Long-term safety and efficacy of supraventricular tachycardia ablation with a simplified approach

Pier Luigi Pellegrino, Massimo Grimaldi, Luigi Di Martino, Marica Caivano, Francesco Santoro, Luigi Di Biase, Matteo Di Biase, Natale Daniele Brunetti

Research output: Contribution to journalArticle

Abstract

Introduction Catheter-ablation (CA) is routinely used for the treatment of atrio-ventricular nodal re-entrant tachycardia (AVNRT) and accessory AV-pathways and is usually performed with 4 or 5 catheters. This study reports the short- and long-term results of an alternative simplified approach with a 2-catheter configuration for both electrophysiological study (EPS) and CA in patients with re-entrant supraventricular tachycardias. Methods In total, 274 consecutive patients who underwent EPS with a view to curative CA for AVNRT or AVRT were enrolled. A 2-catheter configuration was routinely used. Ablation success, acute in-hospital complications, symptoms recurrence, arrhythmia recurrence were recorded. Results 195 patients underwent ablation of AVNRT and 79 of a single AP. Immediate success after CA ablation was achieved in 99.6% of patients. Major complications occurred in 2 patients (0.73%, 2 cases of complete AV block, one of which requiring pacemaker implantation after 1 year, one during typical AVNRT ablation and one during epicardial AP-ablation). Vascular complications occurred in 4 patients (1.4%, 3 partial femoral vein thrombosis without embolic events, one femoral arteriovenous fistula). Minimal pericardial effusion occurred in 6 patients (2.2%). All vascular complications were medically successfully treated not requiring surgery. The mean follow-up was 86 months. Arrhythmia recurrence was observed in 5.6% of patients (2.6% with AP, 2.9% with AVNRT); a second successful catheter ablation was performed in 2.9%. Conclusions CA with simplified approach is effective in the treatment of supraventricular tachycardia due to APs and AVNRT and is associated with a low incidence of major and minor complications and late recurrence of arrhythmias.

Original languageEnglish (US)
Pages (from-to)724-729
Number of pages6
JournalActa Cardiologica
Volume71
Issue number6
DOIs
StatePublished - 2016

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Keywords

  • Radiofrequency catheter ablation
  • Simplified 2-catheter approach
  • Supraventricular tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Pellegrino, P. L., Grimaldi, M., Di Martino, L., Caivano, M., Santoro, F., Di Biase, L., Di Biase, M., & Brunetti, N. D. (2016). Long-term safety and efficacy of supraventricular tachycardia ablation with a simplified approach. Acta Cardiologica, 71(6), 724-729. https://doi.org/10.2143/AC.71.6.3178192