Ablation of atrioventricular nodal reentrant tachycardia: predictors of long-term success

Kułakowski, Piotr; Piotrowski, R; Stec, Sebastian; Kryński, Tomasz; Iwańska, Beata; Soszyńska, Małgorzata; Błachnio, Elżbieta; Łopatka, Rafał

doi:10.5603/kp.2013.0224

Cited by 5 publications

(10 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, when during the course of ablation procedure a SP modification is achieved, it is worth attempting to perform additional RF applications in order to achieve complete SP ablation, especially in patients with a large echo window (6,8) or in whom the AV nodal refractory period is only slightly prolonged following ablation (5). On the other hand, acute failure is associated with a significantly higher recurrence rate, although not all patients with AVNRT still inducible after ablation suffer from recurrences during (10).…”

Section: Discussionmentioning

confidence: 99%

AH jump as predictor for successful Ablation of atrioventricular nodal reentrant tachycardia (AVNRT)

Al-Alwany¹,

Al-Saffar²,

Mohammed³

2015

J. Fac. Med Baghdad

View full text Add to dashboard Cite

Background: Atrioventricular nodal reentrant tachycardia (AVNRT) is the commonest regular supraventricular tachyarrhythmia. Ablation in the area of slow pathway (SP) has been successfully implemented in every day clinical electrophysiological practice for more than 20 years. Although the procedure is generally regarded as effective and safe, data on long-term effects and predictors of success or failure are incomplete. Objectives: This study was designated to prove that AH interval is an electrophysiological parameter which serves as a predictor for successful AVNRT ablation. Methods: While performing an electrophysiological study using a programmed atrial stimulation, thirty nine (39) patients (25 female and 14 males) with a mean age 51 ± 16.7 years with AVNRT were assessed and underwent AVNRT radiofrequency ablation using diagnostic and ablation catheters inserted via the right femoral veins. This study was performed during the period from February, 2013 to march, 2014 at the unit of Electrophysiogy in Leipzig heart center. Results: Acute successful AVNRT ablation was achieved in 39 (100%) patients, including 23 (59%) with slow pathway (SP) ablation and 16 (41%) with SP modification. Patients with SP modification were younger male, had faster AVNRT cycle length, and had more frequent isoproterenol usage before ablation. During six months follow-up period, all patients experienced no AVNRT recurrences. . Conclusions: AH jump served as predictor for successful Ablation of atrioventricular nodal reentrant tachycardia with a better outcome.

show abstract

Section: Discussionmentioning

confidence: 99%

AH jump as predictor for successful Ablation of atrioventricular nodal reentrant tachycardia (AVNRT)

Al-Alwany¹,

Al-Saffar²,

Mohammed³

2015

J. Fac. Med Baghdad

View full text Add to dashboard Cite

show abstract

“…The diagnosis of AVNRT was based on the presence of AH jump and echo initiating tachycardia during programmed atrial stimulation and/or during incremental atrial pacing close to the Wenckebach point. Typical AVNRT was diagnosed when the earliest retrograde atrial activation during tachycardia was <70 ms from the ventricular activation and was concentric (recorded from coronary sinus), matching that during RV pacing [ 8 , 9 ].Typical jump was defined as a sudden prolongation of AH interval >50 ms with a decrease of 10 ms of S1–S2 interval during programmed atrial pacing [ 5 , 10 ]. Patients were excluded if there were more than one jump (multiple AH jumps) or no AH jump at all.…”

Section: Methodsmentioning

confidence: 99%

“…Although SP modification has already been accepted as a reliable end-point of successful AVNRT ablation [ 3 , 4 ], some studies have shown that in the long-term observation, the recurrence rate was higher in patients with only modification of SP [ 5 , 6 ]. It could be due to the incomplete radiofrequency injury in SP modification that the conduction over SP may resume in months or years [ 5 ]. Therefore it was strongly suggested that complete SP elimination should be the preferred ablation end-point.…”

Section: Introductionmentioning

confidence: 99%

“…A study conducted by Kulakowski et al. [ 5 ] found that AVNRT characteristics were different in patients with complete SP elimination versus modification, in which the latter had a shorter cycle of AVNRT that may suggest smaller reentry circuits. That study also found that the presence of a typical jump was an independent predictor for favorable long-term outcomes, indicating that those patients had more standard and easier to ablate substrate for arrhythmia than those without typical jump.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

AH jump duration is associated with elimination of slow pathway during ablation of atrioventricular nodal reentrant tachycardia

Raharjo

Togatorop

Andriantoro

et al. 2020

Indian Pacing and Electrophysiology Journal

View full text Add to dashboard Cite

Introduction Ablating the slow pathway (SP) is the superior treatment for atrioventricular nodal reentrant tachycardia (AVNRT) with a low complication rate. However, the ablation of the SP could result in either complete elimination or modification of the SP. We aimed to investigate whether the duration of AH jump pre-ablation associated with the outcome of elimination of SP. Methods We included 56 patients with typical AVNRT (slow-fast), 20 males and 36 females, aged 44.2 ± 15.1 years. Slow pathway ablation was performed using classical approach. Univariate and multivariate analysis was performed for potential predictors of SP elimination. Results Typical AVNRT was inducible in all patients. Post-ablation, non-inducibility of AVNRT was obtained in all 56 (100%) patients, with SP elimination in 33 (61%) patients and SP modification in 23 (39%) patients. Patients with SP elimination had significantly longer AH jump than patients with SP modification. Cox regression analysis showed that AH jump duration was the independent predictor of SP elimination, in which every 20 ms increase in AH jump duration was associated with 1.30 higher rate of SP elimination. Furthermore, ROC curve analysis indicated that the AH jump duration of ≥100 ms had 6.14 times higher probability for complete elimination of the SP with a sensitivity of 79%, specificity of 70%, PPV of 79% and NPV of 70%. Conclusions AH jump duration pre-ablation is associated with complete elimination of slow pathway during AVNRT ablation.

show abstract

“…Paroxysmal atrioventricular nodal re-entrant tachycardia (AVNRT) is a common supraventricular tachycardia (SVT) which impairs patients' quality of life [1,2] . Usually it is self-limiting, but it may be successfully terminated with vagal manoeuvres or pharmacological agents.…”

Section: Introductionmentioning

confidence: 99%

Incessant form of a benign arrhythmia in a patient with a DDD pacemaker.

Kołakowski¹,

Maciąg²,

Farkowski³

et al. 2017

Heart Beat

View full text Add to dashboard Cite

Ablation of atrioventricular nodal reentrant tachycardia: predictors of long-term success

Cited by 5 publications

References 13 publications

AH jump as predictor for successful Ablation of atrioventricular nodal reentrant tachycardia (AVNRT)

AH jump as predictor for successful Ablation of atrioventricular nodal reentrant tachycardia (AVNRT)

AH jump duration is associated with elimination of slow pathway during ablation of atrioventricular nodal reentrant tachycardia

Incessant form of a benign arrhythmia in a patient with a DDD pacemaker.

Contact Info

Product

Resources

About