Successful cryoablation of atrioventricular nodal reentrant tachycardia and coexisting accessory pathways without fluoroscopy

Gul E. E., Ugur F. S., AKDENİZ C., TUZCU V.

Congenital Heart Disease, vol.8, no.6, 2013 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 8 Issue: 6
  • Publication Date: 2013
  • Doi Number: 10.1111/chd.12029
  • Journal Name: Congenital Heart Disease
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Keywords: AVNRT, Accessory Pathway, Cryoablation, Fluoroscopy
  • Istanbul Medipol University Affiliated: Yes

Abstract

We report the case of a 14-year-old boy patient admitted to our outpatient clinic with palpitations and documented supraventricular tachycardia. Electrophysiological study and ablation were planned. In the electrophysiological study, two tachycardias with different cycle lengths and morphologies were induced. After elimination of the slow pathway, left posterior accessory pathway was detected and successfully ablated. Another pathway was detected following that ablation. Due to the slow retrograde conduction of this pathway, diltiazem infusion was started to uncover the accessory pathway. The second accessory pathway was at the left posteroseptal region and was successfully ablated. After a 30-minute waiting period, no tachycardia was induced. In addition, no fluoroscopy was used during the procedure. © 2012 Wiley Periodicals, Inc.