Transcoronary ablation of atrioventricular conduction by dehydrated alcohol was attempted in 14 patients with refractory atrial arrhythmias. Alcohol (0.5 or 1.0 ml) was delivered after selective catheterisation of the atrioventricular nodal artery in the 10 patients in whom the artery could be identified by cineangiography. The other four patients underwent electrical ablation when the nodal ar...

introduction: recent studies have shown acute cardioprotective effects of cyclosporine. the aim of the present study was to determine the protective role of cyclosporine on the model simulated the rotational nodal arrhythmia (avnrt) by using extracellular field potential recordings of isolated atrioventricular-node (av-node) of rabbit. methods: this study was performed on isolated double-perfus...

Atrioventricular Junction Ablation Transvenous ablation of the atrioventricular (AV) junction was first performed with direct-current shocks in 1981.1 Radiofrequency energy replaced direct-current shocks for AV junction ablation because of improved efficacy and safety.2 Radiofrequency ablation of the AV junction has a success rate .95% and is associated with a low incidence of adverse effects.3...

Background Pharmacological control of rapid ventricular response to atrial fibrillation may be difficult in some patients. Alternative treatments, including curative surgery or atrioventricular (AV) node ablation with pacemaker implantation, have significant potential morbidity. In view of evidence that dual AV nodal physiology may exist in a significant percentage of the population, even in th...

OBJECTIVE To assess the natural history of the atrial rhythm of patients with paroxysmal atrial arrhythmias undergoing atrioventricular node ablation and permanent pacemaker implantation. DESIGN AND SETTING A retrospective cohort study of consecutive patients identified from the pacemaker database and electrophysiology records of a tertiary referral hospital. PATIENTS 62 consecutive patient...

BACKGROUND Although linear ablation of the right atrial isthmus in patients with isthmus-dependent atrial flutter can be highly successful, recurrences and complications occur in some patients. Our study provides further morphological details for a better understanding of the structure of the isthmus. METHODS AND RESULTS We examined the isthmic area in 30 heart specimens by dissection, histol...

The aim of this study was to compare the effects of cardiac resynchronization therapy on left ventricular function and reverse remodeling in patients in sinus rhythm with the effects in patients with atrial fibrillation who have not undergone atrioventricular node ablation. Echocardiographic and clinical parameters were evaluated at baseline and after 6 months of cardiac resynchronization thera...

This study was conducted on the atrioventricular node (AVN) and atrioventricular bundle (AVB) of fivefour-month-old ovine fetuses. The histological structure of these components was studied by routinehistological techniques and use of specific staining methods. The AVN was caudally located adjacent to theroot of the aorta. It was almost spherical in shape and consisted of twisty cells. The node...