Step-by-Step Cardioneuroablation Approach in Two Patients with Functional Atrioventricular Block

Aksu T., Guler T. E., YALIN K.

BALKAN MEDICAL JOURNAL, cilt.36, sa.6, ss.301-310, 2019 (SCI-Expanded, Scopus, TRDizin) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 36 Sayı: 6
  • Basım Tarihi: 2019
  • Doi Numarası: 10.4274/balkanmedj.galenos.2019.2019.9.47
  • Dergi Adı: BALKAN MEDICAL JOURNAL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.301-310
  • Anahtar Kelimeler: Ablation, adult, cardiovascular disease, ganglionated plexus, parasympathetic, syncope, ATRIAL NEURAL-NETWORK, REFLEX SYNCOPE, AV BLOCK, SINUS, INNERVATION, FIBROSIS, ABLATION, IMPACT, NODES
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet

Özet

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.