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Mapping und Ablation einer mechanisch blockierten akzessorischen Leitungsbahn unter wiederholten Adenosin-Bolusgaben

Mapping and ablation of a mechanically blocked concealed accessory pathway under repeated adenosine bolus infusions

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Zusammenfassung

Im Rahmen der Katheterablation einer akzessorischen Leitungsbahn kann es zur mechanischen Leitungsblockierung während der Mappingprozedur kommen. Adenosin wird als Substanz zur Detektion verborgener Erregungsleitung nach inkompletten Ablationsläsionen verwendet. In diesem Beitrag wird der Fall einer Patientin mit linksseitiger akzessorischer Leitungsbahn präsentiert, die nach mechanischer Blockierung erst unter wiederholten Adenosin-Bolusgaben, die jeweils mit einer temporären Wiedergewinnung der Erregungsleitung der akzessorischen Bahn einhergingen, erfolgreich abladiert werden konnte.

Abstract

During mapping and catheter ablation of an accessory pathway, a mechanically induced conduction block can occur. Adenosine is used to detect dormant conduction of incomplete ablation lesions. Presented in this article is the case of a patient with a left-sided accessory pathway, which was mechanically blocked during the mapping procedure and could only be successfully ablated after repeated adenosine bolus infusions, which resulted in intermittent restitution of conduction via the accessory pathway.

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Literatur

  1. Garratt CJ, Antoniou A, Griffith MJ, Ward DE, Camm AJ (1990) Use of intravenous adenosine in sinus rhythm as a diagnostic test for latent preexcitation. Am J Cardiol 65:868–873

    Article  CAS  PubMed  Google Scholar 

  2. Wang D, Shryock JC, Belardinelli L (1996) Cellular basis for the negative dromotropic effect of adenosine on rabbit single atrioventricular nodal cells. Circ Res 78:697–706

    Article  CAS  PubMed  Google Scholar 

  3. Miyazaki S, Kuwahara T, Kobori A, Takahashi Y, Takei A, Sato A et al (2012) Impact of adenosine-provoked acute dormant pulmonary vein conduction on recurrence of atrial fibrillation. J Cardiovasc Electrophysiol 23:256–260

    Article  PubMed  Google Scholar 

  4. Datino T, Macle L, Qi XY, Maguy A, Comtois P, Chartier D et al (2010) Mechanisms by which adenosine restores conduction in dormant canine pulmonary veins. Circulation 121:963–972

    Article  CAS  PubMed  Google Scholar 

  5. Spotnitz MD, Markowitz SM, Liu CF, Thomas G, Ip JE, Liez J et al (2014) Mechanisms and clinical significance of adenosine-induced dormant accessory pathway conduction after catheter ablation. Circ Arrhythm Electrophysiol 7:1136–1143

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Medizinische Klinik mit Schwerpunkt Kardiologie, Charité – Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13553, Berlin, Deutschland

    Martin Huemer, Philipp Attanasio, Alexander Wutzler, Abdul Shokor Parwani, Leif-Hendrik Boldt & Wilhelm Haverkamp

Authors
  1. Martin Huemer
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  2. Philipp Attanasio
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  3. Alexander Wutzler
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  4. Abdul Shokor Parwani
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  5. Leif-Hendrik Boldt
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  6. Wilhelm Haverkamp
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Corresponding author

Correspondence to Martin Huemer.

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Interessenkonflikt

M. Huemer, P. Attanasio, A. Wutzler, A.S. Parwani, L.-H. Boldt und W. Haverkamp geben an, dass kein Interessenskonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Huemer, M., Attanasio, P., Wutzler, A. et al. Mapping und Ablation einer mechanisch blockierten akzessorischen Leitungsbahn unter wiederholten Adenosin-Bolusgaben. Herzschr Elektrophys 26, 371–373 (2015). https://doi.org/10.1007/s00399-015-0395-1

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  • DOI: https://doi.org/10.1007/s00399-015-0395-1

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