Key result
Nonfluoroscopic, electroanatomical guided ablation of para-Hisian atrial tachycardia from the non-coronary cusp was successfully and safely performed in a pregnant woman.
Case Report (n=1)
Nonfluoroscopic, electroanatomical guided ablation is a feasible and safe approach for treating refractory para-Hisian atrial tachycardia from the non-coronary cusp during pregnancy.
May support nonfluoroscopic ablation in refractory pregnant arrhythmias; leaves open prospective validation.
Key Teaching Points•Nonfluoroscopic, electroanatomical guided ablation is feasible and safe in pregnant women with medical treatment–refractory arrhythmias.•The close relationship between non-coronary cusp (NCC) and right atrium tissue para-Hisian area allowed ablation of focal atrial arrhythmias originating in that location.•In this case there was a succesfull ablation of para-Hisian atrial tachycardia from the NCC without the use of fluoroscopy aided by electroanatomical mapping. •Nonfluoroscopic, electroanatomical guided ablation is feasible and safe in pregnant women with medical treatment–refractory arrhythmias.•The close relationship between non-coronary cusp (NCC) and right atrium tissue para-Hisian area allowed ablation of focal atrial arrhythmias originating in that location.•In this case there was a succesfull ablation of para-Hisian atrial tachycardia from the NCC without the use of fluoroscopy aided by electroanatomical mapping.
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Barros et al. (2018) conducted a case report in Para-Hisian atrial tachycardia during pregnancy (n=1). Nonfluoroscopic, electroanatomical guided ablation was evaluated on Successful ablation. Nonfluoroscopic, electroanatomical guided ablation of para-Hisian atrial tachycardia from the non-coronary cusp was successfully and safely performed in a pregnant woman.
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