Ablation of an atriofascicular accessory pathway with a zero-fluoroscopy procedure

Ablation of an atriofascicular accessory pathway with a zero-fluoroscopy procedure

Blog Article

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 efi live spade tricuspid annulus in sinus rhythm was performed, and a distinct signal corresponding to the accessory bauhaus stencil 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.