The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
Ventricular Fibrillation and Sudden Death After Radiofrequency Catheter Ablation of the Atrioventricular Junction
Abstract
Two hundred thirty-five patients underwent RF catheter ablation of AV conduction for symptomatic drug refractory AF (84%), atrial flutter (9%), and atrial tachycardia (7%). In the first 100 patients, postablation pacing was not prospectively set at any specific rate and was always < or = 70 beats/min. In the next 135 patients, postablation pacing was prospectively set at 90 beats/min for 1-3 months. Six of the first 100 patients (6%) had VF or sudden death after the RF procedure and none (0%) of the next 135 patients did (P < 0.05). One of the six patients had recurrent VF 4 days after the ablation. Five patients were successfully resuscitated and one patient died. There were no statistically significant differences between patients with and without (aborted) sudden death or between the first 100 and the next 135 patients with respect to age, sex, underlying heart disease, EF, number of RF applications, or left-or right-sided approach of the procedure. VF mostly occurred during episodes of slow ventricular escape rhythms or during slow ventricular pacing. We conclude that malignant ventricular arrhythmias and sudden death are possible complications of RF ablation of the AV function. The mechanism of these complications could have a bradycardia dependent nature and it seems that the occurrence of malignant arrhythmias can be prevented by temporarily pacing the heart at relatively fast rates immediately after ablation.
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“It is a relatively simple procedure with a low complication rate and low long-term mortality risk, 563,564 especially when the pacemaker is implanted a few weeks before the AV nodal ablation and the initial pacing rate after ablation is set at 70-90 bpm.565,566”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [565]
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Cites
Huang, S. K. S., Bharati, S., Graham, A. R., Lev, M., Marcus, G. M., & Odell, R. C. (1987) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(87)80388-1 · Cited by 373
Catheter ablation of the atrioventricular junction with radiofrequency energy.
Langberg, J. J., Chin, M. C., Rosenqvist, M., COCKRELL, J. L., Dullet, N., Hare, G. F. V., Griffin, J. C., & Scheinman, M. M. (1989) · Circulation · doi:10.1161/01.cir.80.6.1527 · Cited by 245
The Percutaneous Cardiac Mapping and Ablation Registry:* Final Summary of Results
EVANS, G., Scheinman, M. M., Scheinman, M. M., Zipes, D. P., Benditt, D. G., BREITHARDT, G. E., Camm, A. J., El‐Sherif, N., Fisher, J. D., Fontaine, G. H., et al. (1988) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1988.tb06284.x · Cited by 168
Olgin, J. E., & Scheinman, M. M. (1993) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(93)90084-e · Cited by 150
EVANS, G., Scheinman, M. M., Bardy, G. H., Borggrefe, M., Brugada, P., Fisher, J. D., Fontaine, G. H., Huang, S., Huang, W., & Josephson, M. E. (1991) · Circulation · doi:10.1161/01.cir.84.5.1924 · Cited by 128
Self-citationPeters, R., WEVER, E. F. D., Hauer, R. N. W., Wittkampf, F. H. M., & de Medina, E. O. R. (1994) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1994.tb01358.x · Cited by 60
Right-Sided Versus Left-Sided Radiofrequency Ablation of the His Bundle
de Souza, O. F., Gürsoy, S., Simonis, F., Steurer, G., Andries, E., & Brugada, P. (1992) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1992.tb02918.x · Cited by 42
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Research works printed but not linked: 1
- Geelen P, 1993, Ventricular fihbril lation after radiofrequency ablation of the bundle of His, PACE, 16, 948
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Hindricks, G., Potpara, T., Dagres, N., Arbelo, E., Bax, J. J., Blomström‐Lundqvist, C., Boriani, G., Castella, M., Dan, G.-A., Dilaveris, P., et al. (2020) · European Heart Journal · doi:10.1093/eurheartj/ehaa612 · Cited by 10,550
2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation
January, C. T., Wann, L. S., Alpert, J. S., Calkins, H. G., Cigarroa, J. E., Cleveland, J. C., CONTI, J. B., Ellinor, P. T., Ezekowitz, M. D., Field, M. E., et al. (2014) · Circulation · doi:10.1161/cir.0000000000000041 · Cited by 7,145
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P. F., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castellà, M., Diener, H., Heidbüchel, H., Hendriks, J., et al. (2016) · EP Europace · doi:10.1093/europace/euw295 · Cited by 6,438
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehw210 · Cited by 6,418
Gelder, I. C. V., Rienstra, M., Bunting, K. V., Casado-Arroyo, R., Caso, V., Crijns, H. J. G. M., Potter, T. J. R. D., Dwight, J., Guasti, L., Hanke, T., et al. (2024) · European Heart Journal · doi:10.1093/eurheartj/ehae176 · Cited by 3,594
Metadata
- Authors
- GEELEN, P., BRUGADA, J., ANDRIES, E., & BRUGADA, P.
- Affiliations
- Onze Lieve Vrouwziekenhuis Hospital (BE)
- Corresponding author
- BRUGADA, PEDRO
- Venue
- Pacing and Clinical Electrophysiology
- Publisher
- Wiley
- Published
- 1997-02
- Volume
- 20
- Issue
- 2
- Pages
- 343-348
- ISSN
- 0147-8389 (ISSN-L)
- 1540-8159
- OpenAlex
- W2010906453
- Cited by
- 168
- References
- 7
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 7 · 2023: 3 · 2020: 1 · 2019: 6 · 2018: 5 · 2017: 3 · 2016: 7 · 2015: 4 · 2014: 5 · 2013: 3 · 2012: 6
- FWCI
- 8.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pacing and Clinical Electrophysiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Keywords
- ventricular fibrillation, sudden cardiac death, radiofrequency catheter ablation, atrioventricular junction, atrioventricular block, atrial fibrillation, atrial flutter, atrial tachycardia, malignant ventricular arrhythmias, procedural complications
- MeSH terms
- Aged, Atrial Flutter, Atrioventricular Node, Female, Humans, Male, Middle Aged, Ventricular Fibrillation, Death, Sudden, Cardiac, Catheter Ablation
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