An unusual approach to intractable AVNRT in a pediatric patient

Slides:



Advertisements
Similar presentations
Volume 9, Issue 1, Pages (January 2012)
Advertisements

Wolff-Parkinson-White syndrome due to a left atrial appendage–to–left ventricular connection: A case of a successful pathway elimination from inside of.
HeartRhythm Case Reports
A novel mapping technique to detect non–pulmonary vein triggers: A case report of self- reference mapping technique  Yasuharu Matsunaga-Lee, MD, Yuzuru.
Successful ablation of premature ventricular contractions originating from the inferoseptal process of the left ventricle using a coronary sinus approach 
John Green, MD, Zaid Aziz, MD, Hemal M. Nayak, MD, Gaurav A
A pseudo-sinus rhythm due to bigeminal ectopy with the focus in the right superior pulmonary vein  Marina Arai, MD, Seiji Fukamizu, MD, PhD, Rintaro Hojo,
Acute right coronary artery occlusion after radiofrequency catheter ablation of cavotricuspid isthmus: Vascular response assessed by optical frequency.
Left ventricle penetration—A rare complication of transseptal puncture and catheter ablation for supraventricular tachycardia  Nelson Chavarria, MD, Seth.
Challenges in the diagnosis and management of idiopathic ventricular fibrillation  Jonathan Lipton, MD, PhD, George J. Klein, MD, Raymond W. Sy, MBBS,
Two mechanisms of termination of idiopathic reentrant ventricular tachycardia originating from the left coronary cusp/right coronary cusp commissure with.
Induction of tachycardia confined within a pulmonary vein by electrical cardioversion of atrial fibrillation: Is it proof of reentry?  Mauro Toniolo,
Permanent His bundle pacing at the time of atrioventricular node ablation: A 3- dimensional mapping approach  Sukit Ringwala, MD, MPH, Bradley P. Knight,
Maged F. Nageh, MD,FHRS, Kamal Kotak, MD  HeartRhythm Case Reports 
Cardiac inflammation and ventricular tachycardia in Chagas disease
Techniques for the provocation, localization, and ablation of non–pulmonary vein triggers for atrial fibrillation  Pasquale Santangeli, MD, PhD, Francis.
Spontaneous regression of submitral pseudoaneurysm after radiofrequency catheter ablation in a patient with Wolff-Parkinson-White syndrome  Dongmin Kim,
Claudio Hadid, MD, Sergio Gonzalez, MD, Jesús Almendral, MD, PhD 
Vein of Marshall partially isolated with radiofrequency ablation from the endocardium  Shin Kashimura, MD, Takahiko Nishiyama, MD, Takehiro Kimura, MD,
Isolated Wolff-Parkinson-White syndrome in identical twins
Dual-loop biatrial concomitant macroreentrant tachycardia in a patient without previous history of surgery or ablation  Song-Yun Chu, MD, Li-Bin Shi,
Successful ethanol injection into the anterior interventricular cardiac vein for ventricular premature contractions arising from the left ventricular.
Right coronary artery wall edema provoked by cavotricuspid isthmus radiofrequency ablation  Takuro Nishimura, MD, Masahiko Goya, MD, Shinya Shiohira,
Left axillary active can positioning markedly reduces defibrillation threshold of a transvenous defibrillator failing to defibrillate at maximum output 
Bradley D. Brochu, MD, Ahmed Abdi-Ali, MD, Jeffrey Shaw, MD, F
Swallowing-induced atrial tachycardia arising from superior vena cava: Significant involvement of parasympathetic nerve activity  Koji Higuchi, MD, PhD,
HeartRhythm Case Reports
Incessant intraseptal ventricular tachycardia ablated utilizing extracorporeal membrane oxygenation and bipolar ablation  Ali B.A.K. Al-Hadithi, BA(Hons),
Successful catheter ablation using real-time ultrasound-assisted 3-D electroanatomical mapping system for atrioventricular accessory pathway in a 1-year-old.
Finding the right pathway is the key to success
Adenosine-sensitive atrial tachycardia originating from the anterior mitral annulus  Dai Inagaki, MD, Rintaro Hojo, MD, Seiji Fukamizu, MD, PhD, Harumizu.
Cavotricuspid isthmus ablation using multimodality imaging in Ebstein anomaly with a mechanical tricuspid valve replacement  Sang Hyun Lee, MD, Hyung.
Jeffrey Ho, MD, Jordan M. Prutkin, MD, MHS, FHRS 
Termination of anticoagulation therapy at 45 days after concomitant atrial fibrillation catheter ablation and left atrial appendage occlusion resulting.
Early improvement of pacing threshold following primary right coronary angioplasty  Fernando Pivatto Júnior, MD, Diego Chemello, MD, ScD, Geris Mazzutti,
Macroreentrant form of an adenosine 5′-triphosphate–sensitive atrial tachycardia arising from the vicinity of the atrioventricular node involving the.
Focal atrial fibrillation presenting in the origin of atrial tachycardia  Chin-Yu Lin, MD, Yenn-Jiang Lin, MD, Fa-Po Chung, MD, Shih-Ann Chen, MD  HeartRhythm.
Cryoablation of an atrioventricular nodal reentrant tachycardia in a patient with an implanted deep brain stimulator  Melanie Gunawardene, MD, Christian.
A rare mechanism of tachycardia and aberrancy
A case series and review of the literature regarding coronary artery complications associated with coronary sinus catheter ablation  Paul J. Garabelli,
Electroanatomical high-density mapping of different tachycardias in the right atrium after heart transplantation  Alexandra Schratter, MD, Valentina Schirripa,
