https://scholars.lib.ntu.edu.tw/handle/123456789/530047
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | JIUNN-LEE LIN | en_US |
dc.contributor.author | Schie, Jen-Tsong | en_US |
dc.contributor.author | Tseng, Chuen-Den | en_US |
dc.contributor.author | WEN-JONE CHEN | en_US |
dc.contributor.author | Cheng, Tin-Fu | en_US |
dc.contributor.author | Tsou, Shi-Sheng | en_US |
dc.contributor.author | Chen, Jin-Jer | en_US |
dc.contributor.author | Tseng, Yung-Zu | en_US |
dc.contributor.author | Lien, Wen-Pin | en_US |
dc.creator | Lin J.-L.;Schie J.-T.;Tseng C.-D.;Wen-Jone Chen;Cheng T.-F.;Tsou S.-S.;Chen J.-J.;Tseng Y.-Z.;Lien W.-P. | - |
dc.date.accessioned | 2020-12-21T08:17:30Z | - |
dc.date.available | 2020-12-21T08:17:30Z | - |
dc.date.issued | 1995 | - |
dc.identifier.issn | 0008-6312 | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/530047 | - |
dc.identifier.uri | https://www.scopus.com/record/display.uri?eid=2-s2.0-0028837444&doi=10.1159%2f000176857&origin=inward&txGid=fd9a67dbc6e0f9278e8f40e8336cc735 | - |
dc.description.abstract | Despite similar guidance by local electrogram criteria, catheter ablation of right-sided accessory atrioventricular (AV) pathways by radiofrequency current has been less effective than that of left-sided ones. In order to elucidate the possible diversities in local clectrosignal crite-ria. we systematically analyzed the morphological and timing characteristics of 215 bipolar local electrograms from catheter ablation sites of 65 left-sided accessory AV pathways and of 356 from those of 37 right-sided ones in 92 consecutive patients with Wolff-Parkinson-White syndrome or AV reentrant tachycardia incorporating concealed accessory AV pathways. After stepwise multivariate analysis, we selected the presence of a possible accessory pathway potential, local ventricular activation preceding QRS complex for 20 ms or more during ventricular insertion mapping, and the local retrograde ventriculoatrial (VA) continuity, local retrograde VA interval ≤50 ms. electrogram stability (left-sided targets only), retrograde accessory pathway potential (right-sided targets only) during atrial insertion mapping, as independent local electrogram predictors for successful ablation of left- and right-sided accessory AV pathways. Combination of all local electrogram predictors could have moderate chance of success (80 and 51%) for the ventricular and atrial insertion ablation of left-sided accessory AV pathways, but only low probability of success (40% in ventricular insertion ablation) or very low sensitivity (12.5% in atrial insertion ablation) for right-sided ones. In conclusion, with the present approach, successful catheter ablation of right-sided accessory AV pathways, compared to left-sided ones, still necessitate a breakthrough in the precision mapping and the efficiency of energy delivery. © 1995 S. Karger AG, Basel. | en_US |
dc.relation.ispartof | Cardiology (Switzerland) | en_US |
dc.subject | Accessory atrioventricular pathways; Catheter ablation; Local electrogram predictors; Reentrant tachycardia; Wolff-parkinson-white syndrome | en_US |
dc.title | Value of local electrogram characteristics predicting successful catheter ablation of left- versus right-sided accessory atrioventricular pathways by radiofrequency current | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.1159/000176857 | - |
dc.identifier.pmid | 7728803 | - |
dc.identifier.scopus | 2-s2.0-0028837444 | - |
dc.relation.pages | 135 | en_US |
dc.relation.journalvolume | 86 | en_US |
dc.relation.journalissue | 2 | en_US |
dc.relation.pageend | 142 | en_US |
item.fulltext | no fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.cerifentitytype | Publications | - |
item.openairetype | journal article | - |
item.grantfulltext | none | - |
crisitem.author.dept | Internal Medicine | - |
crisitem.author.dept | Internal Medicine-NTUH | - |
crisitem.author.dept | Emergency Medicine | - |
crisitem.author.dept | Emergency Medicine-NTUH | - |
crisitem.author.orcid | 0000-0003-2148-3956 | - |
crisitem.author.orcid | 0000-0002-2098-5922 | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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