Hostname: page-component-848d4c4894-pjpqr Total loading time: 0 Render date: 2024-06-26T18:47:04.322Z Has data issue: false hasContentIssue false

Transient block during radiofrequency ablation well away from the His–Purkinje system: atrioventricular nodal artery trauma?

Published online by Cambridge University Press:  24 April 2023

Victor Grech
Affiliation:
Mater Dei Hospital, Tal-Qroqq, Malta
Elizabeth Grech*
Affiliation:
University of Malta, Msida, Malta
Joseph DeGiovanni
Affiliation:
Mater Dei Hospital, Tal-Qroqq, Malta
*
Author for correspondence: Elizabeth Grech, University of Malta, Msida, Malta. E-mail: elizabeth.v.grech.18@um.edu.mt

Abstract

Cardiac arrhythmias occur at all ages. Cardiac mapping and ablation are established methods for curing arrhythmia substrates; however, complications may occur. We report a patient with transient Wenckebach heart block during radiofrequency ablation in the setting of Wolff Parkinson White syndrome despite the ablation catheter being well away from the atrioventricular node, and we speculate on the potential mechanism.

Type
Brief Report
Copyright
© The Author(s), 2023. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bohnen, M, Stevenson, WG, Tedrow, UB, et al. Incidence and predictors of major complications from contemporary catheter ablation to treat cardiac arrhythmias. Heart Rhythm 2011; 8: 16611666.10.1016/j.hrthm.2011.05.017CrossRefGoogle ScholarPubMed
Xie, B, Heald, SC, Bashir, Y, et al. Localization of accessory pathways from the 12-lead electrocardiogram using a new algorithm. Am J Cardiol 1994; 74: 161165.10.1016/0002-9149(94)90090-6CrossRefGoogle ScholarPubMed
Tan, ESJ, Chan, SP, Seow, S-C, et al. Outcomes of supraventricular tachycardia ablation: results from the Singapore ablation and cardiac devices registry. Pacing Clin Electrophysiol 2022; 45: 5058.10.1111/pace.14410CrossRefGoogle ScholarPubMed
Karagöz, T, Ertuğrul, İ, Aypar, E, et al. Two decades of experience on ablation in children with Ebstein’s anomaly. Cardiol Young 2022; 32: 437443.10.1017/S1047951121002353CrossRefGoogle ScholarPubMed
Ouali, S, Anselme, F, Savouré, A, Cribier, A. Acute coronary occlusion during radiofrequency catheter ablation of typical atrial flutter. J Cardiovasc Electrophysiol 2002; 13: 10471049.10.1046/j.1540-8167.2002.01047.xCrossRefGoogle ScholarPubMed
Kawashima, T, Sato, F. Clarifying the anatomy of the atrioventricular node artery. Int J Cardiol 2018; 269: 158164.10.1016/j.ijcard.2018.07.022CrossRefGoogle ScholarPubMed
Xie, B, Heald, SC, Camm, AJ, Rowland, E, Ward, DE. Successful radiofrequency ablation of accessory pathways with the first energy delivery: the anatomic and electrical characteristics. Eur Heart J 1996; 17: 10721079.10.1093/oxfordjournals.eurheartj.a015004CrossRefGoogle ScholarPubMed
Castaño, A, Crawford, T, Yamazaki, M, Avula, UMR, Kalifa, J. Coronary artery pathophysiology after radiofrequency catheter ablation: review and perspectives. Heart Rhythm 2011; 8: 19751980.10.1016/j.hrthm.2011.07.006CrossRefGoogle ScholarPubMed
Contractor, T, Swamy, P, Prasad, V, Bhardwaj, R, Tung, R, Mandapati, R. Coronary artery injury during ablation of typical atrioventricular nodal reentrant tachycardia: report of a rare complication and review of literature. HeartRhythm Case Rep. 2020; 6: 632636.10.1016/j.hrcr.2020.06.010CrossRefGoogle ScholarPubMed
Koca, S, Kavurt, V, Ece, I, et al. Transitioning from radiofrequency ablation to cryoablation for treatment of pediatric atrioventricular nodal reentrant tachycardia: a single tertiary center experience. Pediatr Cardiol 2022; 43: 15991605.10.1007/s00246-022-02887-zCrossRefGoogle ScholarPubMed