New access for radiofrequency catheter ablation of left-sided atrioventricular accessory pathways: safety and efficacy of the transradial approach.
BACKGROUND
The safety and efficacy of the transradial approach for radiofrequency catheter ablation (RFCA) of left-sided atrioventricular accessory pathways (APs) was evaluated in the present study.


RESULTS
Included were 40 consecutive patients with type A Wolff-Parkinson-White (WPW) syndrome who underwent RFCA via the radial artery route, and 30 patients with type A WPW syndrome who underwent RFCA via the transfemoral approach (controls) were retrospectively chosen for control. All 45 APs in the 40 patients were successfully ablated: 35 APs were successfully blocked with 1 ablation attempt, and the other 10 APs were ablated after 2-4 attempts. Compared with the transfemoral approach, the total procedure time for the transradial approach was longer (40 +/- 7.7 vs 32.4 +/- 8.7 min, P<0.05) and the fluoroscopic time was similar (7.2 +/- 2.2 vs 7.9 +/- 3.9 min, P>0.05). There were no vascular complications in the transradial group, but 2 patients in the transfemoral developed local hematoma. There was no recurrence of arrhythmia in either group.


CONCLUSIONS
The transradial approach is a safe and effective access for RFCA of left-sided APs.
Jiang
Hong
H
Department of Cardiology, Renmin Hospital of Wuhan University, PR China. jianghong58@gmail.com
Zhang
Meichun
M
He
Bo
B
Lu
Zhibing
Z
Yang
Bo
B
Huang
He
H
Wu
Gang
G
Wan
Jun
J
Zhao
Dongdong
D
Wu
Xiaolin
X
Liu
Huafen
H
Wang
Xiaohong
X
Huang
Congxin
C
D000328:Adult; D016022:Case-Control Studies; D017115:Catheter Ablation / Q000009:adverse effects / Q000379:methods*; D004562:Electrocardiography; D005260:Female; D005263:Femoral Artery; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D017534:Radial Artery; D015641:Radiography, Interventional; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014927:Wolff-Parkinson-White Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*