[A new method for the treatment of supraventricular rhythm disorders].
Initial experience of His-bundle ablation is presented in 12 patients with intractable supraventricular arrhythmias which were not amenable to treatment with conventional drugs. In 8 patients His-bundle ablation resulted in total AV-block and in 2 patients significant improvement without total AV-block was achieved. During long-term follow-up (mean 5.3 months) tachycardia recurred in 1 patient with total AV-block resulting in an overall success rate of 75%. A permanent pacemaker was implanted in 10 patients. 1 patient developed deep leg vein thrombosis as a direct result of this procedure and in 2 patients there were complications due to pacemaker implantation. His-bundle ablation appears to be a promising tool in the management of intractable supraventricular tachycardia.
D000368:Aged; D002036:Bundle of His / Q000601:surgery; D004554:Electric Countershock; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D013617:Tachycardia, Supraventricular / Q000601:surgery*
Eine neue Methode zur Behandlung von supraventrikulären Rhythmusstörungen.