Radiofrequency Catheter Ablation. Radiofrequency catheter ablation techniques are becoming increasingly accepted as the therapy of choice for selected patients with symptomatic arrhythmias. The ability to titrate the power output using radiofrequency current has allowed these ablative techniques to be applied safely in a variety of arrhythmias. In many institutions, radiofrequency catheter abla...

BACKGROUND The relationship between focal pulmonary vein potential and atrial fibrillation (AF) has been confirmed. Pulmonary vein (PV) isolation and circumferential pulmonary vein ablation have been the most commonly used procedures of radiofrequency ablation. However, few studies have investigated the relationship between anatomical characteristics of PV and AF recurrences after radiofrequenc...

BACKGROUND Idiopathic ventricular arrhythmias (VAs) can originate from the left ventricular papillary muscles (PAMs). This study investigated the electrophysiological characteristics of these VAs and their relevance for the results of catheter ablation. METHODS AND RESULTS We studied 19 patients who underwent successful catheter ablation of idiopathic VAs originating from the anterior (n=7) a...

Percutenous catheter ablation of the accessory pathway in Wolff-Parkinson-White syndrome is a highly successful mode of therapy. Sudden cardiac arrest survivors associated with WPW syndrome should undergo radiofrequency catheter ablation. WPW syndrome associated with familial atrial fibrillation is a very rare condition. Herein, we describe a case who presented with sudden cardiac arrest second...

The results of radiofrequency catheter ablation of ventricular tachycardia (VT) in patients without structural heart disease are reported. Particular attention was focused on the relation between efficacy and the site of origin of the VT. Eighteen consecutive patients (5 women and 13 men; mean age 41 +/- 13 years) with idiopathic VT underwent catheter ablation using radiofrequency energy. Sites...

conclusions the accompanying case series suggests that this protocol is deserving of randomized, prospective study. results c-rfa of the genicular nerves after using the described selection protocol resulted in > 90% pain reduction, improved function and avoidance of surgery at 6 months in all four cases. all opioid and analgesic medication use decreased or was unchanged in all cases. no seriou...

OBJECTIVE To report experience with radiofrequency catheter ablation of fascicular tachycardia including two cases of the rare type of this arrhythmia which arises from the anterior fascicle of the left bundle branch. DESIGN Review of results of radiofrequency ablation in nine consecutive patients presenting with fascicular tachycardia. SETTING Regional cardiac centre. INTERVENTION Percut...

BACKGROUND A common strategy for ablation of scar-based ventricular tachycardia is delivering multiple lesions in a linear pattern. METHODS AND RESULTS We tested the efficacy of a novel linear irrigated multipolar ablation catheter capable of creating linear lesions with a single application. Healthy swine underwent endocardial and epicardial linear ablation using a novel linear irrigated abl...

Paroxysmal atrial fibrillation can be eliminated with continuous circular linear lesions around the pulmonary veins using radiofrequency ablation. Due to the technical complexity of this procedure balloon-based devices have been developed to simplify pulmonary vein isolation. Cryoballoon ablation provides excellent safety and is technically less demanding when compared to radiofrequency cathete...

Radiofrequency ablation using a percutaneous catheter-based approach is widely used to treat supraventricular arrhythmias. Atrial fibrillation frequently arises from an abnormal focus at or near the junction of the pulmonary veins and the left atrium, thus leading to the feasibility of more focused ablation techniques directed at these structures. Catheter-based ablation, using both radiofreque...