Curative Radiofrequency Catheter Ablation for Permanent Junctional Reciprocating Tachycardia |
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Authors: | YANZONG YANG CESARE GRECO ANTONIO CICCAGLIONI RAFFAELE QUAGLIONE GIUSEPPE CRITELLI |
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Affiliation: | Department of Cardiology and Cardiovascular Surgery, University of Rome "La Sapienza." Rome, Italy;Service of Cardiac Pacing, University of Rome "La Sapienza." Rome, Italy |
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Abstract: | Two patients with the permanent form of junctional reciprocating tachycardia successfully treated with the radiofrequency catheter ablation technique are described. In both patients a reentrant tachycardia utilizing a conceoled slow conducting posterior septal accessory pathway for retrograde conduction was demonstrated. Radiofrequency current was delivered below the coronary sinus orifice. The procedure resulted in ablation of the accessory pathway conduction in both patients. During the follow-up, both patients remained free from tachycardia on no medication. This report demonstrates that the arrhythmogenic substrate of the permanent junctional reciprocating tachycardio can be easily suppressed by means of the radiofrequency catheter technique. |
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Keywords: | catheter ablation permanent junctional reciprocating tachycardia supraventricular tachyarrhythmias |
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