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February 1, 2007Pacing and Clinical Electrophysiology

Rapid Atrial Pacing: A Useful Technique During Slow Pathway Ablation

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Key result

Rapid atrial pacing during radiofrequency catheter ablation of the slow pathway was acutely successful in 96% of patients, with no cases of transient or permanent AVN block.

Why the study?

Does rapid atrial pacing during slow pathway ablation safely ensure normal antegrade AVN function in pediatric patients with AVNRT?

Population

58 patients less than 21 years old who underwent radiofrequency ablation for atrioventricular nodal…

Design

Cohort

Follow-up

Acute (postablation)

Authors

LLLeonardo LibermanAHAllan J. HordofRPRobert H. Pass

Discussion

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Overview

May aid AV node monitoring during pediatric slow pathway ablation; hypothesis-generating observational data requiring randomized confirmation before practice change.

Study Design

Type

Observational (n=58)

Multicenter

No

Structured PICO

Does rapid atrial pacing during slow pathway ablation safely ensure normal antegrade AVN function in pediatric patients with AVNRT?

P
Population
58 pediatric and young adult patients (mean age 14 years) undergoing radiofrequency ablation for AVNRT.
E
Exposure
Rapid atrial pacing (RAP) performed immediately after junctional rhythm was demonstrated during radiofrequency applications to the slow pathway
O
Outcome
Development of transient or permanent AVN block and acute success of RF catheter ablationsafety

Rapid atrial pacing during junctional rhythm in slow pathway ablation is a safe and effective technique to monitor antegrade AV node function and prevent AV block in pediatric patients.

Cite This Study

Liberman et al. (2007) conducted an observational in Atrioventricular nodal reentrant tachycardia (AVNRT) (n=58). Rapid atrial pacing during radiofrequency catheter ablation was evaluated on Acutely successful radiofrequency catheter ablation. Rapid atrial pacing during radiofrequency catheter ablation of the slow pathway was acutely successful in 96% of patients, with no cases of transient or permanent AVN block.

synapsesocial.com/papers/6a9857a260ee10bf83a6876dhttps://doi.org/10.1111/j.1540-8159.2007.00653.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Atrio‐Ventricular and Ventriculo‐Atrial Conduction Times in Patients Undergoing Pacemaker Implant1983 · 90 citations
  2. 2Prediction of Atrioventricular Block During Radiofrequency Ablation of the Slow Pathway of the Atrioventricular Node1995 · 70 citations
  3. 3Localization of the origin of the atrioventricular junctional rhythm induced during selective ablation of slow-pathway conduction in patients with atrioventricular node reentrant tachycardia1996 · 45 citations
  4. 4Prospective Assessment after Pediatric Cardiac Ablation:2004 · 367 citations
  5. 5The History of AV Nodal Reentry2005 · 32 citations