Key result
This pragmatic review outlines a step-by-step approach to catheter-based cardioneuroablation for patients with vasovagal syncope and atrioventricular block due to vagal hyperactivity.
Why the study?
Cardioneuroablation is increasingly used for vasovagal syncope and atrioventricular block, with emerging consensus on patient selection, procedural steps, and endpoints.
This review provides a step-by-step guide to cardioneuroablation for vasovagal syncope and AV block, covering anatomy, indications, and procedural steps.
Offers pragmatic cardioneuroablation guidance for vagal syncope; leaves open need for randomized efficacy trials.
Catheter-based cardioneuroablation is increasingly being utilized to improve outcomes in patients with vasovagal syncope and atrioventricular block due to vagal hyperactivity. There is now increasing convergence among enthusiasts on its various aspects, including patient selection, technical steps, and procedural end-points. This pragmatic review aims to take the reader through a step-by-step approach to cardioneuroablation: we begin with a brief overview of the anatomy of intrinsic cardiac autonomic nervous system, before focusing on the indications, preprocedure and postprocedure management, necessary equipment, and its potential limitations.
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Aksu et al. (2022) conducted a review in Vasovagal syncope and atrioventricular block due to vagal hyperactivity. Catheter-based cardioneuroablation was evaluated. This pragmatic review outlines a step-by-step approach to catheter-based cardioneuroablation for patients with vasovagal syncope and atrioventricular block due to vagal hyperactivity.