Usefulness of intravenous propofol anesthesia for radiofrequency catheter ablation in patients with tachyarrhythmias

Infeasibility for pediatric patients with ectopic atrial tachycardia

Ling Ping Lai, Jiunn Lee Lin, Mei Hwan Wu, Ming Jiuh Wang, Chi Hsiang Huang, Huei Ming Yeh, Yung Zu Tseng, Wen Pin Lien, Shoei K.Stephen Huang

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

General anesthesia is sometimes required during radiofrequency catheter ablation (BFCA) of various tachyarrhythmias because of an anticipated prolonged procedure and the need to ensure stability during critical ablation. In this study, we examine the feasibility of using propofol anesthesia for BFCA procedure. There were 150 patients (78 male, 72 female; mean age 30 years, range 4-96 years) in the study. Electrophysiologic study was performed before and during propofol infusion in the initial 20 patients and was performed only during propofol infusion in the remaining 130 patients. In the initial 20 patients, propofol infusion increased the sinus rate and facilitated A V nodal conduction. The accessory pathway effective refractory period, as well as the sinus node recovery time, atrial effective refractory period, and ventricular effective refractory period were not significantly changed. There were 152 tachyarrhythmias in 150 patients (24 atrial flutter, 31 A V nodal reentrant tachycardia, 68 A V reciprocating tachycardia, 12 ventricular tachycardia, and 17 atrial tachycardia). Most (148/152) tachycardias remained inducible after anesthesia and RFCA was performed uneventfully. However, in four of the seven pediatric patients with ectopic atrial tachycardia, the tachycardia terminated after propofol infusion and could not be induced by isoproterenol infusion. Consequently, RFCA could not be performed. Intravenous propofol anesthesia is feasible during RFCA for most tachyarrhythmias except for ectopic atrial tachycardia in children.

Original languageEnglish
Pages (from-to)1358-1364
Number of pages7
JournalPACE - Pacing and Clinical Electrophysiology
Volume22
Issue number9
DOIs
Publication statusPublished - Oct 26 1999
Externally publishedYes

Fingerprint

Ectopic Atrial Tachycardia
Intravenous Anesthesia
Catheter Ablation
Propofol
Tachycardia
Pediatrics
Anesthesia
Reciprocating Tachycardia
Atrial Flutter
Sinoatrial Node
Ventricular Tachycardia
Isoproterenol
General Anesthesia

Keywords

  • Propofol
  • Radiofrequency catheter ablation
  • Tachyarrhythmias

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Usefulness of intravenous propofol anesthesia for radiofrequency catheter ablation in patients with tachyarrhythmias : Infeasibility for pediatric patients with ectopic atrial tachycardia. / Lai, Ling Ping; Lin, Jiunn Lee; Wu, Mei Hwan; Wang, Ming Jiuh; Huang, Chi Hsiang; Yeh, Huei Ming; Tseng, Yung Zu; Lien, Wen Pin; Huang, Shoei K.Stephen.

In: PACE - Pacing and Clinical Electrophysiology, Vol. 22, No. 9, 26.10.1999, p. 1358-1364.

Research output: Contribution to journalArticle

Lai, Ling Ping ; Lin, Jiunn Lee ; Wu, Mei Hwan ; Wang, Ming Jiuh ; Huang, Chi Hsiang ; Yeh, Huei Ming ; Tseng, Yung Zu ; Lien, Wen Pin ; Huang, Shoei K.Stephen. / Usefulness of intravenous propofol anesthesia for radiofrequency catheter ablation in patients with tachyarrhythmias : Infeasibility for pediatric patients with ectopic atrial tachycardia. In: PACE - Pacing and Clinical Electrophysiology. 1999 ; Vol. 22, No. 9. pp. 1358-1364.
@article{f4871795f52544abac5c2a085a419557,
title = "Usefulness of intravenous propofol anesthesia for radiofrequency catheter ablation in patients with tachyarrhythmias: Infeasibility for pediatric patients with ectopic atrial tachycardia",
abstract = "General anesthesia is sometimes required during radiofrequency catheter ablation (BFCA) of various tachyarrhythmias because of an anticipated prolonged procedure and the need to ensure stability during critical ablation. In this study, we examine the feasibility of using propofol anesthesia for BFCA procedure. There were 150 patients (78 male, 72 female; mean age 30 years, range 4-96 years) in the study. Electrophysiologic study was performed before and during propofol infusion in the initial 20 patients and was performed only during propofol infusion in the remaining 130 patients. In the initial 20 patients, propofol infusion increased the sinus rate and facilitated A V nodal conduction. The accessory pathway effective refractory period, as well as the sinus node recovery time, atrial effective refractory period, and ventricular effective refractory period were not significantly changed. There were 152 tachyarrhythmias in 150 patients (24 atrial flutter, 31 A V nodal reentrant tachycardia, 68 A V reciprocating tachycardia, 12 ventricular tachycardia, and 17 atrial tachycardia). Most (148/152) tachycardias remained inducible after anesthesia and RFCA was performed uneventfully. However, in four of the seven pediatric patients with ectopic atrial tachycardia, the tachycardia terminated after propofol infusion and could not be induced by isoproterenol infusion. Consequently, RFCA could not be performed. Intravenous propofol anesthesia is feasible during RFCA for most tachyarrhythmias except for ectopic atrial tachycardia in children.",
keywords = "Propofol, Radiofrequency catheter ablation, Tachyarrhythmias",
author = "Lai, {Ling Ping} and Lin, {Jiunn Lee} and Wu, {Mei Hwan} and Wang, {Ming Jiuh} and Huang, {Chi Hsiang} and Yeh, {Huei Ming} and Tseng, {Yung Zu} and Lien, {Wen Pin} and Huang, {Shoei K.Stephen}",
year = "1999",
month = "10",
day = "26",
doi = "10.1111/j.1540-8159.1999.tb00629.x",
language = "English",
volume = "22",
pages = "1358--1364",
journal = "PACE - Pacing and Clinical Electrophysiology",
issn = "0147-8389",
publisher = "Wiley-Blackwell",
number = "9",

