Utility of unipolar recordings for complex Wolff-Parkinson-White ablation
Recommended Citation
Sundaram PS, Sra J. Utility of unipolar recordings for complex Wolff-Parkinson-White ablation. Indian Pacing Electrophysiol J. 2015 Jul 29;15(2):125-9. doi: 10.1016/j.ipej.2015.07.010.
Abstract
Radiofrequency ablation has been shown to be a safe and effective treatment strategy for the management of symptomatic patients with Wolff-Parkinson-White syndrome. It is supported by a success rate of 95% and a recurrence rate of less than 5%. However, ablation of accessory pathways can be challenging at times. The causes for failure can be grouped into three categories - unusual location of the pathway, technical difficulties in delivering the ablation and localization error [1]. In this case report we are reporting a case of a young male who presented to us with symptomatic Wolff-Parkinson-White syndrome with two failed prior ablations at another institution. This case illustrates the importance of knowing accurate localization and course of the accessory pathway by utilizing the unipolar and bipolar electrograms simultaneously during radiofrequency ablation.
Document Type
Article
PubMed ID
26937099
Affiliations
Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers