[Elimination of drug-resistant supraventricular tachyarrhythmia by transvenous electrodestruction of the atrioventricular junction].
The authors report on the first successful employment of transvenous electrodestruction of the atrio-ventricular junction in patients with supraventricular tachyarrhythmias resistant to the drug and electroimpulse therapy. The procedure of transvenous electrodestruction in six patients consisted in making a discharge of 250-350 J from a stationary R-synchronized defibrillator in the area of the compact atrio-ventricular node or the proximal portion of the His bundle. All patients were implanted R-banning ECS-222 Li. The follow-up period after the operation varied from 2 to 6 months. The patients reported no disturbances in cardiac performance and palpitation over this period.
D000328:Adult; D000818:Animals; D001283:Atrioventricular Node; D002036:Bundle of His; D002404:Catheterization / Q000379:methods; D004285:Dogs; D004554:Electric Countershock / Q000295:instrumentation / Q000379:methods*; D004562:Electrocardiography; D004567:Electrodes, Implanted; D005260:Female; D005500:Follow-Up Studies; D006329:Heart Conduction System / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013350:Subclavian Vein; D013614:Tachycardia, Paroxysmal / Q000628:therapy*
Ustranenie rezistentnykh k medikamentoznoĭ terapii nadzheludochkovykh takhiaritmiĭ metodom transvenoznoĭ elektrodestruktsii predserdno-zheludochkovogo soedineniia.