Abstract
Due to their complex electrophysiology and anatomy, Mahaim fibres are challenging for precise diagnostics, mapping, and catheter ablation. In this chapter, mapping and ablation techniques are discussed. Furthermore, detailed electrophysiologic study, mapping, and ablation are presented in atriofascicular pathways and anterograde and concealed nodoventricular and nodofascicular fibres.
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References
Klein LS, Hackett FK, Zipes DP, Miles WM. Radiofrequency catheter ablation of Mahaim fibers at the tricuspid annulus. Circulation. 1993;87:738–47.
Okishige K, Strickberger SA, Walsh EP, Saul JP, Friedman PL. Catheter ablation of the atrial origin of a decrementally conduction atriofascicular accessory pathway by radiofrequency current. J Cardiovasc Electrophysiol. 1991;2:465–75.
McClelland JH, Wang X, Beckman KJ, Hazlitt HA, Prior MI, Nakagawa H, Lazzara R, Jackman WM. Radiofrequency catheter ablation of right atriofascicular (Mahaim) accessory pathways guided by accessory pathway activation potentials. Circulation. 1994;89:2655–66.
Cappato R, Schlüter M, Weiß E, Siebels J, Hebe J, Duckeck W, Mletzko RU, Kuck KH. Catheter-induced mechanical conduction block of right-sided accessory fibers with Mahaim-type preexcitation to guide radiofrequency ablation. Circulation. 1994;90:282–90.
Haissaguerre M, Warin JF, Le Metayer P, Maraud L, De Roy L, Montserrat P, Massiere JP. Catheter ablation of Mahaim fibers with preservation of atrioventricular nodal conduction. Circulation. 1990;82:418–27.
Haissaguere M, Cauchemez B, Marcus F, Le Metayer P, Lauribe P, Poquet F, Gencel L. Clementy J (1995) Characteristics of the ventricular insertion sites of accessory pathways with anterograde decremental conduction properties. Circulation. 1995;91:1077–85.
Haissaguerre M, Gaita F, Marcus FI, Clementy J. Radiofrequency catheter ablation of accessory pathways: a contemporary review. J Cardiovasc Electrophysiol. 1994;5:532–52.
Heald SC, Davies FW, Ward DE, Garratt CJ, Rowland E. Radiofrequency catheter ablation of Mahaim tachycardia by targeting Mahaim potentials at the tricuspid annulus. Br Heart J. 1994;73:250–7.
Hluchy J, Wieczorek M, Tekiyeh M, Jurkovicova O, Sabin GV. Radiofrequency catheter ablation of a right atriofascicular (Mahaim) and two atrioventricular (Kent) accessory pathways in a single session. Clin Cardiol. 1996;19:751–4.
Hluchy J. Mahaim fibers: electrophysiologic characteristics and radiofrequency ablation. Z Kardiol. 2000;89(Suppl 3):136–43.
Haissaguerre M, Gaitä F, Fischer B, et al. Elimination of atrioventricular nodal reentrant tachycardia using discrete slow potentials to guide application of radiofrequency energy. Circulation. 1992;85:2162–75.
Okishige K, Goseki Y, Itoh A, Tsuboi N, Sasano T, Azegami K, Ohira H, Yamashita K, Satake S, Hiejima K. New electrophysiologic features and catheter ablation of atrioventricular and atriofascicular accessory pathways: evidence of decremental conduction and the anatomic structure of the Mahaim pathway. J Cardiovasc Electrophysiol. 1998;9:22–33.
Hluchy J, Schickel S, Jörger U, Jurkovicova O, Sabin GV. Electrophysiologic characteristics and radiofrequency ablation of a concealed nodofascicular and left anterograde atriofascicular pathways. J Cardiovasc Electrophysiol. 2000;11:211–7.
Grogin HR, Lee RJ, Kwasman M, Epstein LM, Schamp DJ, Lesh MD, Scheinman MM. Radiofrequency catheter ablation of atriofascicular and nodoventricular Mahaim tracts. Circulation. 1994;90:272–81.
Okishige K, Friedman PL. New observations on decremental atriofascicular and nodoventricular fibers: implications for catheter ablation. Pacing Clin Electrophysiol. 1995;18:986–98.
Wen MS, Yeh SJ, Wang CC, Lin FC, Wu D. Successful radiofrequency ablation in reentrant tachycardia incorporating a nodoventricular tract. Amer Heart J. 1994;127:141–9.
Wu D, Yeh SJ, Yamamoto T, Lin FC, Cheng NJ. Participation of a concealed nodoventricular fiber in the genesis of paroxysmal tachycardias. Am Heart J. 1990;119:583–91.
Hamdan MH, Kalman JM, Lesh MD, et al. Narrow complex tachycardia with VA block: diagnostic and therapeutic implications. Pacing Clin Electrophysiol. 1998;21:1196–206.
Haissaguerre M, Campos J, Marcus FI, Papouin G, Clementy J. Involvement of a nodofascicular connection in supraventricular tachycardia with VA dissociation. J Cardiovasc Electrophysiol. 1994;5:854–62.
Quinn FR, Mitchell LB, Mardell AP, Dal Disler RN, Veenhuyzen GD. Entrainment mapping of a concealed nodoventricular accessory pathway in a man with complete heart block and tachycardia-induced cardiomyopathy. J Cardiovasc Electrophysiol. 2008;19:90–4.
Hluchy J, Schlegelmilch P, Schickel S, Jörger U, Jurkovicova O, Sabin GV. Radiofrequency ablation of a concealed nodoventricular Mahaim fiber guided by a discrete potential. J Cardiovasc Elektrophysiol. 1999;10:603–10.
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Hluchý, J. (2022). Electrophysiologic Study, Mapping and Ablation of Mahaim Fibres. In: Wolff-Parkinson-White and Other Preexcitation Syndromes. Springer, Cham. https://doi.org/10.1007/978-3-030-98749-7_9
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DOI: https://doi.org/10.1007/978-3-030-98749-7_9
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