Skip to main content

Effects of High-Energy Electrical Shocks Delivered to Atrial or Atrioventricular Junctional Tissue

  • Chapter
Catheter Ablation of Cardiac Arrhythmias

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 78))

  • 44 Accesses

Abstract

For more than a decade, patients with drug-refractory supraventricular tachycardias have been treated with disruption of the normal atrioventricular conducting system or by division of anomalous atrioventricular connections at the time of open-heart surgery. In order to avoid the need for a thoracotomy, nonoperative techniques to modulate conduction have recently been developed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Gonzalez R, Scheinman M, Margaretten W Rubinstein M: Closed-chest electrode-catheter technique for His bundle ablation in dogs. Am J Physiol 241: H283, 1981.

    PubMed  CAS  Google Scholar 

  2. Gonzalez R, Scheinman M, Bharati S, Lev M: Closed-chest permanent atrioventricular block in dogs. Am Heart J 105: 461, 1983.

    Article  PubMed  CAS  Google Scholar 

  3. Bardy GH, Ideker RE, Kasell J, Worley SJ, Smith WM, German LD, Gallagher JJ: Transvenous ablation of the atrioventricular conduction system in dogs: Electrophysiologic and histologic observations. Am J Cardiol 51: 1775, 1983.

    Article  PubMed  CAS  Google Scholar 

  4. Scheinman MM, Morady F, Hess DS, Gonzalez R: Catheter induced ablation of the atrioventricular junction to control refractory supraventricular arrhythmias. JAMA 248: 851, 1982.

    Article  PubMed  CAS  Google Scholar 

  5. Gallagher JJ, Svenson RH, Kasell JH, German LD, Bardy GH, Broughton A, Critelli G: Catheter technique for closed-chest ablation of the atrioventricular conduction system: A therapeutic alternative for the treatment of refractory supraventricular tachycardia. N Engl J Med 306: 194, 1982.

    Article  PubMed  CAS  Google Scholar 

  6. Wood DL, Hammill SC, Holmes DR Jr, Osborn MJ. Gersh BJ: Catheter ablation of the atrioventricular conduction system in patients with supraventricular tachycardia. Mayo Clin Proc 58: 791, 1983.

    PubMed  CAS  Google Scholar 

  7. Nathan AW Bennett DH, Ward DE, Bexton RS, Camm AJ: Catheter ablation of atrioventricular conduction. Lancet 1: 1280, 1984.

    Article  PubMed  CAS  Google Scholar 

  8. Brodman R, Fisher JD: Evaluation of a catheter technique for ablation of accessory pathways near the coronary sinus using a canine model. Circulation 67: 923, 1983.

    Article  PubMed  CAS  Google Scholar 

  9. Coltorti F, Bardy GH, Reichenbach D, Green HL. Thomas R, Breazeale DG, Alferness C, Ivey TD: Catheter-mediated electrical ablation of the posterior septum via the coronary sinus: Electrophysiologic and histologic observations in dogs. Circulation 72: 612, 1985.

    Article  PubMed  CAS  Google Scholar 

  10. Starzl TE, Gaertner RA: Chronic heart block in dogs. A method for producing experimental heart failure. Circulation 12: 259, 1955.

    PubMed  CAS  Google Scholar 

  11. Starzl TE, Gaertner RA, Baker RR: Acute complete heart block in dogs. Circulation 12: 82, 1955.

    PubMed  CAS  Google Scholar 

  12. Steiner C, Kovalik TW: A simple technique for production of chronic complete heart block in dogs. J Appl Physiol 25: 631, 1968.

    PubMed  CAS  Google Scholar 

  13. Smyth NPD, Magassy CL: Experimental heart block in the dog: An improved method. J Thorac Cardiovasc Surg 95: 201, 1970.

    Google Scholar 

  14. Sealy WC, Hackel DB, Seaber AV: A study of methods for surgical interruption of the His bundle. J Thorac Cardiovasc Surg 73: 424, 1977.

    PubMed  CAS  Google Scholar 

  15. Harrison L, Gallagher JJ, Kasell J, Anderson RH, Mikat E, Hackel DB, Wallace AG: Cryosurgical ablation of the AV node-His bundle: A new method for producing AV block. Circulation 55: 467, 1977.

    Google Scholar 

  16. Fisher VJ, Lee RJ, Christianson LC, Kavaler F: Production of chronic atrioventricular block in dogs without thoracotomy. J Appl Physiol 21: 1119, 1966.

    PubMed  CAS  Google Scholar 

  17. Turina M, Babotai I, Wegmann W: Production of chronic atrioventricular block in dogs without thoracotomy. Cardiovasc Res 4: 389, 1968.

