{"id":"https://openalex.org/W2163223513","doi":"https://doi.org/10.1161/01.cir.91.3.707","title":"Radiofrequency Ablation of Intra-Atrial Reentrant Tachycardia After Surgical Palliation of Congenital Heart Disease","display_name":"Radiofrequency Ablation of Intra-Atrial Reentrant Tachycardia After Surgical Palliation of Congenital Heart Disease","publication_year":1995,"publication_date":"1995-02-01","ids":{"openalex":"https://openalex.org/W2163223513","doi":"https://doi.org/10.1161/01.cir.91.3.707","mag":"2163223513","pmid":"https://pubmed.ncbi.nlm.nih.gov/7828297"},"language":"en","primary_location":{"id":"doi:10.1161/01.cir.91.3.707","doi":"https://doi.org/10.1161/01.cir.91.3.707","is_oa":false,"landing_page_url":"https://doi.org/10.1161/01.cir.91.3.707","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5005895268","display_name":"John K. Triedman","orcid":"https://orcid.org/0000-0002-7456-9596","observed_orcids":["https://orcid.org/0000-0002-7456-9596"]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John K. Triedman","raw_affiliation_strings":["From the Department of Cardiology and the Boston Children\u2019s Heart Foundation, Children\u2019s Hospital, Boston, Mass","John K. Triedman From the Department of Cardiology and the Boston Children's Heart Foundation, Children's Hospital, Boston, Mass"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Cardiology and the Boston Children\u2019s Heart Foundation, Children\u2019s Hospital, Boston, Mass","institution_ids":["https://openalex.org/I1288882113"]},{"raw_affiliation_string":"John K. Triedman From the Department of Cardiology and the Boston Children's Heart Foundation, Children's Hospital, Boston, Mass","institution_ids":["https://openalex.org/I1288882113"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032737594","display_name":"Jerome Philip Saul","orcid":"https://orcid.org/0000-0001-7582-677X","observed_orcids":["https://orcid.org/0000-0001-7582-677X"]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J. Philip Saul","raw_affiliation_strings":["From the Department of Cardiology and the Boston Children\u2019s Heart Foundation, Children\u2019s Hospital, Boston, Mass","J. Philip Saul From the Department of Cardiology and the Boston Children's Heart Foundation, Children's Hospital, Boston, Mass"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Cardiology and the Boston Children\u2019s Heart Foundation, Children\u2019s Hospital, Boston, Mass","institution_ids":["https://openalex.org/I1288882113"]},{"raw_affiliation_string":"J. Philip Saul From the Department of Cardiology and the Boston Children's Heart Foundation, Children's Hospital, Boston, Mass","institution_ids":["https://openalex.org/I1288882113"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109971000","display_name":"Steven N. Weindling","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steven N. Weindling","raw_affiliation_strings":["From the Department of Cardiology and the Boston Children\u2019s Heart Foundation, Children\u2019s Hospital, Boston, Mass","Steven N. Weindling From the Department of Cardiology and the Boston Children's Heart Foundation, Children's Hospital, Boston, Mass"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Cardiology and the Boston Children\u2019s Heart Foundation, Children\u2019s Hospital, Boston, Mass","institution_ids":["https://openalex.org/I1288882113"]},{"raw_affiliation_string":"Steven N. Weindling From the Department of Cardiology and the Boston Children's Heart Foundation, Children's Hospital, Boston, Mass","institution_ids":["https://openalex.org/I1288882113"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5039212336","display_name":"Edward Patrick Walsh","orcid":"https://orcid.org/0000-0001-6203-4415","observed_orcids":["https://orcid.org/0000-0001-6203-4415"]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Edward P. Walsh","raw_affiliation_strings":["From the Department of Cardiology and the Boston Children\u2019s Heart Foundation, Children\u2019s Hospital, Boston, Mass","Edward P. Walsh From the Department of Cardiology and the Boston Children's Heart Foundation, Children's Hospital, Boston, Mass"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Cardiology and the Boston Children\u2019s Heart Foundation, Children\u2019s Hospital, Boston, Mass","institution_ids":["https://openalex.org/I1288882113"]},{"raw_affiliation_string":"Edward P. Walsh From the Department of Cardiology and the Boston Children's Heart Foundation, Children's