ISSN : 2146-3123
E-ISSN : 2146-3131

Step-by-Step Cardioneuroablation Approach in Two Patients with Functional Atrioventricular Block
Tolga Aksu1, Tümer Erdem Güler1, Kıvanç Yalın2
1Clinic of Cardiology, University of Health Sciences, Derince Training and Research Hospital, Kocaeli, Turkey
2Department of Cardiology, Uşak University School of Medicine, Uşak, Turkey
DOI : 10.4274/balkanmedj.galenos.2019.2019.9.47
Pages : 301-310

Abstract

Parasympathetic overactivity may cause functional atrioventricular block episodes and necessitate pacemaker implantation in symptomatic cases and those refractory to conventional therapies. In these patients, if it can be clearly demonstrated that there is no structural damage in the conduction system, elimination of the vagal activity based on radiofrequency catheter ablation of main ganglionated plexi around the heart, which is called as cardioneuroablation, might be a rational approach. In this review article, we try to discuss patient selection and procedural steps suitable for cardioneuroablation based on two patients with functional atrioventricular block.

Keywords : Ablation, adult, cardiovascular disease, ganglionated plexus, parasympathetic, syncope
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