[Radiofrequency catheter ablation of accessory atrioventricular pathways: initial experience in 33 patients].
The authors report their experience in endocavitary radio-frequency ablation of 37 secondary pathways carried out in 33 consecutive patients. The indications for radical treatment were based solely on clinical arguments in 15 patients, on a combination of disabling signs and threatening electrophysiological signs in 17 patients and on high retrograde permeability in 1 asymptomatic patient. Endocavitary exploration revealed 26 left lateral sites, 7 posterior paraseptal sites and 4 right lateral sites. The procedure was successful in 88% of cases. Electrophysiological follow-up, carried out routinely in all the patients 2 months after the procedure, revealed a single recurrence (3%) which was treated by radio-frequency again, this time with a successful outcome. There was only one complication, a complete AVBBB following ablation of a left posterior paraseptal Kent's bundle, which required a permanent pacemaker. These results were similar to those reported in the literature and clearly demonstrate the efficacy of radio-frequency treatment of the secondary pathways, with a moderate risk of complication. These results were similar to those reported in the literature and clearly demonstrate the efficacy of radio-frequency treatment of the secondary pathways, with a moderate risk of complication. Recent advances in the field of endocavitary ablation have made it possible to change the method of handling symptomatic Wolff-Parkinson White syndromes, by enlarging the indications for radical treatment in order to enhance the comfort and quality of life of the patient.
Gras
D
D
Service de Cardiologie A, Hôtel-Dieu, Rennes.
Mabo
P
P
Leclercq
C
C
Le Breton
H
H
Berder
V
V
Daubert
C
C
D000293:Adolescent; D000328:Adult; D001145:Arrhythmias, Cardiac / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects / Q000379:methods; D002648:Child; D005260:Female; D006329:Heart Conduction System / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011846:Radio Waves / Q000009:adverse effects; D000078702:Radiofrequency Therapy; D013997:Time Factors
Ablation par radio-fréquence des voies accessoires auriculo-ventriculaires: expérience initiale chez 33 patients.