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

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Journal of Interventional Cardiac Electrophysiology Aims and scope Submit manuscript

Abstract

Background

Permanent junctional reciprocating tachycardia (PJRT) is an infrequent form of atrioventricular re-entrant tachycardia. We report the clinical and electrophysiological properties of PJRT and outcomes of radiofrequency catheter ablation (RCA) in a large group of patients.

Methods

We included 62 patients with the diagnosis of PJRT. Radiofrequency catheter ablation was performed in all.

Results

Location of accessory pathway was right posteroseptal in 37 (59,7%) cases, right midseptal in 3 (4,8%), left posterior in 7 (11,3%), left lateral in 5 (8,1%), left posterolateral in 3 (4,8%), left anterolateral in 2 (3,2%), left posteroseptal in 2 (3,2%), middle cardiac vein in 2 (3,2%), and left coronary cusp in 1 (1,6%). Single procedure success rate was 90.3%. None of patients had recurrence during follow-up after repeat ablations. Overall long-term success rate was 98.4%. Left ventricular systolic function recovered in all patients with tachycardia-induced cardiomyopathy (TIC).

Conclusion

Retrograde decremental accessory pathways are mainly located in posteroseptal region. Radiofrequency catheter ablation is a safe and effective approach in patients with PJRT.

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Authors and Affiliations

  1. Department of Cardiology, Gülhane Training and Research Hospital, General Dr.Tevfik Sağlam Cd. No:1, 06010, Etlik, Ankara, Turkey

    Yalçın Gökoğlan, Hasan Kutsi Kabul, Suat Görmel, Salim Yaşar, Serkan Asil, Serdar Fırtına & Erkan Yıldırım

  2. Department of Cardiology, Liv Hospital, Ankara, Turkey

    Veysel Kutay Vurgun & Sedat Köse

  3. Department of Cardiology, TOBB ETU Hospital, Ankara, Turkey

    Basri Amasyalı

Authors
  1. Yalçın Gökoğlan
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  2. Veysel Kutay Vurgun
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Correspondence to Yalçın Gökoğlan.

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Gökoğlan, Y., Vurgun, V.K., Kabul, H.K. et al. Radiofrequency catheter ablation of patients with permanent junctional reciprocating tachycardia and long-term follow-up results. J Interv Card Electrophysiol 63, 461–469 (2022). https://doi.org/10.1007/s10840-021-01057-0

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