Table 1.
Creation of atrioventricular junction block for life-threatening or disabling drug refractory supraventricular tachyarrhythmias
| First author references (year) | Cases/participants | Age, years | Follow-up, years (unless otherwise indicated) | Study type | Key findings/messages |
|---|---|---|---|---|---|
| Sealy et al. [9] | 42 patients with life-threatening or disabling atrial arrhythmias | 49 (only reported for patients without accessory pathways) | Not available | Single-center surgical series |
Ablation successful (AV block) in 36/42 patients (86%) 4/6 failures using cryothermy 2/6 failures using surgical incisions |
| Scheinman et al. [10] | 5 patients (4 male) with drug refractory supraventricular tachycardia | 56 ± 15 | 4–12 months | Single-center series |
Direct current shocks delivered via catheter Complete AV block achieved in all patients; 1 patient died suddenly 6 weeks post ablation |
| Trohman et al. [11] | 61 patients with drug refractory supraventricular tachycardia | 62 ± 12.7 | 9.7 ± 4.7 months | Single-center series | The AV junction was successfully ablated using radiofrequency (RF) energy in 60/61 patients (98%). Right-sided ablation was unsuccessful in 7 patients. 6/7 underwent left-sided ablation which created complete AV block |
All patients with complete atrioventricular (AV) block required permanent pacing