Arrhythmias & electrophysiology

Catheter Ablation of Atypical Atrioventricular Nodal Reentrant Tachycardia

CirculationPublished Matched cohort study

Authors' conclusion

Conventional ablation at the anatomic area of the slow pathway is the therapy of choice for symptomatic AVNRT, regardless of whether the typical or atypical form is present.

Study context

Population
Patients with atrioventricular nodal reentrant tachycardia (AVNRT) undergoing slow pathway ablation113 atypical AVNRT
Participants
2,079 patients
Exposure
Slow pathway ablation in atypical vs typical AVNRT
  • Atypicaln = 113
Outcome
Efficacy and safety of conventional slow pathway ablation
Methodological detailsage- and sex-matched controls
  • Age- and sex-matched controls

Main finding

As reported in the abstract

Arrhythmia recurrence · 3 months after ablation

P = 0.167

Observational data: associations, not effects.

Further findings

Fluoroscopy time

P = 0.730

Radiofrequency current delivery time

P = 0.650

Ablation site (Atypical)

Right septum
110
Left septum
3
No need for additional lesions at other anatomic sites

Safety

No cases of AV block

Original publication

Catheter Ablation of Atypical Atrioventricular Nodal Reentrant Tachycardia. Circulation. Published 17 October 2016. doi:10.1161/circulationaha.116.024471

Summarised from the published abstract; every number is checked against it

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