Interv Akut Kardiol. 2006;5(3):122-130

Radiofrequency catheter ablation of supraventricular arrhythmias, past and present

MUDr. Zdeněk Stárek, Martin Eisenberger, Libor Zaoral, Pavel Leinveber, MUDr. Miroslav Novák CSc
I. interní kardioangiologická klinika FN u sv. Anny v Brně

Within the last decades, radiofrequency ablations of supraventricular arrhythmias have advanced considerably from being an experimental method to becoming the first choice method in the treatment of many supraventricular tachycardias. In the present article, we describe the pathophysiological mechanisms, ECG patterns, techniques and results of radiofrequency ablations of the most common supraventricular arrhythmias – atrioventricular nodal reentrant tachycardia, accessory pathways, typical and atypical atrial flutter, focal atrial tachycardias and atrial fibrillation.

Keywords: Key words: radiofrequency ablation, supraventricular arrhythmias.

Published: January 1, 2007  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Stárek Z, Eisenberger M, Zaoral L, Leinveber P, Novák M. Radiofrequency catheter ablation of supraventricular arrhythmias, past and present. Interv Akut Kardiol. 2006;5(3):122-130.
Download citation

References

  1. Roden DM. Risks and benefits of antiarrhytmic therapy. N Engl J Med 1994; 331: 785-791. Go to original source... Go to PubMed...
  2. Cobb RF, Blumenschein SD, Sealy WC et al. Succesful surgical interruption of the bundle of Kent in a patient with Wolff-Parkinson-White syndrome. Circulation 1968; 38: 1018-1029. Go to original source... Go to PubMed...
  3. Scheinman MM, Morady F, Hess DS. Catheter induced ablation of the atrioventricular junction to control refractory supraventricular arrhytmias. JAMA 1982; 248: 851-855. Go to original source...
  4. Borggrefe M, Budde T, Podczek A, et al. High frequency alternating current ablation of an accesory pathway in humans. J Am Coll Cardiol 1987; 10: 576-582. Go to original source... Go to PubMed...
  5. Dinerman J, Berger RD, Calkins H. Temperature monitoring during radiofrequency ablation. J Cardiovas Electrophysiol 1996; 7: 163-173. Go to original source... Go to PubMed...
  6. Haines DE, Verow AF. Observation on electrode-tissue interface temperature and effect on electrical impedance during radiofrequency ablation of ventricular myocardium. Circulation 1990; 82: 1034-1038. Go to original source... Go to PubMed...
  7. Otomo K, Yamanashi WS, Tondo C, et al. Why a large tip electrode makes a deeper radiofrequeny lesion: Effects of increase in electrode cooling and electrode-tissue interface area. J Cardiovasc Electrophysiol 1998; vol. 9: 47-54. Go to original source... Go to PubMed...
  8. Ruffy R, Imran MA, Santel DJ, et al. Radiofrequeny delivery through a cooled catheter tip allows the creation of larger endomyocardial lesions in the ovine heart. J Cardiovasc Electrophysiol 1995: vol 6, No 12, 1089-1096. Go to original source... Go to PubMed...
  9. Otomo K, Wang Z, Lazzara R, et al. Atrioventricular Nodal Reentrant Tachycardia: Electrophysiological Characteristic of Four Forms and Implications for the Reentrant Circuit. In Zipes D, Jalife J (eds): Cardiac Electrophysiology: From Cell to Bedside. Philadelphia, W.B. Saunders Company, 2000, p. 504-521.
  10. Lee MA, Morady F, Kadish A, et al. Catheter modification of the atrioventricular junction with radiofrequency energy for control of atrioventricular nodal reentry tachycardia. Circulation 1991; 83: 827-835. Go to original source... Go to PubMed...
  11. Langberg JJ, Leon A, Borganelli M, et al. A randomized, prospective comparison of anterior and posterior approaches to radiofrequency catheter ablation of atrioventricular nodal reentry tachycardia. Circulation 1993; 87: 1551-1556. Go to original source... Go to PubMed...
  12. Jackman WM, Beckman KJ, McClelland JH, et al. Treatment of supraventricular tachycardia due to atrioventricular nodal reentry, by radiofrequency catheter ablation of slowpathway conduction. N Engl J Med 1992; 327: 313-318. Go to original source... Go to PubMed...
