TY  - CHAP
M1  - Book, Section
TI  - Catheter Ablation of Supraventricular Tachycardias
A1  - Daubert, James P.
A2  - Prystowsky, Eric N.
A2  - Klein, George J.
A2  - Daubert, James P.
PY  - 2020
T2  - Cardiac Arrhythmias: Interpretation, Diagnosis, and Treatment, 2e
AB  - The  verb  to  ablate  means  to  destroy  or  remove  functionality  of  a  structure.  Catheter  ablation  involves  delivering  energy  from  a  catheter  to  create  a  lesion  eliminating  a  pathway  or  structure  causative  of,  or  involved  in  the  manifestation  of,  an  arrhythmia.  Ablation  was  initially  done  to  treat  arrhythmias  using  surgical  incisions.  Seeking  less  invasive  percutaneous  treatment,  direct  current  catheter  ablation  was  developed,  but  it  was  difficult  to  titrate  and  direct.  Radiofrequency  ablation  was  first  reported  by  Dr.  Huang  and  colleagues1  and  offered  a  much  more  precise  and  targeted  energy  source.  Radiofrequency  energy  remains  the  most  common  energy  source,  but  cryoablation  has  been  used  for  several  arrhythmias  and  accounts  for  over  a  third  of  atrial  fibrillation  ablations.  Laser  ablation,  using  a  balloon,  is  also  approved  for  atrial  fibrillation.  Additional  sources  under  investigation  include  low-intensity  ultrasound,  electroporation  (pulsed  field  ablation),2  and  stereotactic,  external  X-beam  ablation.  Establishing  the  correct  diagnosis  (see  Chapters  6,  7,  8,  9),  and  identifying  the  pathophysiologic  and  anatomic  structure  are  critical  to  ablation  success.  Ablation  targets  vary  in  scope  from  focal  sources  such  as  atrial  tachycardia,  accessory  pathways,  or  atrioventricular  (AV)  nodal  pathways  to  linear  (or  otherwise  extensive)  ablation  as  in  atrial  flutter,  other  macroreentrant  tachycardias,  atrial  fibrillation,  or  structural  heart  ventricular  tachycardia  (VT)  (Table  17-1).  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/20
UR  - accesscardiology.mhmedical.com/content.aspx?aid=1176523154
ER  -