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Localization and catheter ablation of accessory atrioventricular pathways

  • Chapter
Interventional Techniques in Cardiovascular Medicine

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 119))

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Abstract

Surgical interruption of accessory atrioventricular pathways was first reported more than twenty years ago [1]. Improvements in technique have resulted in a success rate approaching 100% with extremely low mortality in the best centres [2, 3], and surgical ablation is now the standard treatment for drug-refractory tachycardia and for patients who are prone to life-threatening arrhythmias. Transcatheter delivery of high energy electrical discharges was initially used to ablate the atrioventricular junction [4, 5] but was also successfully applied to accessory pathways [6, 9]. The attractiveness of a closed-chest technique as an alternative to major cardiac surgery is self-evident, and over the last five years catheter ablation of accessory pathways has been extensively evaluated and refined. This has been linked with efforts to improve the accuracy of pathway localization during electrophysiological map** as a necessary prelude to any attempt at ablation. Recent developments in these important areas are reviewed and the current status of catheter ablation in the management of accessory pathway tachycardias is discussed.

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Authors
  1. Y. Bashir
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  2. A. J. Camm
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Editor information

Editors and Affiliations

  1. Department of Cardiology/Angiology/Pneumonology, Medical Clinic and Policlinic, University Hospital of Ulm, Robert-Koch-Str. 8, D-7900, Ulm / Donau, Germany

    V. Hombach

  2. Department of Cardiology/Angiology/Pneumonology, University Hospital of Ulm, Robert-Koch-Str. 8, D-7900, Ulm / Donau, Germany

    M. Kochs

  3. Department of Cardiovascular Sciences, St. George’s Hospital, Cranmer Terrace, London, SW17 ORE, UK

    A. J. Camm

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© 1991 Springer Science+Business Media Dordrecht

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Bashir, Y., Camm, A.J. (1991). Localization and catheter ablation of accessory atrioventricular pathways. In: Hombach, V., Kochs, M., Camm, A.J. (eds) Interventional Techniques in Cardiovascular Medicine. Developments in Cardiovascular Medicine, vol 119. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3802-4_27

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  • DOI: https://doi.org/10.1007/978-94-011-3802-4_27

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5691-5

  • Online ISBN: 978-94-011-3802-4

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