Radiofrequency catheter ablation of patients with permanent junctional reciprocating tachycardia and long-term follow-up results

Gökoğlan, Yalçın; Vurgun, Veysel Kutay; Kabul, Hasan Kutsi; Görmel, Suat; Yaşar, Salim; Asil, Serkan; Fırtına, Serdar; Yıldırım, Erkan; Amasyalı, Basri; Köse, Sedat

doi:10.1007/s10840-021-01057-0

Cited by 2 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…APs with decremental conduction properties that sustain PJRT are usually located in or near the CS ostium, 2 but atypical locations are also reported 3–5 . A left lateral location of the decremental AP is uncommon, especially in children 6–8 .…”

Section: Commentarymentioning

confidence: 99%

“…Differential diagnosis of SVT with long VA interval in pediatric patients basically includes atrial tachycardia (AT), atypical atrioventricular nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) over a concealed decremental AP. Electrophysiological diagnosis of AVRT over a concealed slow conducting AP is supported by the following main conventional criteria: (a) narrow QRS tachycardia with long RP interval, (b) fixed 1:1 VA conduction, (c) His refractory ventricular ectopic beats or ventricular extrastimuli reproducibly reset the retrograde atrial activation (advance or delay) or terminate the tachycardia without retrograde atrial conduction, (d) V-A-V-A response after ventricular overdrive pacing, (e) PPI-TCL < 110 ms, (f) SA-VA < 85 ms. [2][3][4][5] It may be sometimes challenging to differentiate AVRT over a decremental AP from other long VA tachycardias with conventional pacing maneuvers. 5 For example, the tachycardia sometimes could not be entrained since it could be repeatedly interrupted by continuous ventricular pacing.…”

mentioning

confidence: 99%

“…APs with decremental conduction properties that sustain PJRT are usually located in or near the CS ostium, 2 but atypical locations are also reported. [3][4][5] A left lateral location of the decremental AP is uncommon, especially in children. [6][7][8] In our case, eccentric retrograde atrial activation on coronary sinus electrograms was evident, supporting diagnosis of an atypically located decremental AP in the left lateral mitral annulus.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Nearly incessant supraventricular tachycardia in a child diagnosed without pacing maneuvers: What's the mechanism?

Ciriello,

Colonna,

Correra

et al. 2023

Pacing Clinical Electrophis

View full text Add to dashboard Cite

An 11-year-old boy with almost incessant supraventricular tachycardia (SVT) without any structural heart disease was referred to our Unit for electrophysiologic (EP) study and catheter ablation (CA). He was on therapy with Sotalol that was stopped 5 days before the admission.EP study was performed under general anesthesia. We used a nearzero fluoroscopic approach guided by electroanatomic mapping (EAM), according to our typical workflow for CA in children. At EP study, we observed that spontaneous and/or mechanical premature ventricular contractions (PVC) easily induced a narrow QRS tachycardia with slow tachycardia cycle length (TCL ∼ 430 ms), long ventriculoatrial (VA) interval and eccentric 1:1 retrograde atrial activation. Spontaneous induction and spontaneous interruption with no retroconduction by single PVCs was noted (Figure 1). Furthermore, a left-sided PVC occurring spontaneously when the His bundle was refractory (−20 ms) interrupted the arrhythmia with no retroconduction (Figure 2). At this point, what could be the most likely mechanism of the tachycardia without carrying out any pacing maneuvers? COMMENTARYPermanent junctional reciprocating tachycardia (PJRT) is a rare SVT in infants and children.

show abstract

Section: Commentarymentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Nearly incessant supraventricular tachycardia in a child diagnosed without pacing maneuvers: What's the mechanism?

Ciriello,

Colonna,

Correra

et al. 2023

Pacing Clinical Electrophis

View full text Add to dashboard Cite

show abstract

Clinical Course and Electrophysiological Characteristics of Permanent Junctional Reciprocating Tachycardia in Children

Ergül

Sülü

Çaran

et al. 2022

The Anatolian Journal of Cardiology

View full text Add to dashboard Cite

Background: In this study, we aimed to evaluate the clinical aspects, electrophysiological studies, and ablation results of permanent junctional reciprocating tachycardia in children. Methods: The study comprised 29 pediatric patients diagnosed with permanent junctional reciprocating tachycardia between 2011 and 2021 in 2 pediatric electrophysiology centers. From the file records, the basic demographic characteristics of the patients, as well as electrocardiographic and echocardiographic findings, were acquired retrospectively. The medical treatment and responses of the patients throughout follow-up, as well as the electrophysiological study and ablation data of the patients who had electrophysiological study, were assessed. Results: The mean age at diagnosis of the patients was 3.13 ± 4.43 (0-18) years and the mean weight was 18.22 ± 19.68 (3.8-94) kg. Eighteen patients (62.1%) were girls. Eleven patients (38%) developed tachycardia-induced cardiomyopathy. Tachycardia was incessant in 15 patients (51.7%). In total, 22 patients required 26 ablation procedures. Tachycardia-induced cardiomyopathy and multidrug-resistant tachycardia were the most prevalent indications for ablation. The right posteroseptal pathway was detected in 18 patients (81.8%). The acute procedure success rate was 100% (22/22). The recurrence rate was 18% (4/22) and 3 of them underwent successful ablation again. The overall success percentage was 95.4% (21/22). None of the patients had any complications. The mean follow-up period was 4.39 ± 3.05 years. Conclusion: Although permanent junctional reciprocating tachycardia is uncommon, it is often persistent, resistant to medical treatment, and associated with a substantial risk of tachycardia-induced cardiomyopathy. Catheter ablation can be performed on these patients at any age, with minimal risk of complications and a high success rate. It is crucial to keep monitor of the patients’ recurrence.

show abstract

Radiofrequency catheter ablation of patients with permanent junctional reciprocating tachycardia and long-term follow-up results

Cited by 2 publications

References 20 publications

Nearly incessant supraventricular tachycardia in a child diagnosed without pacing maneuvers: What's the mechanism?

Nearly incessant supraventricular tachycardia in a child diagnosed without pacing maneuvers: What's the mechanism?

Clinical Course and Electrophysiological Characteristics of Permanent Junctional Reciprocating Tachycardia in Children

Contact Info

Product

Resources

About