Junctional rhythm during cryoablation for typical atrioventricular nodal reentrant tachycardia

被引:0
|
作者
Nakano, Masahiro [1 ]
Kondo, Yusuke [2 ]
Kajiyama, Takatsugu [1 ]
Nakano, Miyo [2 ]
Ito, Ryo [2 ]
Kitagawa, Mari [2 ]
Sugawara, Masafumi [2 ]
Chiba, Toshinori [2 ]
Ryuzaki, Satoko [2 ]
Yoshino, Yutaka [2 ]
Komai, Yuya [2 ]
Takanashi, Yukiko [2 ]
Kobayashi, Yoshio [2 ]
机构
[1] Chiba Univ, Dept Adv Cardiorhythm Therapeut, Grad Sch Med, 1-8-1 Inohana,Chuo Ku, Chiba, Chiba 2608670, Japan
[2] Chiba Univ, Dept Cardiovasc Med, Grad Sch Med, Chiba, Japan
关键词
cryoablation; junctional rhythm; typical atrioventricular nodal reentrant tachycardia; SLOW-PATHWAY; CATHETER ABLATION; MULTICENTER; AVNRT;
D O I
10.1111/jce.15979
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
IntroductionCryoablation is being used as an alternative to radiofrequency (RF) ablation for atrioventricular nodal reentrant tachycardia (AVNRT) owing to the lower risk of atrioventricular block (AVB) compared to RF ablation. Junctional rhythm often occurs during successful application of RF ablation for AVNRT. In contrast, junctional rhythm has rarely been reported to occur during cryoablation. This retrospective study evaluated the characteristics of junctional rhythm during cryoablation for typical AVNRT. Methods and ResultsThis retrospective study included 127 patients in whom successful cryoablation of typical AVNRT was performed. Patients diagnosed with atypical AVNRT were excluded. Junctional rhythm appeared during cryofreezing in 22 patients (17.3%). These junctional rhythms appeared due to cryofreezing at the successful site in the early phase within 15 s of commencement of cooling. Transient complete AVB was observed in 10 of 127 patients (7.9%), and it was noted that atrioventricular conduction improved immediately after cooling was stopped in these 10 patients. No junctional rhythm was observed before the appearance of AVB. No recurrence of tachycardia was confirmed in patients in whom junctional rhythm occurred by cryofreezing at the successful site. ConclusionOccurrence of junctional rhythms during cryoablation is not so rare and can be considered a criterion for successful cryofreezing. Furthermore, junctional rhythm may be associated with low risk of recurrent tachycardia.
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收藏
页码:1665 / 1670
页数:6
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