  13. Haissaguerre M, Gaita F, Fischer B, et al. Elimination of atrioventricular nodal reentrant tachycardia using discrete slow potentials to guide application of radiofrequency energy. Circulation 1992; 85: 2162-2175. Go to original source... Go to PubMed...
  14. Kalbfleisch SJ, Strickberger SA, Williamson B, et al. Randomized comparison of anatomic and electrogram mapping approaches to ablation of slow pathway of atriventricular node reentrant tachycardia. J Am Coll Cardiol 1994; 23: 716-723. Go to original source... Go to PubMed...
  15. Jentzer JH, Goyal R, Williamson BD, et al. Analysis of junctional ectopy during radiofrequency ablation of the slow pathway in patient with atrioventricular nodal reentrant tachycardia. Circulation 1994; 90: 2820-2826. Go to original source... Go to PubMed...
  16. Altemose GT, Scott LR, Miller JM. Atrioventricular nodal reentrant tachycardia requiring ablation on the mitral anulus. J Cardiovasc Electrophysiol 2000; 11: 1281-1284. Go to original source... Go to PubMed...
  17. Hummel JD, Strickberger SA, Williamson BD, et al. Effect of residual slow pathway function on the time course of reccurences of atrioventricular nodal reentrant tachycardia after radiofrequency ablation of the slow pathway. Am J Cardiol 1995; 75: 628-630. Go to original source... Go to PubMed...
  18. Bogun F, Knight B Weiss R, et al. Slow pathway ablation in patients with documented but noninducible paroxysmal supraventricular tachycardia. J Am Coll Cardiol 1996; 28(4): 100-1004. Go to original source... Go to PubMed...
  19. Lin JL, Huang SKS, Lai LP, et al. Clinical and electrophysiological charakteristics and long term efficacy of slow pathway catheter ablation in patient with spontaneus supraventricular tachycardia and dual atrioventricular node pathways without inducible tachycardia. J Am Coll Cardiol 1998; 31(4): 855-860. Go to original source... Go to PubMed...
  20. Morady F. Catheter Ablation of supraventricular Arrhytmias: State og the art. PACE 2004; 27: 125-141. Go to original source... Go to PubMed...
  21. Wolff L, Parkinsok J, White P, et al. Bundle branch block with short OP-R interval in healthy young people prone to paroxyzmal tachycardia. Am Heart J 1930; 5: 685. Go to original source...
  22. Krahn AD, Manfreda J, Tate RB, et al. The natural history of electrocardiographic preexcitation in men. Ann Intern Med 1992; 116: 456. Go to original source... Go to PubMed...
  23. Murdock CJ, Leitch JW, Teo WS, et al. Charakteristics of accesory pathways exhibiting decremental conduction. Am J Cardiol 1991; 67: 506. Go to original source... Go to PubMed...
  24. Hogenhuis W, Stevens SK, Wang P, et al. Cost effectiveness of radiofrequency ablation compared with other strategies in Wolf Parkinson White syndrome. Circulation 1993; 88 (Suppl. II): II-437-446.
  25. Lesh MD, Van Hare GF, Scheinman MM, et al. Comparison of the retrograde and transseptal methods for ablation of left free wall accesory pathways. J Am Coll Cardiol 1993; 22: 542-549. Go to original source... Go to PubMed...
  26. Sun Y, Arruda M, Otomo K, et al. Coronary sinus - ventricular accesory connections producing posteroseptal and left posterior accesory pathways: Incidence and electrophysiological identification. Circulation 2002; 106: 1362-1367. Go to original source... Go to PubMed...
  27. Langberg JJ, Man KC, Vorperian VR, et al. Recognition and catheter ablation of subepicardial accesory pathways. J Am Coll Cardiol 1993; 22: 1100-1104. Go to original source... Go to PubMed...
  28. Lam C, Schweikert R, Kanagaratnam L, et al. Radiofrequency ablation of right atrial appendage - ventricular accesory pathway by transcutaneous epicardial instrumentation. J Cardiovasc Electrophysiol 2000; 11: 1170-1173. Go to original source... Go to PubMed...
