Syncopal High‐Degree AV Block Treated with Catheter RF Ablation without Pacemaker Implantation

作者: ENRIQUE I. PACHON M. , TASSO J. LOBO , JUAN C. PACHON M. , M. ZELIA C. PACHON , REMY N. A. VARGAS

DOI: 10.1111/J.1540-8159.2006.00340.X

关键词:

摘要: A 23-year-old-female patient had undergone a very successful gastric banding surgery to treat obesity. Six months later she began present recurrent syncope due frequent, intermittent high-degree AV block referred as pacemaker implantation. The electrophysiological study showed impaired nodal conduction but the His-Purkinje was preserved. Partial catheter radiofrequency ablation of cardiac autonomic nervous system guided by spectral endocardial mapping (cardioneuroablation) performed. parameters were normalized. Holter recordings normal and asymptomatic with life without implantation in follow-up 21 later.

参考文章(11)
Michael A. Scherlag MD, Benjamin J Scherlag Ph.D., William Yamanashi Ph.D., Patrick Schauerte, MD, Sunil Goli MD, Warren M. Jackman MD, Dwight Reynolds MD, Ralph Lazzara, MD, Endovascular neural stimulation via a novel basket electrode catheter: comparison of electrode configurations. Journal of Interventional Cardiac Electrophysiology. ,vol. 4, pp. 219- 224 ,(2000) , 10.1023/A:1009817729673
Chuen-Wang Chiou, John N. Eble, Douglas P. Zipes, Efferent Vagal Innervation of the Canine Atria and Sinus and Atrioventricular Nodes: The Third Fat Pad Circulation. ,vol. 95, pp. 2573- 2584 ,(1997) , 10.1161/01.CIR.95.11.2573
J LUDWIG, B FRIEDGEN, G HERRMANN, R ZAHORSKY, G INSELMAN, R SIMON, K GRAEFE, U NELLESSEN, Evidence for partial sympathetic cardiac reinnervation following cardiac transplantation. European Journal of Cardio-Thoracic Surgery. ,vol. 8, pp. 388- 390 ,(1994) , 10.1016/1010-7940(94)90034-5
MARIKO KONGO, EITARO FUJII, KOJI MATSUOKA, FUMIYA UCHIDA, SETSUYA OKUBO, ATSUNOBU KASAI, CHIKAYA OMICHI, NAOKI ISAKA, TAKESHI NAKANO, Changes in autonomic nervous activity after catheter ablation of atrial tachycardia arising from the atrioventricular annulus. Pacing and Clinical Electrophysiology. ,vol. 28, pp. 237- 241 ,(2005) , 10.1111/J.1540-8159.2005.00058.X
M. Nicholas Burke, Andrew L. McGinn, David C. Homans, Betsy V. Christensen, Spencer H. Kubo, Robert F. Wilson, Evidence for Functional Sympathetic Reinnervation of Left Ventricle and Coronary Arteries After Orthotopic Cardiac Transplantation in Humans Circulation. ,vol. 91, pp. 72- 78 ,(1995) , 10.1161/01.CIR.91.1.72
D M Kaye, M Esler, B Kingwell, G McPherson, D Esmore, G Jennings, Functional and neurochemical evidence for partial cardiac sympathetic reinnervation after cardiac transplantation in humans. Circulation. ,vol. 88, pp. 1110- 1118 ,(1993) , 10.1161/01.CIR.88.3.1110
Jose C. Pachon M, Enrique I. Pachon M, Juan C. Pachon M, Tasso J. Lobo, Maria Z. Pachon, Remy N.A. Vargas, Adib D. Jatene, "Cardioneuroablation"--new treatment for neurocardiogenic syncope, functional AV block and sinus dysfunction using catheter RF-ablation Europace. ,vol. 7, pp. 1- 13 ,(2005) , 10.1016/J.EUPC.2004.10.003
J PACHONM, E PACHONM, J PACHONM, T LOBO, M PACHON, R VARGAS, D PACHON, F LOPEZM, A JATENE, A new treatment for atrial fibrillation based on spectral analysis to guide the catheter RF-ablation Europace. ,vol. 6, pp. 590- 601 ,(2004) , 10.1016/J.EUPC.2004.08.005