}

TY - JOUR

T1 - Usefulness of intravenous propofol anesthesia for radiofrequency catheter ablation in patients with tachyarrhythmias

T2 - Infeasibility for pediatric patients with ectopic atrial tachycardia

AU - Lai, Ling Ping

AU - Lin, Jiunn Lee

AU - Wu, Mei Hwan

AU - Wang, Ming Jiuh

AU - Huang, Chi Hsiang

AU - Yeh, Huei Ming

AU - Tseng, Yung Zu

AU - Lien, Wen Pin

AU - Huang, Shoei K.Stephen

PY - 1999/10/26

Y1 - 1999/10/26

N2 - General anesthesia is sometimes required during radiofrequency catheter ablation (BFCA) of various tachyarrhythmias because of an anticipated prolonged procedure and the need to ensure stability during critical ablation. In this study, we examine the feasibility of using propofol anesthesia for BFCA procedure. There were 150 patients (78 male, 72 female; mean age 30 years, range 4-96 years) in the study. Electrophysiologic study was performed before and during propofol infusion in the initial 20 patients and was performed only during propofol infusion in the remaining 130 patients. In the initial 20 patients, propofol infusion increased the sinus rate and facilitated A V nodal conduction. The accessory pathway effective refractory period, as well as the sinus node recovery time, atrial effective refractory period, and ventricular effective refractory period were not significantly changed. There were 152 tachyarrhythmias in 150 patients (24 atrial flutter, 31 A V nodal reentrant tachycardia, 68 A V reciprocating tachycardia, 12 ventricular tachycardia, and 17 atrial tachycardia). Most (148/152) tachycardias remained inducible after anesthesia and RFCA was performed uneventfully. However, in four of the seven pediatric patients with ectopic atrial tachycardia, the tachycardia terminated after propofol infusion and could not be induced by isoproterenol infusion. Consequently, RFCA could not be performed. Intravenous propofol anesthesia is feasible during RFCA for most tachyarrhythmias except for ectopic atrial tachycardia in children.

AB - General anesthesia is sometimes required during radiofrequency catheter ablation (BFCA) of various tachyarrhythmias because of an anticipated prolonged procedure and the need to ensure stability during critical ablation. In this study, we examine the feasibility of using propofol anesthesia for BFCA procedure. There were 150 patients (78 male, 72 female; mean age 30 years, range 4-96 years) in the study. Electrophysiologic study was performed before and during propofol infusion in the initial 20 patients and was performed only during propofol infusion in the remaining 130 patients. In the initial 20 patients, propofol infusion increased the sinus rate and facilitated A V nodal conduction. The accessory pathway effective refractory period, as well as the sinus node recovery time, atrial effective refractory period, and ventricular effective refractory period were not significantly changed. There were 152 tachyarrhythmias in 150 patients (24 atrial flutter, 31 A V nodal reentrant tachycardia, 68 A V reciprocating tachycardia, 12 ventricular tachycardia, and 17 atrial tachycardia). Most (148/152) tachycardias remained inducible after anesthesia and RFCA was performed uneventfully. However, in four of the seven pediatric patients with ectopic atrial tachycardia, the tachycardia terminated after propofol infusion and could not be induced by isoproterenol infusion. Consequently, RFCA could not be performed. Intravenous propofol anesthesia is feasible during RFCA for most tachyarrhythmias except for ectopic atrial tachycardia in children.

KW - Propofol

KW - Radiofrequency catheter ablation

KW - Tachyarrhythmias

UR - http://www.scopus.com/inward/record.url?scp=0032862381&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032862381&partnerID=8YFLogxK

U2 - 10.1111/j.1540-8159.1999.tb00629.x

DO - 10.1111/j.1540-8159.1999.tb00629.x

M3 - Article

VL - 22

SP - 1358

EP - 1364

JO - PACE - Pacing and Clinical Electrophysiology

JF - PACE - Pacing and Clinical Electrophysiology

SN - 0147-8389

IS - 9

ER -