annuli, sometimes at other sides of the tricuspid and mitral annuli, and infrequently in the right ventricle. The M potential mapping technique is likely to be a useful target for ablation of MAPs.

Radiofrequency Ablation of Atrial Fibrillation in Patients with Ebstein's Anomaly: A Two-Case Report

Cardiology ◽  
2017 ◽  
Vol 139 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Konstantinos E. Iliodromitis ◽  
Marc Bonsels ◽  
Rolf Borchard ◽  
Anja Dorszewski
Keyword(s):  
Atrial Fibrillation ◽  
Radiofrequency Ablation ◽  
Right Ventricle ◽  
Ebstein’S Anomaly ◽  
Atrioventricular Nodal Reentrant Tachycardia ◽  
Reentrant Tachycardia ◽  
Ebstein's Anomaly ◽  
The Right ◽  
Apical Displacement

Ebstein's anomaly (EA) is a rare congenital heart disease characterized by “atrialization” of the right ventricle, due to apical displacement of the tricuspid leaflets into the right ventricle. Patients with EA may develop all kinds of supraventricular arrhythmias requiring radiofrequency ablation. Atrial fibrillation (Afib) is a common arrhythmia in EA patients, and results in debilitating symptoms that often require surgical treatment. This is a follow-up report of 2 patients with EA undergoing radiofrequency ablation for Afib. The first patient underwent pulmonary vein isolation (PVI) and the ablation of a concomitant atrioventricular nodal reentrant tachycardia. The second patient was also treated with a PVI and a redo PVI 8 months later. Both patients remain in sinus rhythm 8 months on. Radiofrequency ablation is the therapy of choice for patients with pharmacological refractory Afib, but it is not common in patients with EA.

scholarly journals SUDDEN CARDIAC DEATH AND WOLFF-PARKINSON-WHITE ELECTROCARDIOGRAPHIC PATTERN: A REVIEW

2014 ◽  
Vol 5 (4) ◽  
pp. 60-72
Author(s):  
S E Mamchur ◽  
A V Ardashev
Keyword(s):  
Catheter Ablation ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Radiofrequency Catheter Ablation ◽  
Electrophysiological Study ◽  
White Syndrome ◽  
Accessory Pathways ◽  
Asymptomatic Patients ◽  
Wolff Parkinson White Syndrome

The causes of sudden cardiac death in patients with Wolff-Parkinson-White syndrome are considered; necessity of endocardial electrophysiological study and radiofrequency catheter ablation is discussed, including asymptomatic patients with accessory pathways.

Sign in / Sign up

Export Citation Format

Share Document