title: Structural cure for reflex syncope?
abstract: The ROX Coupler is a device that allows creation of a central arteriovenous anastomosis at the iliac level. The device has been shown to improve exercise capacity in patients with chronic obstructive pulmonary disease and is CE marked for the treatment of resistant and uncontrolled hypertension. Reflex syncope is a challenging clinical condition with limited proven therapeutic options. We describe the resolution of symptoms and tilt table response of a patient who underwent insertion of a ROX Coupler to treat hypertension, and also incidentally had pre-existing vasodepressor syncope.
authors.affiliation: Department of Cardiology, Eastbourne District General Hospital, Eastbourne, UK.
authors.forename: Neil
authors.initials: N
authors.lastname: Sulke
authors.affiliation: Department of Cardiology, Eastbourne District General Hospital, Eastbourne, UK.
authors.forename: William
authors.initials: W
authors.lastname: Eysenck
authors.affiliation: Department of Cardiology, Eastbourne District General Hospital, Eastbourne, UK.
authors.forename: Sveeta
authors.initials: S
authors.lastname: Badiani
authors.affiliation: Department of Cardiology, Eastbourne District General Hospital, Eastbourne, UK.
authors.forename: Stephen
authors.initials: S
authors.lastname: Furniss
mesh_terms: D000368:Aged; D001163:Arteriovenous Anastomosis / Q000601:surgery; D005260:Female; D006801:Humans; D006973:Hypertension / Q000503:physiopathology / Q000601:surgery*; D012018:Reflex; D019462:Syncope, Vasovagal / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D018667:Tilt-Table Test / Q000379:methods; D016896:Treatment Outcome