Atrioventricular Node Ablation for Atrial Fibrillation in a Patient With EVOQUE Tricuspid Valve: A First Reported Case

IF 2.6 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiovascular Electrophysiology Pub Date : 2025-03-04 DOI:10.1111/jce.16633

Padmapriya Muthu, Hema Vemulapalli, Poojan Prajapati, Juan F. Rodriguez-Riascos, Ahmad Naeem Lone, Komandoor Srivathsan

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Abstract

Introduction

Atrial fibrillation (AF) is the most common arrhythmia, and atrioventricular (AV) node ablation with pacemaker implantation is a therapeutic option for refractory cases. However, AV node ablation in patients with bioprosthetic tricuspid valves poses technical challenges.

Methods

An 84-year-old male with an EVOQUE transcatheter tricuspid valve replacement underwent AV node ablation (AVNA) under intracardiac echocardiography (ICE) guidance.

Results

Successful AV block was achieved with precise catheter positioning, improving the patient's symptoms and ventricular rate control.

Conclusion

This case demonstrates the feasibility of AVNA in patients with tricuspid bioprostheses, demonstrating feasibility with ICE guidance.

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EVOQUE三尖瓣心房颤动患者房室结消融：首例报道。

房颤（AF）是最常见的心律失常，房室（AV）结消融联合起搏器植入是治疗难治性病例的一种选择。然而，生物假体三尖瓣患者房室结消融存在技术挑战。方法：84岁男性，经EVOQUE导管三尖瓣置换术，在心内超声心动图（ICE）指导下行房室结消融（AVNA）。结果：通过精确的导管定位，获得了成功的房室传导阻滞，改善了患者的症状并控制了心室率。结论：本病例证明了AVNA在三尖瓣生物假体患者中的可行性，证明了ICE指导下的可行性。

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来源期刊

Journal of Cardiovascular Electrophysiology 医学-心血管系统

CiteScore

5.20

自引率

14.80%

发文量

433

审稿时长

3-6 weeks

期刊介绍： Journal of Cardiovascular Electrophysiology (JCE) keeps its readership well informed of the latest developments in the study and management of arrhythmic disorders. Edited by Bradley P. Knight, M.D., and a distinguished international editorial board, JCE is the leading journal devoted to the study of the electrophysiology of the heart.