Publication: Feasibility, efficacy, and safety of radiofrequency catheter ablation for cardiac arrhythmias: A twelve-year experience in Thailand
Issued Date
2010-03-01
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ISSN
01252208
01252208
01252208
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2-s2.0-77951881211
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.93, No.3 (2010), 272-277
Suggested Citation
Sirin Apiyasawat, Narawudt Prasertwitayakij, Tachapong Ngarmukos, Pakorn Chandanamattha, Khanchit Likittanasombat Feasibility, efficacy, and safety of radiofrequency catheter ablation for cardiac arrhythmias: A twelve-year experience in Thailand. Journal of the Medical Association of Thailand. Vol.93, No.3 (2010), 272-277. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/29737
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Title
Feasibility, efficacy, and safety of radiofrequency catheter ablation for cardiac arrhythmias: A twelve-year experience in Thailand
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Abstract
Background: Radiofrequency catheter ablation (RFCA) is widely accepted as a curative treatment for many types of cardiac arrhythmias. Material and Method: The authors retrospectively reviewed 1,193 cases (mean age 45, 41% male) performed in the electrophysiology laboratory at Ramathibodi Hospital from 1996 to 2007. Success rate, recurrence rate and complications were analyzed. Results: Ablations of atrioventricular nodal reentrant tachycardia (AVNRT, 428 cases, 35.9%) and atrioventricular reentrant tachycardia (AVRT, 346 cases, 29%) were the most common procedures. The overall success rate and recurrence rate of RFCA were 88.8% and 6.1% respectively. Complications occurred in 50 patients (4.2%) with 1 death (0.08%). RFCA of AVNRT or AVRT rather than other arrhythmias (Odd ratio 11.46, 95% confidence interval 8.14-16.15, p < 0.001) and adult rather than pediatric patients (Odd ratio for age 1.007, 95% confidence interval 1.003-1.011, p < 0.001) were independent predictors for successful RFCA. Conclusion: RFCA of cardiac arrhythmia in our institution is safe and effective.