Premium
Remote Navigation Guided Ablation of Incessant Atrial Tachycardia in a Patient with Restricted Venous Access
Author(s) -
KIM ALBERT M.,
BADHWAR NITISH,
LEE RANDALL J.
Publication year - 2009
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/j.1540-8167.2008.01428.x
Subject(s) - medicine , ablation , supraventricular tachycardia , cardiology , atrial tachycardia , catheter ablation , inferior vena cava , tachycardia , thrombus , accessory pathway
We report a case of a 45‐year‐old man with incessant supraventricular tachycardia (SVT) in the setting of intrahepatic inferior vena cava thrombus and a left upper extremity arteriovenous fistula. A diagnostic electrophysiology study (EPS) was performed via the right internal jugular and right subclavian veins. After confirming the mechanism of SVT was atrial tachycardia (AT), mapping, and successful ablation was performed using remote catheter navigation. This case demonstrates that remote navigation can facilitate the therapy of complex arrhythmias in challenging clinical situations.