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Podianov M.A.

Chazov National Medical Research Centre of Cardiology

Sapelnikov O.V.

Chazov National Medical Research Centre of Cardiology

Cherkashin D.I.

Chazov National Medical Research Centre of Cardiology

Ardus D.F.

Chazov National Medical Research Centre of Cardiology

Kulikov A.A.

Chazov National Medical Research Centre of Cardiology

Vereshchagina A.V.

Chazov National Medical Research Centre of Cardiology

Grishin I.R.

Chazov National Medical Research Centre of Cardiology

Uskach T.M.

Chazov National Medical Research Centre of Cardiology

Omelyanenko A.S.

Kazan Federal University

Ramazanov G.K.

Chazov National Medical Research Centre of Cardiology

Demurchev M.F.

Chazov National Medical Research Centre of Cardiology

Shiryaev A.A.

Chazov National Medical Research Centre of Cardiology

Akchurin R.S.

Chazov National Medical Research Centre of Cardiology

Non-fluoroscopic ablation of supraventricular tachycardia — results of a new approach

Authors:

Podianov M.A., Sapelnikov O.V., Cherkashin D.I., Ardus D.F., Kulikov A.A., Vereshchagina A.V., Grishin I.R., Uskach T.M., Omelyanenko A.S., Ramazanov G.K., Demurchev M.F., Shiryaev A.A., Akchurin R.S.

More about the authors

Journal: Russian Cardiology Bulletin. 2024;19(4): 80‑86

DOI: 10.17116/Cardiobulletin20241904180

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Table of contents

NON-FLUOROSCOPIC ABLATION OF SUPRAVENTRICULAR TACHYCARDIA — RESULTS OF A NEW APPROACH
NON-FLUOROSCOPIC ABLATION OF SUPRAVENTRICULAR TACHYCARDIA — RESULTS OF A NEW APPROACH

To cite this article:

Podianov MA, Sapelnikov OV, Cherkashin DI, et al. . Non-fluoroscopic ablation of supraventricular tachycardia — results of a new approach. Russian Cardiology Bulletin. 2024;19(4):80‑86. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20241904180

ЭндоКард
Подписка 2026 Кардиологический вестник (Russian Cardiology Bulletin)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate the efficacy and safety of catheter ablation of supraventricular tachycardia (SVT) using exclusively intracardiac ultrasound compared to conventional fluoroscopic approach.

MATERIAL AND METHODS

There were 170 patients with SVT (85 patients in each group): 128 ones with atrioventricular nodal reentry tachycardia (AVNRT) and 42 ones with atrioventricular re-entry tachycardia (AVRT). In the non-fluoroscopic group, ablation was performed under intracardiac ultrasound guidance. The follow-up period was 12 months.

RESULTS

Intraoperative success rate was 100% in both groups. Freedom from recurrence was comparable among patients with AVNRT (90.6% vs. 93.75%, p=0.74) and AVRT (95.2% vs. 95.2%). Safety of procedures was also similar (AVNRT 4.7% vs. 0%, p=0.24; AVRT 0% vs. 0%). Fluoroscopy was used in none patient who underwent the procedure under intracardiac ultrasound guidance (p < 0.001). However, surgery time and overall RF-ablation time was significantly shorter in the non-fluoroscopic group among patients with AVNRT.

CONCLUSION

Catheter ablation of SVT under intracardiac ultrasound control is possible without fluoroscopy and electrophysiological navigation. This procedure is effective and safe.

Keywords:

supraventricular tachycardia
catheter ablation
non-fluoroscopic approach
intracardiac ultrasound

Authors:

Podianov M.A.

Chazov National Medical Research Centre of Cardiology

Sapelnikov O.V.

Chazov National Medical Research Centre of Cardiology

Cherkashin D.I.

Chazov National Medical Research Centre of Cardiology

Ardus D.F.

Chazov National Medical Research Centre of Cardiology

Kulikov A.A.

Chazov National Medical Research Centre of Cardiology

Vereshchagina A.V.

Chazov National Medical Research Centre of Cardiology

Grishin I.R.

Chazov National Medical Research Centre of Cardiology

Uskach T.M.

Chazov National Medical Research Centre of Cardiology

Omelyanenko A.S.

Kazan Federal University

Ramazanov G.K.

Chazov National Medical Research Centre of Cardiology

Demurchev M.F.

Chazov National Medical Research Centre of Cardiology

Shiryaev A.A.

Chazov National Medical Research Centre of Cardiology

Akchurin R.S.

Chazov National Medical Research Centre of Cardiology

Received:

11.08.2024

Accepted:

04.10.2024

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References:

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  6. Enriquez A, Saenz LC, Rosso R, et al. Use of Intracardiac Echocardiography in Interventional Cardiology: Working With the Anatomy Rather Than Fighting It. Circulation. 2018; 137(21):2278-2294. https://doi.org/10.1161/CIRCULATIONAHA.117.031343
  7. Luani B, Zrenner B, Basho M, et al. Zero-fluoroscopy cryothermal ablation of atrioventricular nodal re-entry tachycardia guided by endovascular and endocardial catheter visualization using intracardiac echocardiography (Ice&ICE Trial). J Cardiovasc Electrophysiol. 2018; 29(1):160-166.  https://doi.org/10.1111/jce.13354
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  9. Luani B, Basho M, Ismail A, et al. Catheter navigation by intracardiac echocardiography enables zero-fluoroscopy linear lesion formation and bidirectional cavotricuspid isthmus block in patients with typical atrial flutter. Cardiovasc Ultrasound. 2023; 21(1):13.  https://doi.org/10.1186/s12947-023-00312-w
  10. Debreceni D, Janosi KF, Turcsan M, et al. Feasibility and safety of cavotricuspid isthmus ablation using exclusive intracardiac echocardiography guidance: a proof-of-concept, observational trial. Front Cardiovasc Med. 2023; 10:1244137. https://doi.org/10.3389/fcvm.2023.1244137
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  12. Lehar F, Szegedi N, Hejc J, et al. Randomized comparison of atrioventricular node re-entry tachycardia and atrial flutter catheter ablation with and without fluoroscopic guidance: ZeroFluoro study [published correction appears in Europace]. 2023 Oct 5; 25(10):euad311. https://doi.org/10.1093/europace/euac049
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