ArticleJACC. Case reports2025
Zero-Fluoroscopy Ablation of Epicardial Focal Atrial Tachycardia Via the Pulmonary Artery.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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8 authors.
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Abstract
backgroundFocal atrial tachycardia represents a common form of arrhythmia. In a subset of cases, the arrhythmogenic focus may originate from epicardial structures, which can render endocardial ablation ineffective. CASE SUMMARY: A 55-year-old man presented with progressive palpitations over several weeks. He had no significant prior cardiac history. During the ablation procedure, a focal atrial tachycardia refractory to conventional endocardial ablation was identified. The arrhythmia was successfully eliminated through adjunctive ablation performed within the right pulmonary artery. DISCUSSION: A zero fluoroscopy transpulmonary arterial approach is feasible for ablating an epicardial atrial tachycardia, highlighting it as a viable alternative when conventional endocardial ablation fails. TAKE-HOME MASSAGES: Indirect epicardial intervention targeting the left atrium via adjacent anatomical pathways has been demonstrated to be both safe and feasible in selected cases. The performance of ablation procedures necessitates advanced catheter manipulation and can be effectively guided and localized in real time using intracardiac echocardiography.
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