Antegrade slow pathway mapping of typical atrioventricular nodal reentrant tachycardia based on direct slow pathway capture Article Swipe
Takeshi Tobiume
,
Ritsushi Kato
,
Tomomi Matsuura
,
Kazuhisa Matsumoto
,
Motoki Hara
,
Nobuyuki Takamori
,
Yoshio Taketani
,
Keisuke Okawa
,
Takayuki Ise
,
Kenya Kusunose
,
Koji Yamaguchi
,
Shusuke Yagi
,
Daijyu Fukuda
,
Hirotsugu Yamada
,
Tetsuzo Wakatsuki
,
Takeshi Soeki
,
Masataka Sata
,
Kazuo Matsumoto
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/joa3.12484
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/joa3.12484
Background Radiofrequency (RF) ablation of typical atrioventricular nodal reentrant tachycardia (tAVNRT) is performed without revealing out the location of antegrade slow pathway (ASp). In this study, we studied a new electrophysiological method of identifying the site of ASp. Methods This study included 19 patients. Repeated series of very high‐output single extrastimulations (VhoSESts) were delivered at the anatomical slow pathway region during tAVNRT. Tachycardia cycle length (TCL), coupling interval (CI), and return cycle (RC) were measured and the prematurity of VhoSESts [ΔPM (= TCL – CI)] and the prolongation of RCs [ΔPL (= RC – TCL)] were calculated. Pacing sites were classified into two categories: (i) ASp capture sites [DSPC(+) sites], where two different RCs were shown, and ASp non‐capture sites [DSPC(‐) sites], where only one RC was shown. RF ablation was performed at DSPC(+) sites and/or sites with catheter‐induced mechanical trauma (CIMT) to ASp. Results DSPC(+) sites were shown in 13 patients (68%). RF ablation was successful in all patients without any degree of atrioventricular block nor recurrence. Total number of RF applications was 1.8 ± 1.1. Minimal distance between successful ablation sites and DSPC(+)/CIMT sites and His bundle (HB) electrogram recording sites was 1.9 ± 0.8 mm and 19.8 ± 6.1 mm, respectively. ΔPL of more than 92.5 ms, ΔPL/TCL of more than 0.286, and ΔPL/ΔPM of more than 1.565 could identify ASp with sensitivity of 100%, 91.1%, and 88.9% and specificity of 92.9%, 97.0%, and 97.6%, respectively. Conclusions Sites with ASp capture and CIMT were close to successful ablation sites and could be useful indicators of tAVNRT ablation.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/joa3.12484
- OA Status
- gold
- Cited By
- 2
- References
- 30
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3116367992
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3116367992Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/joa3.12484Digital Object Identifier
- Title
-
Antegrade slow pathway mapping of typical atrioventricular nodal reentrant tachycardia based on direct slow pathway captureWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-12-24Full publication date if available
- Authors
-
Takeshi Tobiume, Ritsushi Kato, Tomomi Matsuura, Kazuhisa Matsumoto, Motoki Hara, Nobuyuki Takamori, Yoshio Taketani, Keisuke Okawa, Takayuki Ise, Kenya Kusunose, Koji Yamaguchi, Shusuke Yagi, Daijyu Fukuda, Hirotsugu Yamada, Tetsuzo Wakatsuki, Takeshi Soeki, Masataka Sata, Kazuo MatsumotoList of authors in order
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https://doi.org/10.1002/joa3.12484Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1002/joa3.12484Direct OA link when available
- Concepts
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Medicine, Ablation, Tachycardia, Cardiology, Atrioventricular block, Internal medicine, NODAL, Catheter ablation, Right bundle branch block, Electrophysiology, ElectrocardiographyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
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2022: 1, 2020: 1Per-year citation counts (last 5 years)
- References (count)
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30Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(CIMT) | 142 |
| abstract_inverted_index.(TCL), | 66 |
| abstract_inverted_index.0.286, | 215 |
| abstract_inverted_index.91.1%, | 229 |
| abstract_inverted_index.92.9%, | 235 |
| abstract_inverted_index.97.0%, | 236 |
| abstract_inverted_index.97.6%, | 238 |
