Turk Kardiyol Dern Ars. 2021; 49(6): 456-462 | DOI: 10.5543/tkda.2021.90388
Characteristics of a large-scale cohort with accessory pathway(s): A cross-sectional retrospective study highlighting over a twenty-year experience
, Salim Yaşar1
, Serkan Asil1
, Erhan Bozkurt2
, Serdar Fırtına1
, Hatice Tolunay1
, Veysel Kutay Vurgun3
, Erkan Yıldırım1
, Yalçın Gökoğlan1
, Barış Buğan1
, Murat Çelik1
, Uygar Çağdaş Yüksel1
, Hasan Kutsi Kabul1
, Basri Amasyalı4
, Cem Barçın1
, Sedat Köse31
Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey2
Department of Internal Medicine, Afyonkarahisar Health Sciences University School of Medicine, Afyonkarahisar, Turkey3
Department of Cardiology, Liv Hospital, Ankara, Turkey4
Department of Cardiology, TOBB Economics and Technology University School of Medicine, Ankara, Turkey
OBJECTIVE Catheter ablation following electrophysiologic study (EPS) is the mainstay of diagnosis and treatment for patients with atrioventricular reentrant tachycardia (AVRT), demonstrating excellent long-term outcome and a low rate of complications. In this study, our aim was to assess our experience in patients with accessory pathway (AP) and to compare our data with the literature.
METHODS We included 1,437 patients who were diagnosed and treated for AP in our hospital between 1998 and 2020. The demographic data of all the patients, AP location, and periprocedural results were recorded.
RESULTS Of the 1,437 patients, 1,299 (90.4%) were men; and the mean age of the population was 26.67 years. The location of 1,418 APs were along the left free wall (647 [45.6%] patients), in the posteroseptal region (366 [25.3%] patients), in the anteroseptal region (290 [20.4%] patients), and along the right free wall (115 [8.1%] patients). The ratio of the second AP existence was 3.0% and AVNRT co-existence was 2.0%. A total of 55 (3.8%) patients had recurrent sessions for relapse. Our centers total success rate was 95.5%, and total complication rate was 0.26%.
CONCLUSION According to our retrospective analysis, EPS is a highly functional tool in the diagnosis and management of arrhythmias such as AVRT for high-risk patient groups like military personnel with the aim of risk stratification and medical management.
accessory pathway, preexcitation, supraventricular tachycardia
How to cite this article
Suat Görmel, Salim Yaşar, Serkan Asil, Erhan Bozkurt, Serdar Fırtına, Hatice Tolunay, Veysel Kutay Vurgun, Erkan Yıldırım, Yalçın Gökoğlan, Barış Buğan, Murat Çelik, Uygar Çağdaş Yüksel, Hasan Kutsi Kabul, Basri Amasyalı, Cem Barçın, Sedat Köse. Characteristics of a large-scale cohort with accessory pathway(s): A cross-sectional retrospective study highlighting over a twenty-year experience. Turk Kardiyol Dern Ars. 2021; 49(6): 456-462
Corresponding Author: Suat Görmel, Türkiye