Publications by authors named "J C Pachon-M"
Fluoroscopy-free cardioneuroablation for functional bradycardia: a single-center experience.
J Interv Card Electrophysiol
October 2024
Article Synopsis
- The study investigates the safety and effectiveness of a fluoroless Cardioneuroablation (CNA) approach in treating cardiac issues like syncope and AV block among 22 young patients (average age 21).
- The procedure successfully eliminated or reduced the vagal response in all patients, with an average operation time of 251 minutes and fluoroscopy avoided in 91% of cases.
- At follow-up (around 11.4 months later), 77% of patients were symptom-free, with 90% of those needing pacemakers not requiring further pacing, indicating a promising outcome without complications.
Long-term outcomes of cardioneuroablation with and without extra-cardiac vagal stimulation confirmation in severe cardioinhibitory neurocardiogenic syncope.
J Cardiovasc Electrophysiol
April 2024
Background: Cardioneuroablation (CNA) is a novel therapeutic approach for functional bradyarrhythmias, specifically neurocardiogenic syncope or atrial fibrillation, achieved through endocardial radiofrequency catheter ablation of vagal innervation, obviating the need for pacemaker implantation. Originating in the nineties, the first series of CNA procedures was published in 2005. Extra-cardiac vagal stimulation (ECVS) is employed as a direct method for stepwise denervation control during CNA.
View Article and Find Full Text PDFIntroduction And Objectives: Cardioneuroablation (CNA), a technique based on radiofrequency ablation of cardiac vagal ganglia, was developed to treat recurrent vasovagal syncope (VVS) with a predominant cardioinhibitory component, as an alternative to pacemaker implantation. The aim of our study was to evaluate the safety and success rate of CNA guided by extracardiac vagal stimulation in patients with highly symptomatic cardioinhibitory VVS.
Methods: Prospective study of patients who underwent anatomically guided CNA at two cardiology centers.