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- W2070968105 abstract "Management of drug-refractory supraventricular tachycardia has been greatly facilitated by several nonpharmacologic therapeutic options. These options include catheter or surgical ablation of the arrhythmogenic substrate or the use of antitachycardia pacemakers. Catheter ablation is performed for interruption or modification of normal or abnormal atrioventricular (AV) conduction using direct current shocks or radiofrequency energy.1 Intraoperative ablation of these conduction pathways is now only performed in the following cases: in symptomatic patients who have either failed catheter ablation; concomitantly with cardiac surgery for another indication; or in place of catheter ablation in specific conditions, for example, preexcitation syndromes. Implantation of antitachycardia devices is usually restricted to a few highly selected patients. Experimental studies have suggested that argon laser ablation of the specialized AV conduction system or accessory pathways is feasible.2,3 Since 1986, we have used catheter delivery of argon laser energy for intraoperative ablation of malignant supraventricular and ventricular tachycardia.4–6 We have previously reported its use in supraventricular tachycardia associated with the Wolff-Parkinson-White syndrome.5,7 In this study, we report our initial clinical experience with normothermic argon laser catheter ablation of the specialized AV conduction system and examine its clinical electrophysiologic effects." @default.
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- W2070968105 date "1990-09-01" @default.
- W2070968105 modified "2023-09-26" @default.
- W2070968105 title "Argon laser ablation or modification of the atrioventricular conduction system in refractory supraventricular tachycardia" @default.
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- W2070968105 doi "https://doi.org/10.1016/0002-9149(90)91148-y" @default.
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