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March 1, 2006Journal of Cardiovascular Electrophysiology

Radiofrequency ablation of the AV nodal slow pathway successfully eliminated para-Hisian AVRT, with the patient remaining free of sustained palpitations at 2 years.

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Population

1 patient with atrioventricular reentrant tachycardia using a concealed para-Hisian accessory pathway for…

Design

Case_report

Follow-up

2 years

Key result

Radiofrequency ablation of the AV nodal slow pathway successfully eliminated para-Hisian AVRT, with the patient remaining free of sustained palpitations at 2 years.

Authors

BPBenzy J. PadanilamDADAVENDER AKULAPVPATTY VAUGHN

Discussion

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Overview

May support slow pathway ablation for select AVRT cases with concealed para-Hisian pathways; leaves open generalizability beyond this single report.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
1 patient with atrioventricular reentrant tachycardia using a concealed para-Hisian accessory pathway, followed for 2 years.
I
Intervention
Radiofrequency ablation of the atrial inputs to the AV nodal slow pathway
O
Outcome
Elimination of AVRT and absence of sustained palpitations

Ablation of the AV nodal slow pathway can be an effective unconventional approach to eliminate para-Hisian AVRT that requires anterograde conduction over the slow pathway.

Cite This Study

Padanilam et al. (2006) conducted a case report in Atrioventricular reentrant tachycardia (AVRT) (n=1). Radiofrequency ablation of the AV nodal slow pathway was evaluated on Elimination of AVRT. Radiofrequency ablation of the AV nodal slow pathway successfully eliminated para-Hisian AVRT, with the patient remaining free of sustained palpitations at 2 years.

synapsesocial.com/papers/6aae2d199b58ef00d70cc5b2https://doi.org/10.1111/j.1540-8167.2006.00441.x
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Also Consider

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

  1. 1Successful Slow Pathway Ablation in a Patient with Atrioventricular Nodal Reentrant Tachycardia Having a Proximal Common Pathway1998 · 8 citations
  2. 2Fast pathway ablation in a patient with PR prolongation2020 · 2 citations
  3. 3Successful Ablation of Atypical Atrioventricular Nodal Reentrant Tachycardia From a Noncoronary Sinus of Valsalva2014 · 11 citations
  4. 4Selective radiofrequency ablation of the slow pathway for the treatment of atrioventricular nodal reentrant tachycardia. Evidence for involvement of perinodal myocardium within the reentrant circuit.1992 · 354 citations
  5. 5Fast-slow Atrioventricular Nodal Reentrant Tachycardia Incorporating Superior and Inferolateral Left Atrial Slow Pathways2023 · 1 citations