Radio-frequency catheter ablation of atypical atrioventricular nodal reentrant tachycardia from a trans-aortic approach.

Koji Ito, Masao Takemoto, Yasushi Mukai, Shuujirou Inoue, Yoshikazu Kaji, Akiko Chishaki, Kenji Sunagawa

Research output: Contribution to journalArticle

Abstract

Radio-frequency catheter ablation (RFCA) was introduced for the treatment of reentrant tachyarrhythmias and has proven its usefulness, efficacy, and safety. It has gained the position of an early stage treatment option rather than being a 'last resort' option for certain groups of patients with supraventricular tachycardias including atrioventricular nodal reentrant tachycardia (AVNRT). The RFCA technique for AVNRT seems to have become established throughout these years and the right-side approach is considered to be the conventional method. However, in one percent of the patients with AVNRT it has been reported that they cannot be cured by the conventional method and a left-sided approach has been recommended. We experienced a case which presented with a fast/slow atypical AVNRT. We ultimately successfully treated the case with a left-sided (trans-aortic) RFCA approach. We believe the trans-aortic RFCA approach is a necessary alternative in the case of an unsuccessful RFCA via the right-sided approach even though the frequency of its need is very low.

Original languageEnglish
Pages (from-to)360-365
Number of pages6
JournalFukuoka igaku zasshi = Hukuoka acta medica
Volume100
Issue number12
Publication statusPublished - Jan 1 2009

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Atrioventricular Nodal Reentry Tachycardia
Catheter Ablation
Radio
Ablation Techniques
Supraventricular Tachycardia
Tachycardia
Safety
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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Radio-frequency catheter ablation of atypical atrioventricular nodal reentrant tachycardia from a trans-aortic approach. / Ito, Koji; Takemoto, Masao; Mukai, Yasushi; Inoue, Shuujirou; Kaji, Yoshikazu; Chishaki, Akiko; Sunagawa, Kenji.

In: Fukuoka igaku zasshi = Hukuoka acta medica, Vol. 100, No. 12, 01.01.2009, p. 360-365.

Research output: Contribution to journalArticle

Ito, Koji ; Takemoto, Masao ; Mukai, Yasushi ; Inoue, Shuujirou ; Kaji, Yoshikazu ; Chishaki, Akiko ; Sunagawa, Kenji. / Radio-frequency catheter ablation of atypical atrioventricular nodal reentrant tachycardia from a trans-aortic approach. In: Fukuoka igaku zasshi = Hukuoka acta medica. 2009 ; Vol. 100, No. 12. pp. 360-365.
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AU - Sunagawa, Kenji

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