This paper reports the experience of successful cryoablation of fast atrioventricular nodal pathway in a patient with recurrent atrioventricular nodal reentrant tachycardia after previous unsuccessful attempts of slow pathway ablation. Slow formation of a permanent lesion by cryothermal energy application allowed precise modulation of atrioventricular nodal conduction until the endpoints of complete fast pathway ablation were met with long-term cure of the arrhythmia.
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http://dx.doi.org/10.1111/j.1540-8159.2004.00605.x | DOI Listing |
J Cardiovasc Electrophysiol
January 2025
Division of Cardiology, Section of Cardiac Electrophysiology, University of California San Francisco, San Francisco, California, USA.
We encountered a single case in which a transition between orthodromic reciprocating tachycardia with a concealed nodoventricular pathway and atrioventricular nodal reentrant tachycardia with a bystander nodoventricular pathway was observed.
View Article and Find Full Text PDFHeart Rhythm O2
December 2024
Department of Cardiovascular Medicine, Kyorin University School of Medicine, Mitaka, Japan.
Background: Junctional rhythm (JR) frequently occurs during radiofrequency (RF) ablation procedures targeting the slow pathway (SP) for atrioventricular nodal re-entrant tachycardia (AVNRT), signaling successful ablation. Two types of JR have been noticed: typical JR as His activation preceding atrial activation, and atypical JR as atrial activation preceding the His activation. Nevertheless, the origin and characteristics of JR remain incompletely defined.
View Article and Find Full Text PDFJ Cardiovasc Electrophysiol
January 2025
First Department of Cardiology, TEDA International Cardiovascular Hospital, Tianjin, China.
Heart Rhythm
December 2024
Geisinger Heart Institute, Wilkes Barre, Pennsylvania.
Background: Left bundle branch (LBB) pacing (LBBP) has gained rapid adoption. Evidence for direct LBB capture has varied from 30%-95% depending on the criteria.
Objective: The purpose of this study was to assess the feasibility and efficacy of intraprocedural transthoracic echocardiographic guidance to achieve LBB capture.
J Cardiovasc Electrophysiol
December 2024
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.
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