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September 1, 2022JACC Case ReportsOpen Access

Sinus Node Artery Occlusion During Cardiac Denervation Procedures

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Why the study?

Cardioneural ablation is a novel treatment for functional bradycardia, but the risk of acute complications is still unknown.

Population

2 patients undergoing cardiac denervation procedures

Design

Case report

Authors

MSMaurício ScanavaccaElectrophysiologyEREsteban Wisnivesky Rocca RivarolaUniversidade de São PauloRTRoberto Vitor Almeida TorresHospital Sírio-Libanês

Discussion

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Implication

May support aortic angulation assessment and sinus monitoring during cardioneural ablation; leaves open incidence pending larger series.

Structured PICO

P
Population
2 patients with functional bradycardia
I
Intervention
Cardioneural ablation (cardiac denervation procedures)
O
Outcome
Acute occlusion of the sinus node arterysafety

Cardioneural ablation carries a risk of acute sinus node artery occlusion, highlighting the need for careful procedural monitoring and pre-procedural evaluation of aortic angulation.

Cite This Study

Scanavacca et al. (2022) studied this question.

synapsesocial.com/papers/6a7f67f811d2ce75ff8b1fb0https://doi.org/10.1016/j.jaccas.2022.04.021
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Also Consider

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

  1. 1Targets and End Points in Cardiac Autonomic Denervation Procedures2017 · 83 citations
  2. 2“Cardioneuroablation” – new treatment for neurocardiogenic syncope, functional AV block and sinus dysfunction using catheter RF-ablation2005 · 353 citations
  3. 3Unifocal Right-Sided Ablation Treatment for Neurally Mediated Syncope and Functional Sinus Node Dysfunction Under Computed Tomographic Guidance2018 · 111 citations
  4. 4Simplified Cardioneuroablation in the Treatment of Reflex Syncope, Functional AV Block, and Sinus Node Dysfunction2015 · 142 citations
  5. 5Selective Vagal Denervation of the Sinus and Atrioventricular Nodes, Guided by Vagal Reflexes Induced by High Frequency Stimulation, to Treat Refractory Neurally Mediated Syncope2008 · 50 citations