creators_name: Calkins, Hugh creators_name: Ajit Kumar, V.K creators_name: Francis, Johnson editors_name: Singh, Balbir editors_name: Lokhandwala, Yash editors_name: Francis, Johnson editors_name: Gupta, Anup type: journalp datestamp: 2005-05-02 lastmod: 2011-03-11 08:56:02 metadata_visibility: show title: Radiofrequency Catheter Ablation of Supraventricular Tachycardia ispublished: pub subjects: ipej full_text_status: public keywords: supraventricular tachycardia; atrioventricular nodal re-entry tachycardia; atrioventricular re-entry tachycardias abstract: Supraventricular tachycardias are quite common in clinical practice. Medical treatment of supraventricular tachycardia often involves regular intake of drugs for several years. Problems of drug therapy include poor efficacy and bothersome side effects including proarrhythmia. This has lead to the development of non-pharmacological therapies. Arrhythmia surgery initially demonstrated that many types of supraventricular arrhythmias could be cured. However during the past decade arrhythmia surgery has been largely replaced by catheter ablation. Catheter ablation can be defined as the use of an electrode catheter to destroy small areas of myocardial tissue or conduction system, or both, that are critical to the initiation or maintenance of cardiac arrhythmias. Arrhythmias most likely to be amenable to cure with catheter ablation are those which have a focal origin or involve a narrow, anatomically defined isthmus.1 This review aims to provide an update on the technique and results associated that can be achieved with catheter ablation of supraventricular tachycardias. date: 2002-04 date_type: published publication: Indian Pacing and Electrophysiology Journal volume: 2 number: 2 publisher: Indian Pacing and Electrophysiology Group pagerange: 45-49 refereed: TRUE referencetext: 1. Calkins H. Radiofrequency catheter ablation of supraventricular arrhythmias. Heart 2001;85:594-600 2. Schilling R.J. Which patient should be referred to an electrophysiologist: supraventricular tachycardia. Heart 2002; 87:299-304 3. Anfinsen O. Non-pharmacological Treatment of Atrial Fibrillation. Indian Pacing and Electrophysiology Journal; 2002; 2:4 4. Dinerman J, Berger RD, Calkins H. Temperature monitoring during radiofrequency ablation. J Cardiovasc Electrophysiol 1996;7:163-173 5. Lesh MD, Van Hare G, Scheinman MM, et al. Comparison of the retrograde and transeptal methods for ablation of left free-wall accessory pathways. J Am Coll Cardiol 1993;22:542-549 6. Calkins H, Kim YN, Schmaltz S, et al. Electrogram criteria for identification of appropriate target sites for radiofrequency catheter ablation of accessory atrioventricular connections. Circulation 1992;85:565-573 7. Jackman WM, Wang X, Friday KJ, et al. Catheter ablation of accessory atrioventricular pathways (Wolff-Parkinson-White syndrome) by radiofrequency current. N Engl J Med 1991;324:1605-1611 8. Calkins H, Sousa J, El-Atassi R, et al. Diagnosis and cure of the Wolff-Parkinson-White syndrome or paroxysmal supraventricular tachycardias during a single electrophysiology test. N Engl J Med 1991;324:1612-1618 9. Calkins H, Yong P, Miller JM, et al, for the Atakr Multicenter Investigators Group. Catheter ablation of accessory pathways, atrioventricular nodal reentrant tachycardia, and the atrioventricular junction: final results of a prospective, multicenter clinical trial. Circulation 1999;99:262-270 10. Calkins H, Yong P, Miller JM, et al, for the Atakr Multicenter Investigators Group. Catheter ablation of accessory pathways, atrioventricular nodal reentrant tachycardia, and the atrioventricular junction: final results of a prospective, multicenter clinical trial. Circulation 1999;99:262-270 11. Haissaguerre M, Gaita F, Fischer B, et al. Elimination of atrioventricular nodal reentrant tachycardia using discrete slow potentials to guide application of radiofrequency energy. Circulation 1992; 85:2162-2175. 12. Jackman WM, Beckman KJ, McClelland JH, et al. Treatment of supraventricular tachycardia due to atrioventricular nodal reentry by radiofrequency catheter ablation of slow-pathway conduction. N Engl J Med 1992;327:313-318 citation: Calkins, Hugh and Ajit Kumar, V.K and Francis, Johnson (2002) Radiofrequency Catheter Ablation of Supraventricular Tachycardia. [Journal (Paginated)] document_url: http://cogprints.org/4313/1/calkins.htm