Skip to main content
SpringerLink
Log in

Successful re-ablation of a permanent junctional reciprocating tachycardia with cryoenergy

Case report of a 19-year-old patient

Erfolgreiche Reablation einer permanenten junktionalen Reentry-Tachykardie mit Kryoenergie

Fallbericht eines 19-jährigen Patienten

  • case report
  • Published:
Wiener Medizinische Wochenschrift Aims and scope Submit manuscript

Summary

We report the case of a 19-year-old male patient who presented with a permanent junctional reciprocating tachycardia (PJRT). After a primarily successful radiofrequency ablation of a para-Hisian, midseptal, accessory pathway, recurrence of tachycardia was documented. Thereafter, successful ablation using cryoenergy was performed. Since this second ablation the patient has been free of tachycardia. Our case study shows that the treatment of PJRT in young adults using cryoenergy can be successfully and safely conducted, especially after tachycardia recurrence following an initial radiofrequency ablation.

Zusammenfassung

Es wird über den Fall eines 19-jährigen männlichen Patienten berichtet, der sich mit einer permanenten junktionalen Reentry-Tachykardie (PJRT) vorstellte. Nach einer primär erfolgreichen Radiofrequenzablation einer parahisären akzessorischen Leitungsbahn in midseptaler Position wurde ein Wiederauftreten der Tachykardie dokumentiert. Anschließend wurde eine erfolgreiche Ablation mit Kryoenergie durchgeführt. Seit dieser zweiten Ablation war der Patient frei von Tachykardien. Unser Fallbericht zeigt, dass die Behandlung einer PJRT bei jungen Erwachsenen mittels Kryoenergie erfolgreich und sicher durchgeführt werden kann, insbesondere nach Wiederauftreten einer Tachykardie nach initial erfolgter Radiofrequenzablation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Kang KT, Potts JE, Radbill AE, La Page MJ, Papagiannis J, Garnreiter JM, Kubus P, Kantoch MJ, Von Bergen NH, Fournier A, Côté JM, Paul T, Anderson CC, Cannon BC, Miyake CY, Blaufox AD, Etheridge SP, Sanatani S. Permanent junctional reciprocating tachycardia in children: a multicenter experience. Heart Rhythm. 2014;11:1426–32.

    Article  PubMed  Google Scholar 

  2. Drago F, Placidi S, Righi D, Mambro DIC, Russo MS, Silvetti MS, Palmieri R, Prosperi M. Cryoablation of AVNRT in children and adolescents: early intervention leads to a better outcome. J Cardiovasc Electrophysiol. 2014;25:398–403.

    Article  PubMed  Google Scholar 

  3. Gaita F, Montefusco A, Riccardi R, Giustetto C, Grossi S, Caruzzo E, Bianchi F, Vivalda L, Gabbarini F, Calabro R. Cryoenergy catheter ablation: a new technique for treatment of permanent junctional reciprocating tachycardia in children. J Cardiovasc Electrophysiol. 2004;15:263–8.

    Article  PubMed  Google Scholar 

  4. Santangeli P, Proietti R, Di Biase L, Bai R, Natale A. Cryoablation versus radiofrequency ablation of atrioventricular nodal reentrant tachycardia. J Interv Card Electrophysiol. 2014;111–9.

  5. Moore JP, Patel PA, Shannon KM, Albers EL, Salerno JC, Stein MA, Stephenson EA, Mohan S, Shah MJ, Asakai H, Pflaumer A, Czosek RJ, Everitt MD, Garnreiter JM, McCanta AC, Papez AL, Escudero C, Sanatani S, Cain NB, Kannankeril PJ, Bratincsak A, Mandapati R, Silva JN, Knecht KR, Balaji S. Predictors of myocardial recovery in pediatric tachycardia-induced cardiomyopathy. Heart Rhythm. 2014;11:1163–9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiology, Charité Berlin Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany

    Barbara Bellmann MD, Mattias Roser MD & Bogdan G. Muntean MD

Authors
  1. Barbara Bellmann MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mattias Roser MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Bogdan G. Muntean MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Barbara Bellmann MD.

Ethics declarations

Conflict of interest

B.G. Muntean, M. Roser, and B. Bellmann declare that they have no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bellmann, B., Roser, M. & Muntean, B.G. Successful re-ablation of a permanent junctional reciprocating tachycardia with cryoenergy. Wien Med Wochenschr 168, 152–155 (2018). https://doi.org/10.1007/s10354-016-0458-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10354-016-0458-x

Keywords

Schlüsselwörter

Search

Navigation