Hospital, Boston, Mass","institution_ids":["https://openalex.org/I1288882113"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1288882113"],"apc_list":null,"apc_paid":null,"fwci":13.0745,"has_fulltext":false,"cited_by_count":217,"citation_normalized_percentile":{"value":0.99069054,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"91","issue":"3","first_page":"707","last_page":"714"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.9775000214576721,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.9775000214576721,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10300","display_name":"Congenital Heart Disease Studies","score":0.0215000007301569,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/intra-atrial-reentrant-tachycardia","display_name":"intra-atrial reentrant tachycardia","score":0.9980000257492065},{"id":"https://openalex.org/keywords/atrial-flutter","display_name":"atrial flutter","score":0.9929999709129333},{"id":"https://openalex.org/keywords/radiofrequency-catheter-ablation","display_name":"radiofrequency catheter ablation","score":0.9079999923706055},{"id":"https://openalex.org/keywords/congenital-heart-disease","display_name":"congenital heart disease","score":0.9190000295639038},{"id":"https://openalex.org/keywords/postoperative-arrhythmia","display_name":"postoperative arrhythmia","score":0.8460000157356262},{"id":"https://openalex.org/keywords/fontan-procedure","display_name":"Fontan procedure","score":0.5950000286102295},{"id":"https://openalex.org/keywords/cycle-length","display_name":"cycle length","score":0.5490000247955322},{"id":"https://openalex.org/keywords/activation-sequence","display_name":"activation sequence","score":0.5529999732971191},{"id":"https://openalex.org/keywords/slow-conduction-zone","display_name":"slow conduction zone","score":0.8040000200271606},{"id":"https://openalex.org/keywords/right-atrium","display_name":"right atrium","score":0.6240000128746033}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9798558354377747},{"id":"https://openalex.org/C2777377203","wikidata":"https://www.wikidata.org/wiki/Q1809554","display_name":"Radiofrequency ablation","level":3,"score":0.7214521765708923},{"id":"https://openalex.org/C2780074459","wikidata":"https://www.wikidata.org/wiki/Q389735","display_name":"Heart disease","level":2,"score":0.6816771030426025},{"id":"https://openalex.org/C2778902805","wikidata":"https://www.wikidata.org/wiki/Q322177","display_name":"Ablation","level":2,"score":0.6162220239639282},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.5749616622924805},{"id":"https://openalex.org/C2780283014","wikidata":"https://www.wikidata.org/wiki/Q209583","display_name":"Tachycardia","level":2,"score":0.5684247016906738},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4892990291118622},{"id":"https://openalex.org/C2779422446","wikidata":"https://www.wikidata.org/wiki/Q3513641","display_name":"Atrial tachycardia","level":4,"score":0.4849574565887451},{"id":"https://openalex.org/C2776131983","wikidata":"https://www.wikidata.org/wiki/Q436572","display_name":"Catheter ablation","level":3,"score":0.41983097791671753},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.359587699174881}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001282","descriptor_name":"Atrial Flutter","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006330","descriptor_name":"Heart Defects, Congenital","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D017115","descriptor_name":"Catheter Ablation","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1161/01.cir.91.3.707","doi":"https://doi.org/10.1161/01.cir.91.3.707","is_oa":false,"landing_page_url":"https://doi.org/10.1161/01.cir.91.3.707","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},{"id":"pmid:7828297","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/7828297","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G1606525470","display_name":null,"funder_award_id":"K08-HL02380-03","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"},{"id":"https://openalex.org/G7766978875","display_name":"SHORT TERM MODULATION OF AUTONOMIC FUNCTION","funder_award_id":"K08HL002380","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"}],"funders":[{"id":"https://openalex.org/F4320332505","display_name":"U.S. Public Health Service","ror":"https://ror.org/05xf94514"},{"id":"https://openalex.org/F4320337338","display_name":"National Heart, Lung, and Blood