The inferior displacement of the His bundle and fast pathway in a patient with common type atrioventricular nodal tachycardia: Three-dimensional computed tomography analysis

Abstract A 66-year-old woman with palpitations was referred to our center for catheter ablation due to drug-refractory, common type atrioventricular nodal tachycardia (AVNRT). A selective slow pathway ablation was attempted. A fast junctional rhythm with transient ventriculoatrial block followed by...

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Published in:Journal of arrhythmia 2017-04, Vol.33 (2), p.147-149
Main Authors: Kiuchi, Kunihiko, MD, FHRS, Fukuzawa, Koji, MD, Shumpei, Mori, MD, Nishii, Tatsuya, MD
Format: Article
Language:English
Subjects:
Ablation
AVNRT
Cardiovascular
Catheter ablation
Catheters
Computed tomography
Conflicts of interest
Fast pathway
His bundle
Patients
Rapid Firing
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container_end_page 149
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container_start_page 147
container_title Journal of arrhythmia
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creator Kiuchi, Kunihiko, MD, FHRS
Fukuzawa, Koji, MD
Shumpei, Mori, MD
Nishii, Tatsuya, MD
description Abstract A 66-year-old woman with palpitations was referred to our center for catheter ablation due to drug-refractory, common type atrioventricular nodal tachycardia (AVNRT). A selective slow pathway ablation was attempted. A fast junctional rhythm with transient ventriculoatrial block followed by transient prolongation of the A–H interval occurred immediately after the radiofrequency (RF) application at the coronary sinus ostium (CSOS) level. To assess the location of the fast pathway and His bundle, we sought to visualize the anatomy of the triangle of Koch (TOK) by three-dimensional computed tomography (CT).
doi_str_mv 10.1016/j.joa.2016.07.009
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subjects Ablation
AVNRT
Cardiovascular
Catheter ablation
Catheters
Computed tomography
Conflicts of interest
Fast pathway
His bundle
Patients
Rapid Firing
title The inferior displacement of the His bundle and fast pathway in a patient with common type atrioventricular nodal tachycardia: Three-dimensional computed tomography analysis
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