  29. Calkins H, Yong P, Miller JM, et al. Catheter ablation of accesory pathways, atrioventricular nodal reentrant tachycardia and the atrioventricular junction: Final results of a prospective, multicenter clinical trial. The Atakr Multicenter Investigators Group. Circulation 1999; 99: 262-270. Go to original source... Go to PubMed...
  30. Pappone C, Santinelli V, Rosanio S, et al. Usefullnes of invazive electrophysiology testing to stratify the risk of arrhytmic events in asymptomatic patients with Wolf-Parkinson-White pattern: results from a large prospective long term follow up study. J AM Coll Cardiol 2003; 41: 239-244. Go to original source... Go to PubMed...
  31. Jolly WA, Ritchie WJ: Auricular flutter and fibrillation. Hearth 1911; 2: 177-221.
  32. Disertori M, Inama G, Vergara G, Guarnerio M, Del Favero A, Furlanello F. Evidence of a reentry circuit in the common type of atrial flutter in man. Circulation. 1983; 67: 434-440. Go to original source... Go to PubMed...
  33. Olshansky B, Okumura K, Hess PG, Waldo AL. Demonstration of an area of slow conduction in human atrial flutter. J Am Coll Cardiol 1990; 16: 1639-1648. Go to original source... Go to PubMed...
  34. Olgin JE, Kalman JM, Fitzpatrick AP, Lesh MD. Role of right atrial endocardial structures as barriers to conduction during human type I atrial flutter: activation and entrainment mapping guided by intracardiac echocardiography. Circulation. 1995; 92: 1839-1848. Go to original source... Go to PubMed...
  35. Olgin JE, Kalman JM, Lesh MD: Conduction bariers in human atrial flutter: Correlation of electrophysiology and anatomy. J Cardiovasc. Electropfysiol 1996; 7: 1112-1126. Go to original source... Go to PubMed...
  36. Tai CT, Chen SA, Chiang CE, et al. Electrophysiologic charakteristics and radiofrequency catheter ablation in patients with clockwise atrial flutter. J Cardiovasc Electrophysiol 1996; 8: 24-34. Go to original source... Go to PubMed...
  37. Cabrera JA, Sanchez-Quintana D, Ho SY, et al. The architecture of the atrial musculature between the orifice of the inferior caval vein and the tricuspid valve: The anatomy of the isthmus. J Cardiovasc Electrophysiol 1998; 9: 1186-1195. Go to original source... Go to PubMed...
  38. Waki K, Saito T, Becker AE, et al. Right atrial isthmus revisited: normal anatomy favors nonuniform anisotropic conduction. J Cardiovasc Electrophysiol 2000; 11: 90-94. Go to original source... Go to PubMed...
  39. Klein JG, Guiradon GM, Arjun D, et al. Demonstration of macroreentry and feasibility of operative therapy in the common type of atrial flutter. Am J Cardiol 1986; 57: 587-591. Go to original source... Go to PubMed...
  40. Scheinman MM, Morady F, Hess DS. Catheter induced ablation of the atrioventricular junction to control refractory supraventricular arrhytmias. JAMA 1982; 248: 851-855. Go to original source...
  41. Huang SK, Bharati S, Graham AR, et al. Closed chest catheter desication of the atriovetricular junction using radiofrequency energy: A new method of catheter ablation. J Am Coll Cardiol 1987; 9: 349-358. Go to original source... Go to PubMed...
  42. Fischer B, Jaďs P, Shah DC, Chouairi S, Haďssaguerre M, Garrigue S, Poquet F, Gencel L, Clémenty J, Marcus FI. Radiofrequency catheter ablation of common atrial flutter in 200 patients. J Cardiovasc Electrophysiol. 1996; 7: 1225-1233. Go to original source... Go to PubMed...
  43. Poty H, Saoudi N, Aziz AA, Nari M, Letac B. Radiofrequency catheter ablation of type I atrial flutter: prediction of late success by electrophysiological criteria. Circulation. 1995; 92: 1389-1392. Go to original source... Go to PubMed...
  44. Fiala M. Doporučené postupy pro diagnostiku a léčbu supraventrikulárních tachyarytmií. Supplementum Cor Vasa 2005(9): 18-39.
  45. Blomstrom-Lundqvist C, Scheinman MM, Aliot EM, et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias-executive summary. a report of the American college of cardiology/American heart association task force on practice guidelines and the European society of cardiology committee for practice guidelines (writing committee to develop guidelines for the management of patients with supraventricular arrhythmias) developed in collaboration with NASPE-Heart Rhythm Society. J Am Coll Cardiol (United States), Oct 15 2003, 42(8) p1493-531. Go to original source... Go to PubMed...