Successful ablation for non-pulmonary multi-foci atrial fibrillation/tachycardia in a patient with coronary sinus ostial atresia by transseptal puncture.
Coronary sinus ostium in the lateral right atrium: Implications for the electrophysiologist  Nilesh Mathuria, MD, Neeta Bachani, MBBS, Ravi Mandapati,
A simple method to ablate left-sided accessory pathways in a patient with coronary sinus ostial atresia and persistent left superior vena cava: A case.
An unusual cause of lone atrial fibrillation in a young female subject due to a rapid- cycling focal atrial trigger  Shankar Baskar, MD, Mehran Attari,
Radiofrequency ablation of common atrial flutter via right subclavian/jugular vein access in a patient with bilateral lower limb venous obstruction: Importance.
HeartRhythm Case Reports
Hiroko Asakai, MD, Laura Fenwick, BSc, Robert M. Hamilton, MD, FRCP(C) 
Circular mapping recordings in a persistent left superior vena cava during atrial tachycardia: Was isolation achieved?  Sandrine Venier, MD, Jason G.
Successful catheter ablation of idiopathic ventricular tachycardia originating from the top of the left ventricular posterior papillary muscle near the.
Successful treatment of tachycardia-induced cardiomyopathy secondary to dual atrioventricular nodal nonreentrant tachycardia using cryoablation  Harold.
Discrete prepotentials with an isoelectric segment at the successful ablation site in the right ventricular outflow tract and pulmonary artery junction.
Successful atrioventricular junction ablation in a patient with situs inversus with dextrocardia and complex venous anatomy  Iosif Kelesidis, MD, MSc,
A transseptal puncture hazard that was close!
Unusual severe hemodynamic failure associated with standard dose of intravenous flecainide for pharmacological cardioversion of atrial fibrillation  Aref.
Peter Kabunga, MBChB, MRCP, George J. Klein, MD, FHRS, Raymond W
Combined use of TandemHeart percutaneous ventricular assist device and Stereotaxis magnetic navigation during cardiac ablation procedure  Andrew C. Miller,
Pulmonary vein stenosis after second-generation cryoballoon ablation for atrial fibrillation  Kenichi Tokutake, MD, Michifumi Tokuda, MD, PhD, Takayuki.
CT-fusion–guided transseptal puncture in a patient with atrial fibrillation and absent right superior vena cava  Felix Bourier, MD, Sonia Ammar, MD, Tilko.
Successful interventional management of catastrophic coronary arterial air embolism during atrial fibrillation ablation  Khurram Ahmad, MD, Samuel Asirvatham,
Overcoming an impossible anatomy with a novel left ventricular active fixation lead in the coronary sinus: A case report  Gabriele Giannola, MD, PhD,
Multipolar electrode spline embolization
Usefulness of a 2-F catheter electrode in a case with successful electrical isolation of remarkably hypoplastic right inferior pulmonary vein  Takeshi.
Catheter ablation for the treatment of persistent atrial fibrillation: Maintenance of sinus rhythm with left atrial appendage and coronary sinus isolation.
Ablation of a symptomatic spontaneous automatic focus arising from an atriofascicular fiber  Sandrine Venier, MD, Paul Khairy, MD, PhD, Bernard Thibault,
Left atrial access via an unroofed coronary sinus to eliminate fast/slow atypical AVNRT: A case report  Gustavo X. Morales, MD, Yousef H. Darrat, MD,
Hepatic vein access for pulmonary vein isolation in patients without femoral vein access  Ijeoma A. Ekeruo, MD, FHRS, Saumya Sharma, MD, Allan Cohen, MD,
Atrial fibrillation ablation with persistent left superior vena cava detected during intracardiac echocardiography  Victor A. Abrich, MD, Jeffrey Munro,
Atrial flutter following ethanol infusion in the vein of Marshall
Electrophysiological evidence of localized reentry as a trigger and driver of atrial fibrillation at the junction of the superior vena cava and right.
Presentation transcript:

An unusual approach to intractable AVNRT in a pediatric patient Maria Cecilia Gonzalez, MD, Pedro Brugada, MD, Andrea Sarkozy, MD, PhD  HeartRhythm Case Reports  Volume 1, Issue 1, Pages 34-36 (January 2015) DOI: 10.1016/j.hrcr.2014.11.002 Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 1 Intracardiac electrogram during ablation on the left septum with the catheter position as shown in Figures 2 and 3. Note the atrial signals at the site of success (first beat) followed by an immediate junctional acceleration beat. HeartRhythm Case Reports 2015 1, 34-36DOI: (10.1016/j.hrcr.2014.11.002) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 2 Catheter position at the site of success in the RAO projection. The CS decapolar catheter provides a useful landmark for transseptal access and ablation. CS = coronary sinus; RAO = right anterior oblique. HeartRhythm Case Reports 2015 1, 34-36DOI: (10.1016/j.hrcr.2014.11.002) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 3 Catheter position at the site of success in the LAO projection. CS = coronary sinus; LAO = left anterior oblique. HeartRhythm Case Reports 2015 1, 34-36DOI: (10.1016/j.hrcr.2014.11.002) Copyright © 2015 Heart Rhythm Society Terms and Conditions