PT - JOURNAL ARTICLE AU - Tony W. Simmons AU - Hassan M.K. Nagi AU - Bruce L. Wilkoff AU - Victor A. Morant AU - Richard Sterba AU - Lon W. Castle AU - James D. Maloney TI - Transcatheter electrical AV junction ablation: predictors of success DP - 1991 May 01 TA - Cleveland Clinic Journal of Medicine PG - 223--228 VI - 58 IP - 3 4099 - http://www.ccjm.org/content/58/3/223.short 4100 - http://www.ccjm.org/content/58/3/223.full SO - Cleve Clin J Med1991 May 01; 58 AB - The initial and long-term results of transcatheter electrical ablation in 29 patients with drug-refractory supraventricular tachyarrhythmias were analyzed. Ablation was immediately successful (defined as induction of chronic complete heart block) in 25 patients (86.2%). Among the group in whom ablation was unsuccessful, there were more patients with ectopic atrial tachycardia and a higher incidence of narrow QRS escape rhythm following the initial ablation. A His amplitude equal to or greater than 0.3 mV was correlated with success. Complications of ablation included deep venous thrombosis and ventricular arrhythmias. Postablation stress testing was superior to ambulatory monitoring in identifying early return of atrioventricular conduction.