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Previous Volume 340:534-544 February 18, 1999 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Radio-frequency catheter ablation has replaced antiarrhythmic-drug therapy for the treatment of many types of cardiac arrhythmia. This article reviews the biophysics and results of radio-frequency catheter ablation and the clinical indications for its use.

Catheter-ablation procedures are performed in an electrophysiology laboratory. Usually both the diagnosis and the catheter ablation can be accomplished in a single session.¹ Three or four electrode catheters are inserted percutaneously into a femoral, internal jugular, or subclavian vein and positioned within the heart to allow pacing and recording at key sites. The efficacy of catheter ablation depends on the accurate identification of the site of . . . [Full Text of this Article]

Biophysics of Radio-Frequency Ablation

Arrhythmias That Can Be Treated with Radio-Frequency Ablation

Paroxysmal Supraventricular Tachycardia

The Wolff–Parkinson–White Syndrome

Atrial Flutter

Atrial Fibrillation

Idiopathic Ventricular Tachycardia

Ventricular Tachycardia in Patients with Coronary Artery Disease

Miscellaneous Arrhythmias

Use in Children

Exposure to Radiation

Cost Considerations

Quality of Life

Conclusions

Source Information

From the Division of Cardiology, Department of Internal Medicine, University of Michigan Medical Center, 1500 E. Medical Center Dr., Box 0022, Ann Arbor, MI 48109-0022, where reprint requests should be addressed to Dr. Morady.

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• Saliba, W., Reddy, V. Y., Wazni, O., Cummings, J. E., Burkhardt, J. D., Haissaguerre, M., Kautzner, J., Peichl, P., Neuzil, P., Schibgilla, V., Noelker, G., Brachmann, J., Di Biase, L., Barrett, C., Jais, P., Natale, A. (2008). Atrial fibrillation ablation using a robotic catheter remote control system initial human experience and long-term follow-up results.. J Am Coll Cardiol 51: 2407-2411 [Abstract] [Full Text]  
• Saremi, F., Pourzand, L., Krishnan, S., Ashikyan, O., Gurudevan, S. V., Narula, J., Kaushal, K., Raney, A. (2008). Right Atrial Cavotricuspid Isthmus: Anatomic Characterization with Multi-Detector Row CT. Radiology 247: 658-668 [Abstract] [Full Text]  
• Estes, N.A. M. III (2007). Ablation after ICD Implantation -- Bridging the Gap between Promise and Practice. NEJM 357: 2717-2719 [Full Text]  
• Saremi, F., Krishnan, S. (2007). Cardiac Conduction System: Anatomic Landmarks Relevant to Interventional Electrophysiologic Techniques Demonstrated with 64-Detector CT. RadioGraphics 27: 1539-1565 [Abstract] [Full Text]  
• Hochholzer, W., Schlittenhardt, D., Arentz, T., Stockinger, J., Weber, R., Burkle, G., Kalusche, D., Trenk, D., Neumann, F.-J. (2007). Platelet activation and myocardial necrosis in patients undergoing radiofrequency and cryoablation of isthmus-dependent atrial flutter. Europace 9: 490-495 [Abstract] [Full Text]  
• Deneke, T., Khargi, K., Muller, K.-M., Lemke, B., Mugge, A., Laczkovics, A., Becker, A. E., Grewe, P. H. (2005). Histopathology of intraoperatively induced linear radiofrequency ablation lesions in patients with chronic atrial fibrillation. Eur Heart J 26: 1797-1803 [Abstract] [Full Text]  
• Portale, G., Filipi, C. J., Peters, J. H. (2004). A Current Assessment of Endoluminal Approaches to the Treatment of Gastroesophageal Reflux Disease. SURG INNOV 11: 225-234 [Abstract]  
• Wever, E. F. D., Robles de Medina, E. O. (2004). Sudden death in patients without structural heart disease. J Am Coll Cardiol 43: 1137-1144 [Abstract] [Full Text]  
• Fayad, G., Modine, T., Le Tourneau, T., Decoene, C., Azzaoui, R., Al-Ruzzeh, S., Lablanche, J. M., Warembourg, H. (2003). Circumflex artery stenosis induced by intraoperative radiofrequency ablation. Ann. Thorac. Surg. 76: 1291-1293 [Abstract] [Full Text]  
• Washburn, W. K., Dodd, G. D. III, Kohlmeier, R. E., McCoy, V. A., Napier, D. H., Hubbard, L. G., Halff, G. A., Esterl, R. M., Cigarroa, F. G., Sharkey, F. E. (2003). Radiofrequency Tissue Ablation: Effect of Hepatic Blood Flow Occlusion on Thermal Injuries Produced in Cirrhotic Livers. Ann. Surg. Oncol. 10: 773-777 [Abstract] [Full Text]  
• Tam, W C E, Schoeman, M N, Zhang, Q, Dent, J, Rigda, R, Utley, D, Holloway, R H (2003). Delivery of radiofrequency energy to the lower oesophageal sphincter and gastric cardia inhibits transient lower oesophageal sphincter relaxations and gastro-oesophageal reflux in patients with reflux disease. Gut 52: 479-485 [Abstract] [Full Text]  
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• Tsou, C.-H., Chiang, C.-E., Liou, J.-T., Hsin, S.-T., Luk, H.-N. (2003). Successful use of iv diltiazem to control perioperative refractory complex atrial tachyarrhythmias in a patient with pneumoconiosis: [L'utilisation reussie du diltiazem iv dans le controle de tachyarythmies perioperatoires, auriculaires, refractaires, complexes, chez un malade souffrant de pneumoconiose]. Canadian J. Anesthesia 50: 36-41 [Abstract] [Full Text]  
• Miller, J. M., Zipes, D. P. (2002). Catheter Ablation of Arrhythmias. Circulation 106 : e203-e205 [Full Text]  
• Schlapfer, J, Fromer, M (2001). Late clinical outcome after successful radiofrequency catheter ablation of accessory pathways. Eur Heart J 22: 605-609 [Abstract]  
• Bertram, H., Bokenkamp, R., Peuster, M., Hausdorf, G., Paul, T. (2001). Coronary Artery Stenosis After Radiofrequency Catheter Ablation of Accessory Atrioventricular Pathways in Children With Ebstein's Malformation. Circulation 103: 538-543 [Abstract] [Full Text]  
• Erdogan, A., Carlsson, J., Grumbrecht, S., Kostin, S., Schulte, B., Schlapp, M., Neuzner, J., Pitschner, H. F. (2001). Electrochemical potentials during radiofrequency energy delivery: a new method to control catheter ablation of arrhythmias. Europace 3: 201-207 [Abstract]  
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• HAMMILL, S. C., HUBMAYR, R. D. (2000). The Rapidly Changing Management of Cardiac Arrhythmias. Am. J. Respir. Crit. Care Med. 161: 1070-1073 [Full Text]  
• Podrid, P. J. (1999). Redefining the Role of Antiarrhythmic Drugs. NEJM 340: 1910-1912 [Full Text]  
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