Clinical controversy: methodology and indications of cardioneuroablation for reflex syncope

Graphical Abstract Graphical Abstract Observational studies and a recent randomized controlled trial have provided some evidence that cardioneuroablation (CNA) may prevent syncope recurrence in patients affected by cardioinhibitory reflex syncope during the first 2 years following the procedure. Nev...

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Bibliographic Details
Published in:Europace (London, England) England), 2023-05, Vol.25 (5), p.1
Main Authors: Brignole, Michele, Aksu, Tolga, Calò, Leonardo, Debruyne, Philippe, Deharo, Jean Claude, Fanciulli, Alessandra, Fedorowski, Artur, Kulakowski, Piotr, Morillo, Carlos, Moya, Angel, Olshansky, Brian, Piotrowski, Roman, Stec, Sebastian, Wichterle, Dan
Format: Article
Language:English
Subjects:
Bradycardia
Cardiac and Cardiovascular Systems
Clinical Medicine
Controversy
Humans
Kardiologi
Klinisk medicin
Life Sciences
Medical and Health Sciences
Medicin och hälsovetenskap
Reflex
Syncope, Vasovagal - diagnosis
Syncope, Vasovagal - surgery
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Summary:Graphical Abstract Graphical Abstract Observational studies and a recent randomized controlled trial have provided some evidence that cardioneuroablation (CNA) may prevent syncope recurrence in patients affected by cardioinhibitory reflex syncope during the first 2 years following the procedure. Nevertheless, many issues concerning clinical indications, methodology, and long-term results remain unresolved. These issues constitute the background of this manuscript in which pioneers in CNA and experts in syncope debated critical aspects aimed at finding agreement or, if not possible, that highlighting the controversies could be addressed in future studies.
ISSN:1099-5129
1532-2092
1532-2092
DOI:10.1093/europace/euad033