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September 20, 2025European Heart Journal - Case ReportsOpen Access

Cardioneuroablation for coronary artery vasospasm: a case report

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Authors

DFDi FanZGZhen GuoBHBo He

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Overview

Case report shows cardioneuroablation significantly reduced nocturnal coronary artery spasm, suggesting a novel approach for refractory cases.

Key Points

  • Cardioneuroablation led to complete resolution of nocturnal angina pectoris after six months without medication.
  • The case involved a 66-year-old male with uncontrolled coronary artery spasms despite multiple treatments, including calcium channel blockers.
  • Successful intervention focused on four ganglionated plexi in the left atrium, resulting in decreased parasympathetic tone.
  • CNA indicates potential for alternative treatment in patients with refractory coronary artery spasm, yet further studies are needed.

Cite This Study

Fan et al. (2025) studied this question.

synapsesocial.com/papers/68d46aa631b076d99fa675fdhttps://doi.org/10.1093/ehjcr/ytaf456
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac autonomic ganglion ablation for refractory coronary artery spasm after PCI: a case report2026
  2. 2Cardioneuroablation for cardioinhibitory syncope: electrophysiological and clinical outcomes from a single-center experience2026
  3. 3Cardioneuroablation for reflex syncope or functional bradyarrhytmias: new insight from a single center experience2025 · 3 citations
  4. 4CARDIONEUROABLATION: CASE SERIES2024
  5. 5Cardioneuroablation for vasovagal syncope. Results from an EHRA Survey2024