    Article  Google Scholar 

  18. Beazell J, Tan K, Criley J, Schulman J: The electrosurgical production of heart block without thoracotomy. Clin Res 24: 137A, (abstract), 1976.

    Google Scholar 

  19. Beazell JW, Adomian GE, Furmanski M, Tan KS: Experimental production of complete heart block by electrocoagulation in the closed chest dog. Am Heart J 104: 1328, 1982.

    Article  PubMed  CAS  Google Scholar 

  20. Scheinman M, Evans-Bell T: Catheter ablation of the atrioventricular junction: A report of the percutaneous mapping and ablation registry. Circulation 70: 1024, 1984.

    Article  PubMed  CAS  Google Scholar 

  21. Scheinman M, Bharati S, Wang Y, Shapiro W, Lev M: Electrophysiologic and anatomic changes in the atrioventricular junction of dogs after direct-current shocks through tissue fixation catheters. Am J Cardiol 55: 194, 1985.

    Article  PubMed  CAS  Google Scholar 

  22. McComb JM, McGovern B, Garan H, Ruskin JN: Modification of atrioventricular conduction using low energy transcatheter shocks. JACC 5: 455, (abstract) 1985.

    Google Scholar 

  23. Narula OS, Bharati S, Chan M, Embi A, Lev M: Microtransection of the His bundle with laser radiation through a pervenous catheter: Correlation of histologic and electrophysiologic data. Am J Cardiol 54: 186, 1984.

    Article  PubMed  CAS  Google Scholar 

  24. Huang SK, Bharati S, Lev M, Marcus F: Pathological and electrophysiological observations of chronic atrioventricular block induced by closed-chest catheter ablation with radiofrequency energy. JACC 7: 131, (abstract) 1986.

    Google Scholar 

  25. Bardy G, Coltorti F, Ivey T, Alferuess C, Rackson M, Hansen K, Stewart R, Greene HL: Some factors affecting bubble formation with catheter-mediated defibrillator pulses. Circulation 73: 525, 1986.

    Article  PubMed  CAS  Google Scholar 

  26. Fisher JD, Brodman R, Kim SG, Matos JA, Brodman E, Wallerson D, Waspel E: Attempted nonsurgical electrical ablation of accessory pathways via the coronary sinus in the Wolff-Parkinson-White syndrome. JACC 4: 685, 1984.

    PubMed  CAS  Google Scholar 

  27. Morady F, Scheinman M, Winston S, DiCarlo L, Davis J, Griffin J, Ruder M, Abbott J, Eldar M: Efficacy and safety of transcatheter ablation of posteroseptal accessory pathways. Circulation 72: 170, 1985.

    Article  PubMed  CAS  Google Scholar 

  28. Weber H, Schmitz L: Catheter technique for closed-chest ablation of an accessory pathway. N Engl J Med 308: 653, 1983.

    PubMed  CAS  Google Scholar 

  29. Jackman WM, Friday K, Scherlog BJ, Dehning MM, Schechter E, Reynolds DW. Olson EG, Berbari EJ, Harrison LA, Lazzara R: Direct endocardial recording from an accessory pathway: Localization of the site of block, effect of antiarrhythmic drugs, and attempt at nonsurgical ablation. Circulation 68: 906, 1986.

    Article  Google Scholar 

  30. Kuuze K, Kuck K: Transvenous ablation of accessory pathways in patients with incessant atrioventricular tachycardia. Circulation 70: 412, (abstract) 1984.

    Article  Google Scholar 

  31. Hartzler GO, Giorgi LV, Diehl AM: Right coronary spasm complicating electrode catheter ablation of a right lateral accessory pathway. JACC 6: 250, 1985.

    PubMed  CAS  Google Scholar 

  32. Davies MJ, Anderson RH, Becker AE: The Conduction System of the Heart. London: Butter-worths, p. 189–190, 1983.

    Google Scholar 

  33. Davis JC, Finkebeiner W, Ruder MA, DiCarlo L, Matsubara T, Chu W. Winston SA, Bharati S, Scheinman MM, Lev M: Histologic changes and arrhythmogenicity after discharge through transseptal catheter electrode. Circulation 74: 637, 1986.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Martinus Nijhoff Publishing, Boston

About this chapter

Cite this chapter

Ruder, M.A., Scheinman, M.M. (1988). Effects of High-Energy Electrical Shocks Delivered to Atrial or Atrioventricular Junctional Tissue. In: Scheinman, M.M. (eds) Catheter Ablation of Cardiac Arrhythmias. Developments in Cardiovascular Medicine, vol 78. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1765-4_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-1765-4_3

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8990-6

  • Online ISBN: 978-1-4613-1765-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics