Potential-guided versus anatomic-guided approach for slow pathway ablation of the common type atrioventricular nodal reentry tachycardia: a randomized study

医学 烧蚀 心动过速 再入 射频消融术 心脏病学 节的 内科学 导管消融 核医学
作者
Michael Efremidis,Antonios Sideris,Κonstantinos P. Letsas,Ioannis Alexanian,Loukas K. Pappas,Constantinos Mihas,Dimitrios Manolatos,Sotirios Xydonas,Gerasimos Gavrielatos,Gerasimos Filippatos,Fotios Kardaras
出处
期刊:Acta Cardiologica [Taylor & Francis]
卷期号:64 (4): 477-483 被引量:11
标识
DOI:10.2143/ac.64.4.2041612
摘要

The present study aimed to compare the effectiveness and safety of the potential- and the anatomic-guided approach for slow pathway ablation in patients with recurrent episodes of symptomatic common type atrioventricular (AV) nodal reentrant tachycardia.Two hundred and twenty-eight patients were randomly assigned to undergo either a potential- (n=114, 47% men, mean age 52.85 +/- 14.04 years) or an anatomic-guided approach (n=114, 50% men, mean age 52.45 +/- 14.46 years) for radiofrequency ablation of the slow pathway.The mean duration of the follow-up period was 26.7 +/- 7.9 and 24.8 +/- 7.6 months in the potential- and anatomic- guided approach, respectively (P > 0.05).The success rate for slow pathway ablation was 100% in both ablative methods.The mean duration of atrial electrograms at the successful ablation sites of the potential- and the anatomic-guided approaches was 69 +/- 14 msec and 57 +/- 10 msec, respectively (P = 0.001).There were no significant differences between the potential- and the anatomic-guided approach regarding the duration of the procedure (121.13 +/- 56.83 vs. 109.93 +/- 57.12 min, P = 0.139), the duration of fluoroscopic exposure (6.12 +/- 3.32 vs. 6.64 +/- 3.33 min, P = 0.239) or the mean number of radiofrequency applications delivered (3.96 +/- 2.77 vs. 4.33 +/- 2.73, P = 0.311). Residual dual AV nodal pathway following successful ablation was observed in 9.6% of patients who underwent the potential-guided approach and in 23.7% of patients who underwent the anatomic method (P = 0.004). During followup, arrhythmia recurrence was observed in four patients (1.8%), two in each group (P > 0.05).The efficacy and safety of the slow pathway ablation is very high using either the potential- or the anatomic-guided approach.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
1秒前
1秒前
雨木目完成签到,获得积分10
2秒前
小鱼完成签到,获得积分10
2秒前
chenkaixin发布了新的文献求助10
2秒前
梦XING完成签到 ,获得积分10
3秒前
eternity136发布了新的文献求助10
3秒前
vv完成签到,获得积分10
4秒前
4秒前
哈哈哈哈发布了新的文献求助20
4秒前
KANG完成签到,获得积分10
5秒前
义气黄焖排骨完成签到,获得积分10
5秒前
6秒前
如梦如画发布了新的文献求助10
6秒前
Hannes应助15902933324sjc采纳,获得10
7秒前
7秒前
7秒前
梓默完成签到 ,获得积分10
7秒前
我是老大应助Japan采纳,获得10
8秒前
彬琪完成签到,获得积分10
8秒前
红尘踏歌完成签到,获得积分10
8秒前
不忘初心发布了新的文献求助10
9秒前
18746005898完成签到 ,获得积分10
9秒前
chenkaixin完成签到,获得积分10
10秒前
WangZhen完成签到,获得积分20
11秒前
乔木木完成签到,获得积分10
11秒前
一路畅通accept完成签到,获得积分10
11秒前
潇湘学术完成签到,获得积分10
11秒前
烂漫的如冬完成签到,获得积分10
12秒前
koi发布了新的文献求助10
12秒前
14秒前
14秒前
罗小马完成签到 ,获得积分10
14秒前
15秒前
wyg117完成签到,获得积分10
16秒前
CipherSage应助Zard采纳,获得10
16秒前
17秒前
824发布了新的文献求助10
17秒前
Treasure完成签到,获得积分10
18秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
Research on Disturbance Rejection Control Algorithm for Aerial Operation Robots 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038619
求助须知:如何正确求助?哪些是违规求助? 3576294
关于积分的说明 11375058
捐赠科研通 3306084
什么是DOI,文献DOI怎么找? 1819374
邀请新用户注册赠送积分活动 892698
科研通“疑难数据库(出版商)”最低求助积分说明 815066