Cryoablative techniques in the treatment of XXXX .

@entity1 @entity8630 @entity296 @entity1165 @entity5509 @entity5 @entity591 @entity955 @entity299 @entity4710
Of 175 @entity1 treated surgically for potentially lethal or refractory @entity299 , 53 underwent mapping and definitive operation using cryoablative techniques as the primary or adjunctive method. Included were 16 @entity1 with @entity4710 caused by accessory pathways ( @entity5509 ) in the right anterior or posterior paraseptal location. Cryoablation was successful in abolishing @entity591 in 93.7% (15 of 16). Six @entity1 (100%) with permanent junctional reciprocating @entity591 were cured by cryoablation. Eighteen of 19 @entity1 with @entity8630 were treated by cryoablation alone or in combination with excision of the @entity955 , with success in 15 (83.3%). Five of these were left atrial foci cured by cryoablation. Fourteen right atrial foci were treated by excision of the appendage only (1 @entity1 ), excision of the appendage and local cryoablation (8 @entity1 ), and cryoablation alone (5 @entity1 ). Three of these underwent partial (2 @entity1 ) or complete (1 @entity1 ) atrial disconnection after excisional and cryoablative techniques failed to control the @entity591 . Multiple ectopic atrial foci were common (9 @entity1 ), and successful cryoablation was accomplished in 100% of the @entity1 with a single @entity8630 (10 @entity1 ) but in only 66% of those with multiple foci. Thirteen of 19 @entity1 with critical @entity1165 were treated by cryoablation at the site of the ectopic focus, either alone or in combination with excision of the area. Elimination of @entity591 was accomplished in 13 @entity1 (100%). @entity296 ( @entity5 ) was the histological diagnosis in 11 of the @entity1 with @entity1165 .(ABSTRACT TRUNCATED AT 250 WORDS)
