Percutenous catheter ablation of the accessory pathway in Wolff-Parkinson-White syndrome is a highly successful mode of therapy. Sudden cardiac arrest survivors associated with WPW syndrome should undergo radiofrequency catheter ablation. WPW syndrome associated with familial atrial fibrillation is a very rare condition. Herein, we describe a case who presented with sudden cardiac arrest second...

Catheter ablation of drug-refractory ventricular tachycardia (VT) that occurs in infancy can be challenging owing to the small size of the heart and vessels compared to the ablation catheters. We present a toddler with incessant left ventricular (LV) tachycardia that was successfully treated by radiofrequency catheter ablation with an 8 French irrigated-tip catheter via a transapical approach. ...

it has been well - established that common atrial flutter is due to intraatrial macroreentry and its reentry circuit locates in the right atrium. this reentry circuit has been characterized to involve an area of slow conduction identifiable electrophysiologically at the low posteroseptal right atrium and anatomical narrow isthmus snrrounded by the inferior vena capa, coronary sinus astium and t...

AF ablation can be curative or reduce the symptoms of AF. However, success rates are suboptimal while procedure times can be long. Since AF ablation depends on excellent tip to tissue contact, ease of use and signal quality, a new ablation catheter (FlexAbilityTM Ablation Catheter, St Jude Medical, St Paul, MN) was designed for use during complex ablation. We report an initial case of its use d...

Catheter ablation is nowadays an established treatment modality for both atrial and ventricular tachyarrhythmias. Manual navigation of the ablation catheter can be challenging in patients with a complex cardiac anatomy due to, for example, (surgically corrected or palliated) congenital heart defects, resulting in a long procedure time and excessive X-ray exposure. In the past decades, sophistic...

OBJECTIVES To study the impact of contact force (CF) sensing on fluoroscopy, procedure, left atrial (LA) and ablation times and number of ablations during atrial fibrillation (AF) ablation. BACKGROUND Catheter ablation is an effective treatment for symptomatic AF. Recently a new ablation catheter providing real-time CF has been approved for use. METHODS A nested case-control study was perfo...

We performed a survey on current atrial fibrillation (AF) ablation techniques used for catheter ablation of AF among the European Heart Rhythm Association Research Network. The focus of this questionnaire is on the ablation strategy, such as the use of different lesion sets or sites of ablation in the various forms of AF, and on the technical aspects of catheter ablation with respect to energy ...

Surgical arrhythmia ablation techniques can achieve epicardial transmural lesions but require a combination of surgical access and endoscopic approaches. We sought to adapt a surgical ablation catheter to a percutaneous subxyphoid approach. The EpiSense nContact (Epi) is a surgical ablation catheter that contains a 3-cm ablation coil, an open irrigation system, and a suction mechanism to mainta...

BACKGROUND Catheter radiofrequency ablation of ventricular arrhythmias (VAs) arising from the left ventricle's papillary muscles has been associated with inconsistent results. The use of cryoenergy versus radiofrequency has not been compared yet. This study compares outcomes and complications of catheter ablation of VA from the papillary muscles of the left ventricle with either cryoenergy or r...

BACKGROUND Intrapericardial mapping and ablation can be utilized to target epicardial arrhythmic circuits. Current epicardial ablation strategies are associated with risk of damage to adjacent structures, including the coronary vasculature and phrenic nerves. OBJECTIVES The purpose of this study was to evaluate the feasibility of an investigational, visually guided laser balloon catheter for ...