medigraphic.com
ISSN 0016-3813 (Print)

2003, Number 4

<< Back Next >>

Gac Med Mex 2003; 139 (4)

Transseptal Punction for Radiofrequency of Left-Sided Accessory Pathway.

Rodríguez-Chávez LL, Guevara-Valdivia ME, Mendoza-González C, Colin-Lizalde L, Iturralde P, Márquez MF, Ban-Hayashi E

Language: Spanish
References: 19
Page: 389-392
PDF size: 77.91 Kb.


ABSTRACT

We present the case of an 18-year-old male patient with diagnosis of Wolff-Parkinson-White syndrome due to a left free wall accesory pathway. We performed an electrophysiology study and transseptal punction guided by transesophageal echocardiogram to via access to the left atrium. We performed successful radiofrequency ablation of the accessory pathway, observing disappearance of the delta wave on the first attempt. There were no complications. In follow-up a 10 months, the patient had no clinical nor electrocardiographic evidence of recurrence. Transseptal radiofrequency ablation is an alternative for treatment of some arrhythmias localized in the left side of the heart.


REFERENCES

  1. Leiva JL, lturralde P, Kershenovich S, Zabal C, Colín L, Alcedo A, et al. Ablación por radiofrecuencia de una vía accesoria lateral izquierda en un lactante, utilizando un abordaje transeptal. Arch lnst Cardiol Mex 1994;64:265-269.

  2. 2. Tracy CM, Akhtar M, DiMarco JP, Packer D, Weitz H. American College of Cardiology/American Heart Association Clinical Competence Statement on lnvasive Electrophysiology Studies, Catheter Ablation, and Cardioversion. J Am Coll Cardiol 2000;36:1725-1736.

  3. 3. Cope C. Technique for transseptal catheterization of left atrium: preliminary report. J Thorac Surg 1959;37:482-486.

  4. 4. Ross JJ, Braunwald E, Morrow AG. Transseptal left atrial puncture, new technique for the measurement of left atrial pressure in man. Am J Cardiol 1959;3:353-355.

  5. 5. Brockenbrough EC, Braunwald E. A new technique for left ventricular angiocardiography and transseptal left heart catheterization. Am J Cardiol 1960;6:1062.

  6. 6. Roelke M, Smith AJ, Palacios IF. The technique and safety of transseptal left heart catheterization: The Massachussetts General Hospital experience with 1279 procedures. Cathet Cardiovasc Diagn 1994;32:332-339.

  7. 7. Sandoval J, Gaspár J, Pulido T, Bautista E, Martínez-Guerra ML, Cevallos M. Graded balloon dilation atrial septostomy in severe primary pulmonary hypertension. A therapeutic alternative for patients nonresponsive to vasodilator treatment. J Am Coll Cardiol 1998;32:297-307.

  8. 8. Hahn K, Gal R, Sarnoski J, Kubota J, Schmidt DH, Bajwa TK. Transesophageal echocardiographically guided atrial transseptal catheterization in patients with normal-sized atria: incidence of complications. Clin Cardiol 1995;18:217-220.

  9. 9. Tucker KJ, Curtis AB, Murphy J, Conti JB, Kazakis DJ, Geiser EA, et al. Transesophageal echocardiographic guidance of transseptal left heart catheterization during radiofrequency ablation of left-sided accessory pathways in humans. Pacing Clin Electrophysiol 1996;19:272-281.

  10. Daoud EG, Kaibfieisch SJ, Hummel JD. lntracardiac echocardiography to guide transseptal left heart catheterization for radiofrequency catheter ablation. J Cardiovasc Electrophysiol 1999;10:358-363.

  11. Sorbera C, Dhakman S, Cohen M, Woolf P, Agarwal Y. Safety and efficacy of outpatient transseptal radiofrequency ablation of atrioventricular accessory pathways. J lnterv Card Electrophysiol 1999;3:177-179.

  12. Montenero AS, Crea F, Bendini MG, Bellocci F, Zecchi P. Catheter ablation of left accessory atrioventricular connections: the transseptal approach. J lnterv Cardiol 1995;8(Suppl):806-812.

  13. Yip AS, Chow WH, Yung TC, Chau EM, Chan TF. Radiofrequency catheter ablation of left-sided accessory pathways using a transseptal technique and specialized long intravascular sheets. Efficacy, recurrence rate and complications. Jpn Heart J 1997;38:643-650.

  14. Fitcher A, Turkie W, Fitzpatrick AP. Transseptal approach to ablation of left-sided arrhythmias does not lead to persisting interatrial shunt: a transesophageal echocardiographic study. Pacing Clin Electrophysiol 1998;21:2070-2072.

  15. Lesh MD, Van Hare GF, Sheinman MM, Ports TA, Epstein LA. Comparison of the retrograde and transseptal methods for ablation of left free wall accessory pathways. J Am Coll Cardiol 1993;22:542-549.

  16. Vora AM, McMahon S, Jazayeri MR, Dhala AS. Ablation of atrial insertion sites of left-sided accessory pathways in children: efficacy and safety of transseptal versus transaortic approach. Pediatr Cardiol 1997;18:332-338.

  17. Law IH, Fischbach PS, LeRoy S, Lloyd TR, Rocchini AP, Dick M. Access to the left atrium for delivery of radiofrequency ablation in young patients: retrograde aortic vs transseptal approach. Pediatr Cardiol 2001;22:204-209.

  18. González MD, Otomo K, Shah N, Arruda MS, Beckman KJ, Lazzara R, et al. Transseptal left heart catheterization for cardiac ablation procedures. J lnterv Card Electrophysiol 2001;5:89-895.

  19. Ledesma Velasco M, Treviño Treviño A, Delgado Caro G, Martínez Ríos MA, Murillo Márquez H, Munayer Calderón J, et al. Registro Nacional de Comisurotomía Mitral Percutánea. Experiencia de 8 años. Arch lnst Cardiol Mex 1996; 66: 244-253.




2020     |     www.medigraphic.com