  46. Shah D, Takahashi A, Jais P et al. Local electrogram based criteria of cavotricuspid isthmu block J Cardiocasc Electrophysiol 1999; 10: 662-669. Go to original source... Go to PubMed...
  47. Tai CT, Chen SA, Chiang CE, et al.: Long term aoutcome of radiofrequency catheter ablation for typical atrial flutter: Risk prediction of reccurent arrhytmias. J Cardiovasc Electrophysiol 1998; 9: 115-129. Go to original source... Go to PubMed...
  48. Cosio FG, Lopez-Gil M, Arribas F, et al. Ablacion de flutter auricular. Resultados a largo plazo tras 8 anos de experinca. Revista Espanola de Cardiologia 1998; 51: 832-839. Go to original source... Go to PubMed...
  49. Heidbuchel H, Willems R, van Rensburg H, et al. Right atrial angiografic evaluation of the posterior isthmus: Relevance for ablation of typical atrial flutter. Circulation 2000; 101: 2178-2184. Go to original source... Go to PubMed...
  50. Kasai A, Anselem F, Teo WS, et al. Comparison of effectiveness of an 8-mm versus 4-mm tip electrode catheter for radiofrequency ablation of typical atrial flutter. Am J Cardiol 2000; 86: 1029-1032. Go to original source... Go to PubMed...
  51. Jaďs P, Shah DC, Haďssaguerre M, et al. Prospective randomized comparison of irrigated-tip versus conventional-tip catheters for ablation of common flutter. Circulation. 2000; 101: 772-77. Go to original source... Go to PubMed...
  52. Steinberg JS, Prasher S, Zelenkofske S, et al. Radiofrequency catheter ablation of atrial flutter: Procedural succes and long term outcome. Am Heart J 1995; 130: 85-92. Go to original source... Go to PubMed...
  53. Ramanna H, Derksen R, Elvan A, et al. Ventricular tachycardia as a complication of atrial flutter ablation. J Cardiovasc Electrophysiol 2000; 11: 472-474. Go to original source... Go to PubMed...
  54. Ouali S, Anselme F, Savoure A, et al. Acute coronary occlusion during radiofrequency catheter ablation of typical atrial flutter. J Cardiovasc Electrophyriol 2002; 13: 315-322. Go to original source... Go to PubMed...
  55. Kall JG, Rubenstein DS, Kopp DE, et al. Atypical atrial flutter originating in the right atrial free wall. Circulation 2000; 101: 270-279. Go to original source... Go to PubMed...
  56. Jais P, Shah DC, Haissaguerre M, et al. Mapping and ablation of left atrial flutter. Circulation 2000; 101: 2928-2934. Go to original source... Go to PubMed...
  57. Baker BM, Lindsay BD, Bromberg BI, et al. Catheter ablation of clinical intraatrial reentrant tachycardias resulting from previous atrial surgery: Localizing and transsecting the critical isthmus. J Am Coll Cardiol 1996; 28: 411-417. Go to original source... Go to PubMed...
  58. Nakagawa H, Shah N, Matsudaira K, et al. Characterization of reentry circuit in macroreentrant right atrial tachycardia after surgical repair of congenital heart disease: Isolated channels between scars allow, ,focal" ablation. Circulation 2001; 103: 699-709. Go to original source... Go to PubMed...
  59. Chen SA, Chiang CE, Yang CJ, et al. Sustained atrial tachycardia in adult patients. Electrophysiological characteristics, pharmacology response, possible mechanisms, and effect of radiofrequency ablation. Circulation 1994; 90: 1262-78. Go to original source... Go to PubMed...
  60. Hoffmann E, Reithmann C, Nimmermann P, et al. Clinical experience with electroanatomic mapping of ectopic atrial tachycardia. PACE 2002; 25: 49-56. Go to original source... Go to PubMed...
  61. Poty H, Saoudi N, Haissaguerre M, et al. Radiofrequency catheter ablation of atrial tachycardias. Am Herat J 1996; 131: 481-489. Go to original source... Go to PubMed...
  62. Tracy CM, Swartz JF, Fletcher RD, et al. Radiofrequency catheter ablation of ectopic atrial tachycardia using paced activation sequence mapping. J Am Cardiol 1993; 21: 910-917. Go to original source... Go to PubMed...
