Why is EPS with RF ablation the treatment of choice for symptomatic and asymptomatic Wolff-Parkinson-White (WPW) syndrome?

Updated: Jan 08, 2017
  • Author: Christopher R Ellis, MD, FACC, FHRS; Chief Editor: Mikhael F El-Chami, MD  more...
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Answer

EPS with RF ablation is now the treatment of choice for most adults and many children with symptomatic WPW syndrome, as well as many asymptomatic patients. This approach has largely supplanted surgical and DC modalities because it is more efficacious, safe, and cost-effective. [33] With successful EPS and RF ablation, patients are usually cured of the disease and are not at risk for further tachyarrhythmias related to the AP. Note that RF ablation with fluoroscopy includes increased radiation exposure. [17]  Fluoroscopic-free imaging modalities (eg, three-dimensional electroanatomic mapping, ultrasonography) reduce radiation exposure, but they have not yet supplanted fluoroscopy. [17]


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