ArticleThe Journal of innovations in cardiac rhythm management2022
Non-fluoroscopic Techniques for Catheter Ablation of Typical Atrioventricular Nodal Re-entry Tachycardia in a Pediatric Patient with Atypical Venous Anatomy.
Article in The Journal of innovations in cardiac rhythm management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed, 2 citations in OpenAlex.
- Endocardial wavefront propagation guiding atrioventricular nodal re-entrant tachycardia ablation after modified Fontan.HeartRhythm case reports · 2024Article
- Catheter cryoablation guided by propagation mapping to treat dual atrioventricular nodal nonreentrant tachycardia in an adult with postoperative congenital heart disease.HeartRhythm case reports · 2024Article
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Authors and funding
2 authors at 2 institutions in 1 country.
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Abstract
Catheter ablation of the slow pathway to the atrioventricular node is generally a safe and effective treatment for atrioventricular nodal re-entry tachycardia (AVNRT). However, congenital anomalies of the inferior vena cava and superior draining veins can limit traditional catheter approaches to the right heart from femoral venous access and distort local anatomy within the triangle of Koch, necessitating alternative electrophysiology (EP) mapping and ablation strategies. Despite the widespread availability of non-fluoroscopic 3-dimensional imaging systems, many providers still rely on venography to describe unusual cardiovascular anatomy and fluoroscopy to position EP catheters when mapping and ablating the slow pathway. Herein, we report our experience with a pediatric patient with inducible AVNRT and atypical venous anatomy in whom slow pathway ablation was performed successfully without the use of fluoroscopy. In addition, we describe the modification of a novel mapping technique for targeting the slow pathway for ablation.
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