Prevalence, risk, and benefits of radiofrequency catheter ablation at the aortic cusp for the treatment of mid to anteroseptal supra-ventricular tachyarrhythmias

Park, Junbeom; Wi, Jin; Joung, Boyoung; Lee, Moon Hyoung; Kim, Young Hoon; Hwang, Chun; Pak, Hui Nam

doi:10.1016/j.ijcard.2012.03.082

Cited by 33 publications

(26 citation statements)

References 37 publications

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“…Focal ATs mostly originate at specific anatomical areas like the crista terminalis, pulmonary veins, the coronary sinus ostia, and the superior vena cava . In addition, in the last decade, cases of focal AT originating from the noncoronary sinus of Valsalva (NCSV) have been reported . However, NCSV‐ATs often go unnoticed because, during initial mapping, they can masquerade their origin at the paraseptal regions of the right and left atria, that often leads to ablate erroneous sites.…”

Section: Introductionmentioning

confidence: 99%

“…1 In addition, in the last decade, cases of focal AT originating from the noncoronary sinus of Valsalva (NCSV) have been reported. [2][3][4][5][6][7] However, NCSV-ATs often go unnoticed because, during initial mapping, they can masquerade their origin at the paraseptal regions of the right and left atria, that often leads to ablate erroneous sites. Other electric abnormalities, like dual atrioventricular (AV) node physiology, can further complicate mapping of focal AT originating from the NCSV.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Atrial Tachycardia Originating in the Vicinity of the Noncoronary Sinus of Valsalva: Report of a Series Including the First Case of Ablation‐Related Complete Atrioventricular Block

Barkagan

Michowitz

Glick

et al. 2016

Pacing Clinical Electrophis

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Atrial Tachycardia Originating in the Vicinity of the Noncoronary Sinus of Valsalva: Report of a Series Including the First Case of Ablation‐Related Complete Atrioventricular Block

Barkagan

Michowitz

Glick

et al. 2016

Pacing Clinical Electrophis

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“…Ablation from the aortic root is a safer vantage point as the catheter position is shielded by the aortic leaflet superior to the penetrating His bundle 8,9 . To the best of our knowledge, only two cases of permanent heartblock have been reported after ablation from aortic root for septal accessory pathway and atrial tachycardia 10,11 Permanent heart block has not been reported in ablation for ventricular arrhythmias to date.…”

Section: Discussionmentioning

confidence: 99%

Reentrant para‐Hisian ventricular tachycardia eliminated from the noncoronary cusp: Importance of regional anatomy for vantage‐point ablation

Nishimura

Kannan

Tung

2020

Cardiovasc electrophysiol

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“…Ablations for aortic cusp SVT, accessory pathways and outflow tract VT were also associated with this complication [56]. In a 14 year study of 5330 consecutive SVT ablation cases of AVNRT, AVRT, A Fl and AT by O'Hara et al, permanent AVB was observed in 0.22% of AVNRT ablations and 0.17% of AVRT ablations [57].…”

Section: Supraventricular Tachycardia Ablationmentioning

confidence: 99%

A review of the safety aspects of radio frequency ablation

Bhaskaran

Chik

Thomas

et al. 2015

IJC Heart & Vasculature

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In light of recent reports showing high incidence of silent cerebral infarcts and organized atrial arrhythmias following radiofrequency (RF) atrial fibrillation (AF) ablation, a review of its safety aspects is timely. Serious complications do occur during supraventricular tachycardia (SVT) ablations and knowledge of their incidence is important when deciding whether to proceed with ablation. Evidence is emerging for the probable role of prophylactic ischemic scar ablation to prevent VT. This might increase the number of procedures performed. Here we look at the various complications of RF ablation and also the methods to minimize them. Electronic database was searched for relevant articles from 1990 to 2015. With better awareness and technological advancements in RF ablation the incidence of complications has improved considerably. In AF ablation it has decreased from 6% to less than 4% comprising of vascular complications, cardiac tamponade, stroke, phrenic nerve injury, pulmonary vein stenosis, atrio-esophageal fistula (AEF) and death. Safety of SVT ablation has also improved with less than 1% incidence of AV node injury in AVNRT ablation. In VT ablation the incidence of major complications was 5–11%, up to 3.4%, up to 1.8% and 4.1–8.8% in patients with structural heart disease, without structural heart disease, prophylactic ablations and epicardial ablations respectively. Vascular and pericardial complications dominated endocardial and epicardial VT ablations respectively. Up to 3% mortality and similar rates of tamponade were reported in endocardial VT ablation. Recent reports about the high incidence of asymptomatic cerebral embolism during AF ablation are concerning, warranting more research into its etiology and prevention.

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Prevalence, risk, and benefits of radiofrequency catheter ablation at the aortic cusp for the treatment of mid to anteroseptal supra-ventricular tachyarrhythmias

Cited by 33 publications

References 37 publications

Atrial Tachycardia Originating in the Vicinity of the Noncoronary Sinus of Valsalva: Report of a Series Including the First Case of Ablation‐Related Complete Atrioventricular Block

Atrial Tachycardia Originating in the Vicinity of the Noncoronary Sinus of Valsalva: Report of a Series Including the First Case of Ablation‐Related Complete Atrioventricular Block

Reentrant para‐Hisian ventricular tachycardia eliminated from the noncoronary cusp: Importance of regional anatomy for vantage‐point ablation

A review of the safety aspects of radio frequency ablation

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