| abstract_inverted_index.Pacing | 98 |
| abstract_inverted_index.and/or | 136 |
| abstract_inverted_index.bundle | 189 |
| abstract_inverted_index.degree | 163 |
| abstract_inverted_index.during | 61 |
| abstract_inverted_index.length | 65 |
| abstract_inverted_index.method | 32 |
| abstract_inverted_index.number | 170 |
| abstract_inverted_index.region | 60 |
| abstract_inverted_index.return | 71 |
| abstract_inverted_index.series | 46 |
| abstract_inverted_index.shown, | 116 |
| abstract_inverted_index.shown. | 128 |
| abstract_inverted_index.single | 50 |
| abstract_inverted_index.study, | 26 |
| abstract_inverted_index.tAVNRT | 259 |
| abstract_inverted_index.trauma | 141 |
| abstract_inverted_index.useful | 256 |
| abstract_inverted_index.DSPC(+) | 134, 146 |
| abstract_inverted_index.Methods | 39 |
| abstract_inverted_index.Minimal | 178 |
| abstract_inverted_index.Results | 145 |
| abstract_inverted_index.between | 180 |
| abstract_inverted_index.capture | 107, 244 |
| abstract_inverted_index.pathway | 22, 59 |
| abstract_inverted_index.sites], | 110, 122 |
| abstract_inverted_index.studied | 28 |
| abstract_inverted_index.tAVNRT. | 62 |
| abstract_inverted_index.typical | 6 |
| abstract_inverted_index.without | 14, 161 |
| abstract_inverted_index.(tAVNRT) | 11 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Repeated | 45 |
| abstract_inverted_index.VhoSESts | 80 |
| abstract_inverted_index.[DSPC(+) | 109 |
| abstract_inverted_index.ablation | 4, 130, 155, 182, 251 |
| abstract_inverted_index.coupling | 67 |
| abstract_inverted_index.distance | 179 |
| abstract_inverted_index.identify | 223 |
| abstract_inverted_index.included | 42 |
| abstract_inverted_index.interval | 68 |
| abstract_inverted_index.location | 18 |
| abstract_inverted_index.measured | 75 |
| abstract_inverted_index.patients | 152, 160 |
| abstract_inverted_index.ΔPL/TCL | 211 |
| abstract_inverted_index.ablation. | 260 |
| abstract_inverted_index.antegrade | 20 |
| abstract_inverted_index.delivered | 54 |
| abstract_inverted_index.different | 113 |
| abstract_inverted_index.patients. | 44 |
| abstract_inverted_index.performed | 13, 132 |
| abstract_inverted_index.recording | 192 |
| abstract_inverted_index.reentrant | 9 |
| abstract_inverted_index.revealing | 15 |
| abstract_inverted_index.ΔPL/ΔPM | 217 |
| abstract_inverted_index.(VhoSESts) | 52 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.[DSPC(‐) | 121 |
| abstract_inverted_index.anatomical | 57 |
| abstract_inverted_index.classified | 101 |
| abstract_inverted_index.indicators | 257 |
| abstract_inverted_index.mechanical | 140 |
| abstract_inverted_index.successful | 157, 181, 250 |
| abstract_inverted_index.Conclusions | 240 |
| abstract_inverted_index.Tachycardia | 63 |
| abstract_inverted_index.calculated. | 97 |
| abstract_inverted_index.categories: | 104 |
| abstract_inverted_index.electrogram | 191 |
| abstract_inverted_index.identifying | 34 |
| abstract_inverted_index.prematurity | 78 |
| abstract_inverted_index.recurrence. | 168 |
| abstract_inverted_index.sensitivity | 226 |
| abstract_inverted_index.specificity | 233 |
| abstract_inverted_index.tachycardia | 10 |
| abstract_inverted_index.DSPC(+)/CIMT | 185 |
| abstract_inverted_index.applications | 173 |
| abstract_inverted_index.prolongation | 88 |
| abstract_inverted_index.high‐output | 49 |
| abstract_inverted_index.non‐capture | 119 |
| abstract_inverted_index.respectively. | 204, 239 |
| abstract_inverted_index.Radiofrequency | 2 |
| abstract_inverted_index.atrioventricular | 7, 165 |
| abstract_inverted_index.extrastimulations | 51 |
| abstract_inverted_index.catheter‐induced | 139 |
| abstract_inverted_index.electrophysiological | 31 |
| cited_by_percentile_year.max | 94 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5008549761 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 18 |
| corresponding_institution_ids | https://openalex.org/I4210122944, https://openalex.org/I4210160710, https://openalex.org/I8588240 |
| citation_normalized_percentile.value | 0.64257569 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |