PMID- 2140398
OWN - NLM
STAT- MEDLINE
DCOM- 19900625
LR  - 20190903
IS  - 0022-0736 (Print)
IS  - 0022-0736 (Linking)
VI  - 23
IP  - 2
DP  - 1990 Apr
TI  - Clinical experience with a new catheter for His bundle ablation.
PG  - 165-9
AB  - Eleven patients aged 33-66 years were referred for treatment of refractory 
      supraventricular arrhythmias. Each patient had failed to respond to medical 
      treatment. One patient had a paroxysmal atrial flutter with a rapid ventricular 
      response. Six patients had a chronic atrial fibrillation. Two others had a 
      supraventricular tachycardia due to reentry in the atrioventricular (AV) node, 
      and two patients suffered from circus movement tachycardia using a concealed left 
      free wall accessory pathway. A specially built United States Catheter and 
      Instruments (USCI) women Dacron polyurethane electrode catheter (bipolar 8F with 
      an internal lumen, 90 A, 5,000 V, 5.5 omega) was positioned in the His bundle 
      area to record unipolar large atrial and His signals. When the maximal ratio low 
      right atrium/His spike was recorded, the pole was connected to the output of a 
      standard defibrillator. A shock of 200-250 J was delivered through this pole. Ten 
      patients developed complete AV block (CAVB) immediately. After 72 hours, these 
      patients were implanted with a rate-responsive pacemaker. The procedure was 
      without side effects. Nine patients remain in CAVB after 3-17 months; in one case 
      AV conduction resumed but the patient is free of arrhythmia. Another patient 
      needed a second catheter ablation after 1 month.
FAU - Nzayinambaho, K
AU  - Nzayinambaho K
AD  - Service de Cardiologie, Universite de Liege, Belgium.
FAU - Waleffe, A
AU  - Waleffe A
FAU - Rodriquez, L M
AU  - Rodriquez LM
FAU - Kulbertus, H
AU  - Kulbertus H
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Electrocardiol
JT  - Journal of electrocardiology
JID - 0153605
RN  - 0 (Polyethylene Terephthalates)
SB  - IM
MH  - Adult
MH  - Bundle of His/*surgery
MH  - Electrocoagulation/*instrumentation
MH  - Female
MH  - Heart Block/etiology
MH  - Heart Conduction System/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Polyethylene Terephthalates
MH  - Tachycardia, Supraventricular/*surgery
EDAT- 1990/04/01 00:00
MHDA- 1990/04/01 00:01
CRDT- 1990/04/01 00:00
PHST- 1990/04/01 00:00 [pubmed]
PHST- 1990/04/01 00:01 [medline]
PHST- 1990/04/01 00:00 [entrez]
AID - 0022-0736(90)90137-Q [pii]
AID - 10.1016/0022-0736(90)90137-q [doi]
PST - ppublish
SO  - J Electrocardiol. 1990 Apr;23(2):165-9. doi: 10.1016/0022-0736(90)90137-q.