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Title of Journal: Clin Res Cardiol

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Abbravation: Clinical Research in Cardiology

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Springer Berlin Heidelberg

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1861-0692

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Managing difficult anatomy remotecontrolled abla

Authors: Burkhard Hügl Dmitrij Velikan Björn Buchter Zdravena Findeisen
Publish Date: 2013/06/15
Volume: 102, Issue: 9, Pages: 687-691
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Abstract

Radiofrequency catheter modification of the slow pathway is the recommended therapy for patients suffering from recurrent symptomatic atrioventricular nodal reentry tachycardia This procedure is usually performed via the femoral vein and inferior vena cava Agenesis of the inferior vena cava is a rare congenital condition without clinical significance However this anomaly has a clinical impact when performing electrophysiology studies and ablations 1 and alternative venous approaches are used to treat these patients 2 We report a successful remotecontrolled ablation of a slow pathway in a patient with atrioventricular nodal reentry tachycardia AVNRT and a congenitally absent inferior vena cavaA 46yearold woman was referred to our institution for catheter ablation of recurrent supraventricular tachycardia SVT with suspicion of reentry circuits The patient previously had antiarrhythmic drugs therapy and two unsuccessful attempts at catheter ablation of AVNRT

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