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January 1, 1994Pacing and Clinical Electrophysiology

Radiofrequency Catheter Atrioventricular Node Ablation in Patients with Permanent Cardiac Pacing Systems

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Why the study?

Is radiofrequency catheter atrioventricular node ablation feasible and safe in patients with hypertrophic cardiomyopathy and pre-existing permanent cardiac pacing systems?

Population

27 patients with hypertrophic cardiomyopathy and permanent pacemakers, mean age 55 +/- 17 years, 15 males…

Design

Case_series

Follow-up

6 +/- 3 months

Authors

ACAnthony ChangDMDorothea McAreaveyDTDorothy Tripodi

Discussion

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Overview

Radiofrequency ablation of the AV node is feasible and safe in patients with pre-existing permanent pacemakers, avoiding the need for temporary pacing.

Structured PICO

Is radiofrequency catheter atrioventricular node ablation feasible and safe in patients with hypertrophic cardiomyopathy and pre-existing permanent cardiac pacing systems?

P
Population
27 patients with hypertrophic cardiomyopathy and permanent pacemakers (16 DDD, 11 VVI), mean age 55 +/- 17 years, 15 males. Indications for AVN ablation included drug refractory atrial fibrillation (n=24) and rapid AVN conduction preventing septal pre-excitation by DDD pacemaker (n=3).
I
Intervention
Radiofrequency catheter atrioventricular node (AVN) ablation (power 25-50 watts, duration 15-60 seconds) performed with the permanent pacemaker programmed to VVI at 50 beats/min.
O
Outcome
Feasibility of RF ablation of the AVN (achievement of AV block) and occurrence of pacemaker or lead malfunction.safety

Radiofrequency ablation of the AV node is feasible and safe in patients with pre-existing permanent pacemakers, avoiding the need for temporary pacing.

Cite This Study

Chang et al. (1994) studied this question.

synapsesocial.com/papers/6a71011e78a11c550e0b0af5https://doi.org/10.1111/j.1540-8159.1994.tb01352.x
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