BACKGROUND Treatment of maternal tachyarrhythmias in pregnancy is a major clinical issue. Pharmacological treatment raises important concerns regarding partial efficacy and side effects. Radiofrequency ablation of arrhythmogenic substrate has rarely been performed during pregnancy because of the fetal risks related to x-ray exposure and potential fetomaternal procedural complications. CASES T...

BACKGROUND Radiofrequency catheter ablation requires precise positioning of the ablation electrode. Fluoroscopically guided catheter manipulation has limitations, and there are risks of radiation exposure. The purpose of this study was to examine the feasibility of guiding catheter ablation within the right atrium with catheter-based intracardiac echocardiography. METHODS AND RESULTS A 10F, 1...

Intramural septal substrate presents a challenge in patients undergoing ventricular tachycardia ablation, terms of both accurate mapping and ablation with unipolar radiofrequency energy. We present the first use novel 2-F octapolar catheter accurately defining intramural scar facilitating bipolar ablation. (Level Difficulty: Advanced.)

BACKGROUND The MRI-compatible electrophysiology system previously used for MR-guided left ventricular electroanatomic mapping was enhanced with improved MR tracking, an MR-compatible radiofrequency ablation system and higher-resolution imaging sequences to enable mapping, ablation, and ablation monitoring in smaller cardiac structures. MR-tracked navigation was performed to the left atrium (LA)...

it has been well - established that common atrial flutter is due to intraatrial macroreentry and its reentry circuit locates in the right atrium. this reentry circuit has been characterized to involve an area of slow conduction identifiable electrophysiologically at the low posteroseptal right atrium and anatomical narrow isthmus snrrounded by the inferior vena capa, coronary sinus astium and t...

The era of catheter ablation for the treatment of arrhythmias began in 1981, when Dr. Melvin Scheinman performed the first atrioventricular junction ablation using direct-current shocks in a patient with drug-refractory atrial fibrillation and an uncontrolled ventricular rate.1 Because of the barotrauma associated with intracardiac high-energy shocks, direct-current catheter ablation played onl...

BACKGROUND Catheter-induced mechanical trauma is unfavorable during electrophysiological study. However, its incidence, significance, and pharmacological responses in patients receiving radiofrequency ablation for supraventricular tachycardia have not been investigated. METHODS AND RESULTS A prospective study was performed in 666 consecutive patients with documented, symptomatic supraventricu...

Background: Catheter and cryoballoon ablation are established treatments for atrial fibrillation. Frequently, substrate modification of the left atrium is performed in patients with persistent AF or evidence of left atrial adverse remodeling. We compared one year outcomes of AF ablation with substrate modification utilizing radiofrequency catheter ablation (RFA) compared to a combination of cry...

The era of catheter ablation for the treatment of arrhythmias began in 1981 when Dr. Melvin Scheinman performed the first atrioventricular junction ablation using direct current shocks in a patient with drug refractory atrial fibrillation and an uncontrolled ventricular rate.1 Because of the barotrauma associated with intracardiac, high energy shocks, direct current catheter ablation played onl...

BACKGROUND Ablation of complex arrhythmias would be greatly facilitated by more precise control of ablation catheters. A feasibility study was performed in animals to evaluate a novel magnetic guidance system (MGS) that generates a magnetic field to control the movement and position of a magnetic ablation catheter. METHODS AND RESULTS The MGS is composed of a digital biplanar fluoroscope with...