Ablation of an atriofascicular accessory pathway with a zero-fluoroscopy procedure
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2015
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Abstract
A 16-year-old patient with recurrent palpitations and documented left bundle branch block superior axis wide complex tachycardia underwent an electrophysiological study and ablation with a zero-fluoroscopy procedure. The electrophysiological study showed a decremental antegrade conducting atriofascicular pathway. Three-dimensional CARTO-guided mapping of the tricuspid annulus in sinus rhythm was performed, and a distinct signal corresponding to the accessory pathway potential of the atriofascicular pathway was found in the posterolateral region. By using an SR0 sheath and a 4-mm-tip catheter, radiofrequency application was delivered at this point on the annulus and successfully eliminated conduction through the accessory pathway.
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| Authors | PhD, Riccardo Proietti, MD,;MD, Sylvia Abadir,;MD, Martin L. Bernier,;PhD, Vidal Essebag, MD,; |
| Journal | Journal of arrhythmia |
| Year | 2015 |
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