  63. Pappone C, Stabile G, De Simone A. et al. Role of catheter induced mechanical trauma in localization of target sites of radiofrequency ablation in automatic atrial tachycardia. J Am Coll Cardiol 1996; 27: 1090-1097. Go to original source... Go to PubMed...
  64. Lesh MD, Van Hare GF, Epstein LM, et al. Radiofrequency catheter ablation of atrial arrhytmias. Results and mechanisms. Circulation 1994; 89: 1074-1089. Go to original source... Go to PubMed...
  65. Chen SA, Tai CT, Chiang CE, et al. Focal atrial tachycardia: reanalysis of the clinical and electrophysiologic characteristics and prediction of successful radiofrequency ablation J Cardiovasc Electrophysiol 1998; 9: 355-365. Go to original source... Go to PubMed...
  66. Haissaguerre M, Jais P, Shah DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med. 1998; 339: 659-666. Go to original source... Go to PubMed...
  67. Chen SA, Hsieh MH, Tai CT, et al. Initiation of atrial fibrillation by ectopic beats originating from the pulmonary veins: Electrophysiological characteristics, pharmacological responses and effects of radiofrequency ablation. Circulation 1999; 100: 1879-1886. Go to original source... Go to PubMed...
  68. Sousa J, El-Atassi R, Rosenheck S, et al. Radiofrequency catheter ablation of the atrioventricular junction from the left ventricleCirculation 1991; 84: 567-571.
  69. Curtis AB, Kutalek SP, Prior M, et al. Prevalence and characteristics of escape rythms after radiofrequency ablation of the atrioventricular junction: results from the registry for atrioventricular junction ablation and pacing in atrial fibrillation. Am Heart J 2000; 139: 122-125. Go to original source... Go to PubMed...
  70. Swartz JF, Pellersels G, Silvers J, et al. A catheter based curative approach to atrial fibrillation in humans. (abstract) Circulation 1994; 90(Suppl.I): I-335.
  71. Haissaguerre M, Jais P, Shah DC, et al. Right and left atrial radiofrequency catheter ablation therapy of paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol. 1996; 7: 1132-1144. Go to original source... Go to PubMed...
  72. Garg A, Finneran W, Mollerus M, et al. Right atrial compartmentalization using radiofrequency catheter ablation for management of patients with refractory atrial fibrillation. J Cardiovasc Electrophysiol. 1999; 10: 763-771. Go to original source... Go to PubMed...
  73. Shah DC, Haissaguerre M, Jais P. Catheter ablation of pulmonary vein foci for atrial fibrillation. Thorac Cardiovasc Surg. 1999; 47(suppl): 352-356. Go to original source... Go to PubMed...
  74. Ho SY, Sanchez-Quintana D, Cabrera JA, et al. Anatomy of the left atrium: implications for radiofrequency ablation of atrial fibrillation. J Cardiovasc Electrophysiol. 1999; 10: 1525-1533. Go to original source...
  75. Haissaguerre M, Jais P, Shah DC, et al. Electrophysiological end point for catheter ablation of atrial fibrillation initiated from multiple pulmonary venous foci. Circulation. 2000; 101: 1409-1417. Go to original source... Go to PubMed...
  76. Pappone C, Rosanio S, Oreto G, et al. Circumferential radiofrequency ablation of pulmonary vein ostia: A new anatomic approach for curing atrial fibrillation. Circulation 2000; 102: 2619-2628. Go to original source... Go to PubMed...
  77. Pappone C, Rosanio S, Augello G, et al. Mortality, morbidity, and quality of life after circumferential pulmonary vein ablation for atrial fibrillation: outcomes from a controlled nonrandomized long-term study. J Am Coll Cardiol 2003 Jul 16; 42(2): 185-97. Go to original source... Go to PubMed...
  78. Oral H, Scharf C, Chugh A, et al. Catheter ablation for paroxyzmal atrial fibrillation: Segmental pulmonary vein ostial ablation vs. left atrial ablation. Circulation 2003; 108: 2355-2360. Go to original source... Go to PubMed...




Interventional Cardiology

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.