Successful Radiofrequency Catheter Ablation of The Para-Hisian Accessory Pathway in A Patient with Wolf Parkinson White Syndrome
Abstract
Radiofrequency catheter ablation of the accessory pathway in Wolff-Parkinson-White (WPW) syndrome is a highly successful mode of therapy. Sudden cardiac arrest survivors associated with WPW syndrome should undergo radiofrequency catheter ablation. Para-Hisian is one of unusual location accessory pathway in WPW syndrome associated with high risk complication of complete AV block during catheter ablation. Here we describe a case of patient who presented with history of palpitation due to WPW syndrome, electrophysiology study identified a para-Hisian accessory pathway so close to His bundle that discrete site between the pathway, the first ablation was unsuccessful and terminated due to the risk of complete AV block. The accessory pathway was successfully ablated in a second session using radiofrequency, although this entailed a great increase in the risk of causing complete atrioventricular block.Downloads
Download data is not yet available.
References
Jackman WM, Wang XZ, Friday KJ, Roman CA, Moulton KP, Beckman KJ et al. Catheter ablation of accessory atrioventricular pathways (Wolff-Parkinson-White syndrome) by radiofrequency current. N Engl J Med. 1991;324:1605-11.
Wolff L, Parkinson J, White PD. Bundle-branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia. Am Heart J 1930; 5:685–704.
Kotsakis AA, Margos PN, Stefanidis AS, Kouvarakos DN, Papasteriadis EG. High Power Radiofrequency Ablation of Incessant Atrioventricular Re-Entrant Tachycardia in a Patient with a Para-Hisian Accessory Pathway. Hellenic J Cardiol.2007: 48: 306-13
Leith JW, Klein GJ, Yee R. Syncope associated with supraven-tricular tachycardia. An express ion of tachycardia rate or vaso-motor response? Circulation 1992;85:1064.
Calkins H, Yong P, Miller JM. Catheter ablation of accessory pathways, atrioventricular nodal reentrant tachycardia, and the atrioventricular junction: final results of a prospective, multi-center clinical trial. The Atakr Multicenter Investigators Group. Circulation 1999;99:262-70.
Dagres N, Clague JR, Kottcamp H. Radiofrequency catheter abla-tion of accessory pathways. Outcome and use of antiarrhythmic drugs during follow-up. Eur Heart J 1999; 20: 1826-1832.
Kay GN, Epstein AE, Dailey SM, et al: Role of radiofrequency ablation in the management of supraventricular arrhythmias: experience in 760 consecutive patients. J Cardiovasc Electro-physiol 1993; 4: 371-89.
Calkins H, Prystowsky E, Berger RD. Recurrence of conduction following radiofrequency catheter ablation procedures: relation-ship to ablation target and electrode temperature. The Atakr Multicenter Investigators Group. J Cardiovasc Electrophysiol 1996; 7: 704-12.
Arruda MS, McClelleand JH, Wang X, Beckman KJ, Wid-man LE, Gonzalez MD, et al. Development and validation of an ECG algorithm for identifying accessory pathway abla-tion site in Wolf-Parkinson-White syndrome. J Cardiovasc Electrophysiol, 1998:9;2-12.
Teo WS.Klein GJ, Guiraudon GM. Multiple accessory pathway in the Wolf-Parkinson-White syndrome as a risk factor for ventricular fibrillation. Am J Cardiol 1991;15:989.
Wolff L, Parkinson J, White PD. Bundle-branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia. Am Heart J 1930; 5:685–704.
Kotsakis AA, Margos PN, Stefanidis AS, Kouvarakos DN, Papasteriadis EG. High Power Radiofrequency Ablation of Incessant Atrioventricular Re-Entrant Tachycardia in a Patient with a Para-Hisian Accessory Pathway. Hellenic J Cardiol.2007: 48: 306-13
Leith JW, Klein GJ, Yee R. Syncope associated with supraven-tricular tachycardia. An express ion of tachycardia rate or vaso-motor response? Circulation 1992;85:1064.
Calkins H, Yong P, Miller JM. Catheter ablation of accessory pathways, atrioventricular nodal reentrant tachycardia, and the atrioventricular junction: final results of a prospective, multi-center clinical trial. The Atakr Multicenter Investigators Group. Circulation 1999;99:262-70.
Dagres N, Clague JR, Kottcamp H. Radiofrequency catheter abla-tion of accessory pathways. Outcome and use of antiarrhythmic drugs during follow-up. Eur Heart J 1999; 20: 1826-1832.
Kay GN, Epstein AE, Dailey SM, et al: Role of radiofrequency ablation in the management of supraventricular arrhythmias: experience in 760 consecutive patients. J Cardiovasc Electro-physiol 1993; 4: 371-89.
Calkins H, Prystowsky E, Berger RD. Recurrence of conduction following radiofrequency catheter ablation procedures: relation-ship to ablation target and electrode temperature. The Atakr Multicenter Investigators Group. J Cardiovasc Electrophysiol 1996; 7: 704-12.
Arruda MS, McClelleand JH, Wang X, Beckman KJ, Wid-man LE, Gonzalez MD, et al. Development and validation of an ECG algorithm for identifying accessory pathway abla-tion site in Wolf-Parkinson-White syndrome. J Cardiovasc Electrophysiol, 1998:9;2-12.
Teo WS.Klein GJ, Guiraudon GM. Multiple accessory pathway in the Wolf-Parkinson-White syndrome as a risk factor for ventricular fibrillation. Am J Cardiol 1991;15:989.
Views & Downloads
Abstract views: 2805
PDF downloads: 2212
PDF downloads: 2212
How to Cite
Fahri, I., Yuniadi, Y., Hanafy, D., & El Rasyid, H. (1). Successful Radiofrequency Catheter Ablation of The Para-Hisian Accessory Pathway in A Patient with Wolf Parkinson White Syndrome. Indonesian Journal of Cardiology, 32(2), 107-112. https://doi.org/10.30701/ijc.v32i2.107
Section
Case Reports
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
