accessory pathways (ap) are abnormal myocardial connections between atria and ventricles with electrical conductive properties. we performed radio frequency (rf) catheter ablation in 66 patients with manifest ap at dr.shariati hospital during 5 years. bipolar mapping was used in 48 patients and unipolar mapping in 18 patients of find the best site for rf energy delivery. we calculated total dur...

Premature atrial stimulation was performed during His bundle recording in four patients with the type of ventricular pre-excitation in which theforward H deflection appeared after the onset of the delta wave. The AV conduction patterns occurring in these patients seemed to have depended on the physiological differences existing between normal pathway and accessory pathway (AP) at different mome...

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transcatheter ablation of atrioventricular accessory pathway is the therapy of choice in symptomatic patients. the ablation of posteroseptal accessory pathways thas some important points due to its anatomical location. catheter ablation of posteroseptal accessory pathways via left side approach is time consuming with low success rate and higher complications. we performed successful transcathet...

The atriofascicular accessory pathway (AP), known as the Mahaim pathway, is a rare form of pre-excitation, comprising less than 3% of all APs. Mahaim AP is characterized by decremental, anterograde-only conduction, and antidromic tachycardia with left bundle branch morphology. Prevalence of Mahaim AP in Ebstein's anomaly is significantly high. In addition, combination of Wolff-Parkinson-White (...

catheter ablation is an accepted, highly effective modality of treatment for cardiac arrhythmias in children. the success rate depends on the operator’s experience, especially in cases involving complex anatomies. we hereby report our recent experience of successful ablation of accessory pathways in three children with complex congenital heart diseases. the first case was a 7-year-old girl with...

A 41-year-old male was presented with drug-resistant supraventricular tachycardia. Electrophysiological study confirmed that the supraventricular tachycardia was caused by dual atrioventricular nodal pathways and a left lateral accessory pathway (AP). The left lateral AP was resistant to traditional endocardial ablation, but was successfully eliminated by radiofrequency ablation via the intraco...

The effect of atrial pacing and recording site and ventricular pacing site on assessment of conduction over the accessory pathway (AP) was examined in a group of patients with the Wolff-Parkinson-White syndrome. The importance of initial localization of the AP by recording the sequence of retrograde atrial activation during circus movement tachycardia is demonstrated. Inability to record or pac...

A 36 year-old man with Wolff Parkinson White syndrome due to a left-sided accessory pathway (AP) was referred for catheter ablation. Whether abolition of antegrade and retrograde AP conduction during ablation therapy occurs simultaneously, is unclear. At the ablation procedure, radiofrequency delivery resulted in loss of preexcitation followed by a short run of orthodromic tachycardia with ecce...

The effect of atrial pacing and recording site and ventricular pacing site on assessment of conduction over the accessory pathway (AP) was examined in a group of patients with the Wolff-Parkinson-White syndrome. The importance of initial localization of the AP by recording the sequence of retrograde atrial activation during circus movement tachycardia is demonstrated. Inability to record or pac...