RT Journal Article
SR Electronic
T1 Transcatheter electrical AV junction ablation: predictors of success
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 223
OP 228
VO 58
IS 3
A1 Simmons, Tony W.
A1 Nagi, Hassan M.K.
A1 Wilkoff, Bruce L.
A1 Morant, Victor A.
A1 Sterba, Richard
A1 Castle, Lon W.
A1 Maloney, James D.
YR 1991
UL http://www.ccjm.org/content/58/3/223.abstract
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.