Radiofrequency catheter ablation of atrioventricular nodal re-entry tachycardia: selective approach to the slow pathway via the cephalic veins.
Inferior venous access to the right heart is not possible in some patients due to vena caval obstruction. Here we describe a case of a patient with atrioventricular nodal re-entry tachycardia where radiofrequency ablation from the inferior vena cava was impossible because of the presence of important stenosis of the distal part of the vein. Catheter ablation of the slow pathway could be performed successfully using a superior approach via the cephalic veins.
Bottoni
Nicola
N
Unità Operativa di Cardiologia Interventistica, Azienda Ospedaliera S. Maria Nuova, Viale Risorgimento 80, Reggio Emilia 42100, Italy. nicola.bottoni@asmn.re.it
Quartieri
Fabio
F
Lolli
Gino
G
Iori
Matteo
M
Manari
Antonio
A
Menozzi
Carlo
C
D000368:Aged; D017776:Autonomic Pathways / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods*; D005260:Female; D006329:Heart Conduction System / Q000601:surgery*; D006801:Humans; D007601:Jugular Veins / Q000601:surgery*; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000601:surgery*; D016896:Treatment Outcome