Outcomes after radiofrequency catheter ablation of atrial tachycardia
Abstract
The purpose of this study was to evaluate the efficacy, safety, and clinical benefit of radiofrequency catheter ablation (RFCA) in a large series of patients with atrial tachycardia (AT). The determinants of success or failure of RFCA in AT remain unclear. We evaluated the results of radiofrequency ablation in 73 women and 32 men (mean age 48 +/- 19 years) with AT. Mapping techniques were based on identification of the earliest endocardial atrial electrogram recorded during AT. AT originated from the right atrium in 91 patients and from the left atrium in 14. The cardiac ventricles were dilated in 12 patients. AT ablation was successful in 80 patients (77%) regardless of the site of origin. Age, gender, rate of tachycardia, temperature achieved during application, or presence of tachycardiomyopathy were not significant determinants of acute success by univariate analysis. There was a significantly higher acute success rate of ablation in patients with paroxysmal (88%, 45 of 51) and permanent (71%, 30 of 42) forms than in patients with repetitive forms of AT (41%, 5 of 12) (p <0.005). The mean local endocardial electrogram time (relative-to-surface P-wave onset) was -47 +/- 17 ms at successful ablation sites and -29 +/- 21 ms at unsuccessful sites (p <0.03). Ablation was unsuccessful in 25 cases. Thus, RFCA of AT can be performed with a high acute success rate. Patients with repetitive forms and those with multifocal origin had a lower acute success rate. The highest incidence of recurrences was found in anterior right atrial foci.
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Catheter ablation for focal AT has a reported success rate of 75-100% and has been shown superior to antiarrhythmic drugs in a randomized study in the context of AF ablation.
“Catheter ablation is reported to have a 75 -100% success rate, 111,120 and has been shown superior to antiarrhythmic drugs in a randomized study in the context of AF ablation.112”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [111]
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第20回 臨床不整脈研究会 心機能低下を伴った右房起源心房性頻拍の2症例
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- Authors
- Anguera, I., Brugada, J., Roba, M., Mont, L., Aguinaga, L., Geelen, P., & Brugada, P.
- Affiliations
- Onze Lieve Vrouwziekenhuis Hospital (BE)
- Hospital Clínic de Barcelona (ES)
- Venue
- The American Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2001-04
- Volume
- 87
- Issue
- 7
- Pages
- 886-890
- ISSN
- 0002-9149 (ISSN-L)
- OpenAlex
- W2134050519
- Cited by
- 70
- References
- 20
- Citations by year
- 2025: 1 · 2024: 4 · 2022: 1 · 2021: 4 · 2020: 1 · 2019: 4 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 2
- FWCI
- 2.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- atrial tachycardia, radiofrequency catheter ablation, ablation success rate, paroxysmal atrial tachycardia, atrial tachycardia recurrence, atrial electrograms, tachycardia-induced cardiomyopathy, atrial fibrillation
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Electrocardiography, Electrophysiology, Female, Humans, Male, Middle Aged, Tachycardia, Ectopic Atrial, Treatment Outcome, Catheter Ablation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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