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• W120597544 endingPage "2161" @default.
• W120597544 startingPage "2139" @default.
• W120597544 abstract "Catheter ablation has become the first truly curative treatment for many supraventricular and some ventricular tachycardias. The success rate for anteroseptal and midseptal accessory pathways ranges between 95% and 100%, but the risk of creating a more complete atrioventricular (AV) block in patients with midseptal accessory pathways is not negligible. The recurrence rate after ablation of accessory pathways is low, and if necessary, the patient can be reablated with a high success rate. Patients should be followed for at least 6 months after ablation. Catheter ablation in patients with AV nodal reentrant tachycardia (AVNRT) has been very successful in curing patients. The success rate for catheter ablation for common atrial flutter ranges between 65% and 98%. There is a risk of recurrence of ablated atrial flutter of 10% to 55%. In general, catheter ablation for atrial tachycardia is effective and safe. In ablation procedures to treat atrial fibrillation, ostial pulmonary vein isolation is reported to result in a success rate of 70% to 80%. Potential complications include pulmonary vein stenosis and esophageal injury with or without atrioesophageal fistula. Atrioventricular nodal ablation followed by pacemaker implantation is limited to patents in whom catheter ablation cannot cure the supraventricular arrhythmia, such as left atrial flutter, multifocal atrial tachycardia, and some atrial fibrillation. It is an accepted modality in patients with atrial fibrillation with a very rapid ventricular response that cannot be controlled with antiarrhythmic medication, external and internal cardioversion, and perhaps the atrial implantable defibrillator. Catheter ablation of ventricular tachycardia (VT) is much more modest in its success as compared to results in patients with supraventricular tachycardias (SVTs). In idiopathic VT, however, catheter ablation is a curative technique and should be offered early in the treatment of symptomatic patients. Primary idiopathic ventricular fibrillation is characterized by dominant triggers from the distal Purkinje system. The triggers can be eliminated by focal energy delivery. KeywordsVentricular TachycardiaPulmonary VeinCoronary SinusCatheter AblationRight AtriumThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves." @default.
• W120597544 created "2016-06-24" @default.
• W120597544 creator A5017435787 @default.
• W120597544 creator A5033911127 @default.
• W120597544 creator A5078003292 @default.
• W120597544 date "2007-01-01" @default.
• W120597544 modified "2023-10-16" @default.
• W120597544 title "Catheter Ablation of Supraventricular and Ventricular Arrhythmias" @default.
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