Anatomy for ablation of atrioventricular nodal reentry tachycardia and accessory pathways.
Anatomie für die Ablation von AV-Knoten-Reentry-Tachykardien und akzessorischen Leitungsbahnen.
Atrioventricular tachycardia
Central fibrous body
Mahaim fiber
Pyramidal space
Triangle of Koch
Journal
Herzschrittmachertherapie & Elektrophysiologie
ISSN: 1435-1544
Titre abrégé: Herzschrittmacherther Elektrophysiol
Pays: Germany
ID NLM: 9425873
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
25
03
2022
accepted:
17
04
2022
pubmed:
25
5
2022
medline:
11
6
2022
entrez:
24
5
2022
Statut:
ppublish
Résumé
The atrioventricular (AV) valve plane and the central septum are of particular importance for electrophysiological diagnosis and interventional therapy of supraventricular tachycardias because accessory electrical connections of various types may be present in addition to the specific conduction system. Although modern 3D electroanatomic reconstruction systems including high-density mapping can be of great assistance, detailed knowledge of the anatomic structures involved, their complex three-dimensional arrangement, and their electrical properties in conjunction with electrophysiological features of supraventricular arrhythmias is essential for safe and efficient electrophysiological treatment. The aim of this article is to present current anatomical, topographical, and electrophysiological findings against the background of historical, seminal, and still indispensable literature. Die atrioventrikuläre (AV) Klappen-Ebene und das zentrale Septum sind für die elektrophysiologische Diagnostik und interventionelle Therapie supraventrikulärer Tachykardien von besonderer Bedeutung, da neben dem spezifischen Reizleitungssystem akzessorische elektrische Verbindungen unterschiedlichster Art vorliegen können. Auch wenn moderne 3D-elektroanatomische Rekonstruktionssysteme einschließlich dem High-Density-Mapping eine große Hilfestellung leisten können, so ist eine detaillierte Kenntnis der beteiligten anatomischen Strukturen, ihrer komplexen dreidimensionalen Anordnung und ihrer elektrischen Eigenschaften in Verbindung mit elektrophysiologischen Merkmalen supraventrikulärer Arrhythmien für eine sichere und effiziente elektrophysiologische Behandlung unerlässlich. Das Ziel dieses Artikels ist die Darstellung aktueller anatomischer, topographischer und elektrophysiologischer Erkenntnisse vor dem Hintergrund historischer, wegbereitender und bis heute unentbehrlicher Literatur.
Autres résumés
Type: Publisher
(ger)
Die atrioventrikuläre (AV) Klappen-Ebene und das zentrale Septum sind für die elektrophysiologische Diagnostik und interventionelle Therapie supraventrikulärer Tachykardien von besonderer Bedeutung, da neben dem spezifischen Reizleitungssystem akzessorische elektrische Verbindungen unterschiedlichster Art vorliegen können. Auch wenn moderne 3D-elektroanatomische Rekonstruktionssysteme einschließlich dem High-Density-Mapping eine große Hilfestellung leisten können, so ist eine detaillierte Kenntnis der beteiligten anatomischen Strukturen, ihrer komplexen dreidimensionalen Anordnung und ihrer elektrischen Eigenschaften in Verbindung mit elektrophysiologischen Merkmalen supraventrikulärer Arrhythmien für eine sichere und effiziente elektrophysiologische Behandlung unerlässlich. Das Ziel dieses Artikels ist die Darstellung aktueller anatomischer, topographischer und elektrophysiologischer Erkenntnisse vor dem Hintergrund historischer, wegbereitender und bis heute unentbehrlicher Literatur.
Identifiants
pubmed: 35608665
doi: 10.1007/s00399-022-00860-0
pii: 10.1007/s00399-022-00860-0
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
133-147Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
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