Institute","ror":"https://ror.org/012pb6c26"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W178598802","https://openalex.org/W1493851469","https://openalex.org/W1504700817","https://openalex.org/W1974322761","https://openalex.org/W1995216474","https://openalex.org/W2007760453","https://openalex.org/W2024066024","https://openalex.org/W2036999922","https://openalex.org/W2038026231","https://openalex.org/W2039245539","https://openalex.org/W2041030896","https://openalex.org/W2043305690","https://openalex.org/W2063166251","https://openalex.org/W2070952976","https://openalex.org/W2076991015","https://openalex.org/W2088030912","https://openalex.org/W2096794679","https://openalex.org/W2097507444","https://openalex.org/W2110814212","https://openalex.org/W2143894509","https://openalex.org/W2313996403","https://openalex.org/W2315233339","https://openalex.org/W2415182348"],"related_works":["https://openalex.org/W2008489939","https://openalex.org/W2352248746","https://openalex.org/W2024820213","https://openalex.org/W2025050000","https://openalex.org/W2166483475","https://openalex.org/W1978760881","https://openalex.org/W2030274431","https://openalex.org/W4403281648","https://openalex.org/W5676170","https://openalex.org/W2123632217"],"abstract_inverted_index":{"BACKGROUND:":[0],"Intra-atrial":[1],"reentrant":[2],"tachycardia":[3,223],"(IART),":[4],"also":[5],"called":[6],"atrial":[7,261],"flutter,":[8],"is":[9,27,275],"a":[10,79,287,300],"common":[11],"and":[12,71,96,112,224,255],"potentially":[13],"lethal":[14],"complication":[15],"of":[16,19,25,34,37,43,55,74,81,155,168,184,200,205,221,269,289,305],"surgical":[17],"correction":[18],"congenital":[20,61,247],"heart":[21,62,248],"disease.":[22],"Medical":[23],"management":[24,42,304],"IART":[26,57,106,116,130,190,213,237,270,306],"often":[28],"problematic,":[29],"which":[30],"prompts":[31],"an":[32,283],"investigation":[33],"the":[35,185,201],"utility":[36],"radiofrequency":[38],"(RF)":[39],"ablation":[40,150,274,297],"for":[41,53,60,246],"these":[44,156,308],"arrhythmias.":[45],"METHODS":[46],"AND":[47],"RESULTS:":[48],"Ten":[49],"consecutive":[50],"patients":[51,207,243,264],"referred":[52],"treatment":[54],"recurrent":[56],"after":[58,244],"surgery":[59,245],"disease":[63],"were":[64,91,133,140,160,233,253],"studied.":[65],"Median":[66],"age":[67],"was":[68,76,119,126,151,215],"18.4":[69],"years,":[70],"median":[72,80],"duration":[73],"arrhythmia":[75],"6.4":[77],"years;":[78],"three":[82],"antiarrhythmic":[83],"drugs":[84],"had":[85],"been":[86],"tried.":[87],"Surgical":[88],"procedures":[89],"used":[90],"Fontan":[92],"(6),":[93],"Mustard/Senning":[94],"(2),":[95],"biventricular":[97],"repair":[98],"(2).":[99],"Intracardiac":[100],"electrophysiological":[101,172],"study":[102],"demonstrated":[103],"30":[104],"distinct":[105,182],"circuits,":[107],"defined":[108],"by":[109,171,272],"activation":[110],"sequence":[111],"cycle":[113,117],"length.":[114],"Mean":[115],"length":[118,125],"323":[120],"+/-":[121],"114":[122],"ms.":[123],"Cycle":[124],"significantly":[127],"longer":[128],"in":[129,153,176,180,197,208,242,260,263,303,307],"circuits":[131,238,271],"that":[132,139,295],"successfully":[134,216],"ablated":[135],"compared":[136],"with":[137,265],"those":[138,258],"not":[141],"(381":[142],"versus":[143],"248":[144],"ms,":[145],"P":[146],"<":[147],".001).":[148],"RF":[149,273,296],"attempted":[152],"22":[154,189],"circuits.":[157],"Ablation":[158],"sites":[159],"targeted":[161],"to":[162],"presumed":[163],"exit":[164,284],"points":[165],"from":[166,257,286],"zones":[167],"slow":[169,290],"conduction":[170],"criteria.":[173],"Sites":[174],"chosen":[175],"this":[177],"manner":[178],"clustered":[179],"four":[181],"areas":[183],"right":[186],"atrium.":[187],"Of":[188],"circuit":[191,214],"ablations":[192],"attempted,":[193],"17":[194],"(77%)":[195],"resulted":[196],"acute":[198],"termination":[199],"tachycardia.":[202],"In":[203],"8":[204],"10":[206],"whom":[209],"at":[210,281],"least":[211],"one":[212],"ablated,":[217],"4":[218],"are":[219,226],"free":[220],"clinical":[222],"3":[225],"improved":[227],"over":[228],"short-term":[229],"follow-up.":[230],"No":[231],"complications":[232],"encountered.":[234],"CONCLUSIONS:":[235],"Multiple":[236],"may":[239,298],"be":[240,299],"present":[241],"defects.":[249],"Activation":[250],"sequences":[251],"observed":[252,259],"diverse":[254],"different":[256],"flutter":[262],"normal":[266],"anatomy.":[267],"Interruption":[268],"feasible":[276],"using":[277],"mapping":[278],"techniques":[279],"aimed":[280],"identifying":[282],"point":[285],"zone":[288],"conduction.":[291],"Short-term":[292],"follow-up":[293],"suggests":[294],"useful":[301],"adjunct":[302],"difficult":[309],"patients.":[310]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":3},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":8},{"year":2014,"cited_by_count":6},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":8}],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2016-06-24T00:00:00"}