article thumbnail

Venous Ethanol Infusion for the Ablation of Atrial Fibrillation: A Step‐by‐Step Guide

Journal of Cardiovascular Electrophysiology

Ethanol infusion enhances ablation efficacy, reducing AF recurrence and improving the likelihood of durable mitral isthmus block. By providing a reproducible framework, this guide helps electrophysiologists integrate VOM ethanol ablation into clinical practice, optimizing rhythm control strategies for complex AF patients.

article thumbnail

A novel enhanced stability detection algorithm for ablation catheters: purpose and application in high-power short-duration ablation

Frontiers in Cardiovascular Medicine

BackgroundAssessing catheter stability during ablation procedures is crucial. This poses challenges with high-power, short-duration (HPSD) radiofrequency ablation workflows. During QMODE ablation sessions, the Stability + algorithm prevented overshooting in 84% of the ablation positions. s with the Gated algorithm.

article thumbnail

Non-fluoroscopic vs. fluoroscopic radiofrequency catheter ablation for pediatric atrioventricular nodal reentrant tachycardia: a comparative study of procedural characteristics and ablation site

Frontiers in Cardiovascular Medicine

BackgroundNon-fluoroscopic cryoablation is considered safe for pediatric atrioventricular nodal reentrant tachycardia (AVNRT), but concerns about prolonged procedures and recurrence persist, requiring continued use of radiofrequency ablation (RFA). Non-fluoroscopic RFA, guided by three-dimensional mapping, offers enhanced precision.

article thumbnail

Surgical Ablation During CABG Linked to Improved Survival in Patients with Preexisting Atrial Fibrillation

Society of Thoracic Surgeons - Congenital

Overall, only 22% of studied patients received concomitant surgical ablation during CABG, and, although the prevalence of ablation did increase over the study period, ablation rates were only 27% in 2019 (two years after a Class I recommendation for ablation was published by the Society of Thoracic Surgeons).

article thumbnail

A-fib catheter ablation cuts risk for ischemic stroke after 30 days, mortality, heart failure hospitalization

Medical Xpress - Cardiology

For patients with atrial fibrillation, catheter ablation reduces the risk of ischemic stroke at more than 30 days, mortality, and heart failure hospitalization, while surgical ablation only reduces stroke risk, according to a review published online July 1 in the Annals of Internal Medicine.

article thumbnail

How to avoid phrenic nerve Injury during RF ablations ?

Dr. S. Venkatesan MD

Right phrenic nerve Familiarity with phrenic nerve anatomy is key during an ablation. Specifically, the right phrenic nerve should be carefully delineated during endocardial ablation at key sites, such as SVC, the postero-lateral aspects RA. Phreni nerve injury or ablatio can lead to serious consequences.

article thumbnail

Prompt Identification of the Location of Gap Conduction in the Mitral Isthmus Following Vein of Marshall Ethanol Infusion and Endocardial Ablation

Circulation: Arrhythmia and Electrophysiology

BACKGROUND:Mitral isthmus (MI) gap conduction is common despite ethanol infusion into the vein of Marshall (EI-VOM) and endocardial ablation of the MI. Intracoronary sinus ablation was necessary in 77.8% (63/81) of the patients, with a mean of 1.3±1.7 minutes of ablation. sites and 1.1±0.4