Abstract
A 51-year-old man with an obstructed inferior vena cava underwent successful slow pathway catheter ablation using a superior venous approach. Two central venous sheaths were introduced into the right internal jugular vein using different approaches (anterior and posterior), so the two sheaths located away from each other could prevent the catheters from ‘sticking’ to one another. The transseptal long sheath enabled a stable positioning of the ablation catheter. A nonfluoroscopic mapping system could reduce radiation exposure to the ablator. These techniques may be useful to overcome the disadvantages of the superior venous approach compared to the inferior venous approach.
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References
Malavasi, V. L., Casali, E., Rossi, L., & Grazia Modena, M. (2005). Radiofrequency catheter ablation of common atrial flutter in a patient with anomalous inferior vena cava and azygos continuation. Pacing and Clinical Electrophysiology, 28, 733–735.
Pai, R. K., MacGregor, J. F., Abedin, M., & Hamdan, M. H. (2005). Case report: Radiofrequency catheter ablation of typical atrial flutter and the atrioventricular junction via the superior vena caval approach in a patient with a congenital absence of an inferior vena cava. Journal of Interventional Cardiac Electrophysiology, 14, 193–195.
Pak, H. N., Hwang, C., & Kim, Y. H. (2006). Twin atrioventricular node associated with interruption of the inferior vena cava and atrioventricular nodal reentrant tachycardia. Journal of Electrocardiology, 39, 400–403.
Salem, Y. S., Burke, M. C., Kim, S. S., Morady, F., & Knight, B. P. (2006). Slow pathway ablation for atrioventricular nodal reentry using a right internal jugular vein approach: A case series. Pacing and Clinical Electrophysiology, 29, 59–62.
Kay, G. N., Epstein, A. E., Dailey, S. M., & Plumb, V. J. (1992). Selective radiofrequency ablation of the slow pathway for the treatment of atrioventricular nodal reentrant tachycardia. Evidence for involvement of perinodal myocardium within the reentrant circuit. Circulation, 85, 1675–1688.
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Yamada, T., McElderry, H.T., Doppalapudi, H. et al. Radiofrequency catheter ablation of the slow pathway for atrioventricular nodal reentry in a patient with an obstructed inferior vena cava. J Interv Card Electrophysiol 22, 195–198 (2008). https://doi.org/10.1007/s10840-008-9275-5
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DOI: https://doi.org/10.1007/s10840-008-9275-5