Characteristics of patients with Wolf Parkinson's White syndrome (WPW) ablation: Single center case series

Yıl 2019, Cilt: 10 Sayı: 1, 85 - 91, 21.03.2019

Selcuk Kanat , Ahmet Tütüncü

https://doi.org/10.18663/tjcl.520712

Öz

Aim:  Atrioventricular
reentrant tachycardia (AVRT) formed by the presence of accessory pathway
accounts for about one quarter of paroxysmal supraventricular tachycardias. In
our retrospective study, demographic characteristics, etiological factors and
complication rates of patients undergoing AVRT ablation were reported in a
high-volume center where catheter ablation was performed.

Material and Methods: In
our cardiology clinic, between January 2014 and January 2018, 1107 patients who
underwent SVT ablation were screened and 232 WPW patients with catheter
ablation were included in the study. These patients were evaluated in terms of
their demographic characteristics, etiological factors, accessory path
localizations, operation success and complication development.

Results: The
mean age of the patients was 38 ± 16.1 and the female gender percentage was
37.1. The most common localization was found to be left  accessory origin (53.1%). While the
complication rate was 3.3% in all patients, the most common complication was
seen as a site of hematoma (2.1%).

Discussion:  Supraventricular tachycardia (SVT) is a group
of diseases that can affect all age groups and can impair the quality of life.
The second most common of this group is AVRT. Catheter ablation, is the known
curative treatment of it. The number of physicians performing ablation treatment
and the number of centers in which the procedure is performed increase. Our
experience with AVRT ablation was reported with this study.

Anahtar Kelimeler

atrioventricular, accessory pathway, complication

Wolf Parkinson White sendromu (WPW) ablasyonu yapılan hastaların özellikleri: Tek merkez vaka serisi

Öz

Amaç:
Aksesuar yol varlığı ile oluşan atriyoventriküler reentran taşikardiler (AVRT)
paroksismal supraventriküler taşikardilerin yaklaşık dörtte birini oluşturur.
Bizim retrospektif çalışmamızın amacı katater ablasyon işlemi yapılan yüksek
volümlü bir merkezde, AVRT ablasyon yapılan
hastaların demografik özellikleri, etiyolojik faktörler ve komplikasyon
oranları hakkında bilgi vermektir.

Gereç ve Yöntemler:
Hastanemizin kardiyoloji kliniğinde Ocak 2014 ve Ocak 2018 yılları arasında SVT ablasyonu uygulanan 1107 hasta tarandı ve katater
ablasyon yapılmış 232 WPW ’li hasta çalışmaya dahil edildi. Bu hastalar
demografik özellikleri, etiyolojik faktörleri, aksesuar yol lokalizasyonları,
işlem başarısı ve komplikasyon gelişimi açısından değerlendirilmiştir.

    

Bulgular:
Hastaların yaş ortalaması 38 ±16,1 olup ve kadın cinsiyet oranı %37.1 dir. En
sık görülen lokalizasyonun sol aksesuar kaynaklı yolak olduğu görüldü(%53,1).
Tüm lokalizasyonlar için akut dönemde işlem başarısı %93,1 saptandı. Tüm
hastalarda karşılaşılan komplikasyon oranı % 3,3 iken, en sık karşılaşılan
komplikasyon girişim yeri hematomu olarak karşımıza çıkmıştır(% 2,1).  

Tartışma: Tüm
yaş gruplarını etkileyebilen ve yaşam kalitesini oldukça kötüleştirebilen bir
hastalık grubu supraventriküler taşikardiler (SVT) dir. Bu grubun ikinci
sıklıkta görülen üyesi AVRT’nin bilinen küratif tedavisi radyofrekans katater
(RF) ablasyondur. Ablasyon tedavisi yapan hekim sayısı ve işlemin yapıldığı
merkez sayısı giderek artış göstermektedir. Özellikle gelişebilecek komplikasyonlar
açısından dikkat çekmek amaçlı AVRT ablasyon tecrübelerimiz bu çalışma ile sunulmuştur.

Anahtar Kelimeler

Atriyoventriküler, Aksesuar yol, komplikasyon

Kaynakça

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