Radiofrequency Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia in Patient with Interruption of Inferior Vena Cava
We present a 72-year-old man with interruption of inferior vena cava (IVC) with azygos continuation, who underwent radiofrequency catheter ablation of atrioventricular nodal reentrant tachycardia (AVNRT). We recorded a His bundle electrogram with an electrode catheter positioned in the aortic root....
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doaj-bf4996a2316b46bc87c84d05e60c65292020-11-25T02:32:53ZengWileyJournal of Arrhythmia1880-42762009-01-012529510010.1016/S1880-4276(09)80023-9Radiofrequency Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia in Patient with Interruption of Inferior Vena CavaKou Suzuki, MD0Shingo Kaneko, MD1Kenichiro Otomo, MD, PhD2Yoshiyuki Hirono, MD3Tomoko Terai, MD PhD4Hiroki Imoto, MD5Emi Takayama, MD6Toru Iwama, MD7Ichiro Kubo, MD8Cardiology Division, Tokyo Metropolitan Bokutoh HospitalCardiology Division, Tokyo Metropolitan Bokutoh HospitalCardiology Division, Ome Municipal General HospitalCardiology Division, Tokyo Metropolitan Bokutoh HospitalCardiology Division, Tokyo Metropolitan Bokutoh HospitalCardiology Division, Tokyo Metropolitan Bokutoh HospitalCardiology Division, Tokyo Metropolitan Bokutoh HospitalCardiology Division, Tokyo Metropolitan Bokutoh HospitalCardiology Division, Tokyo Metropolitan Bokutoh HospitalWe present a 72-year-old man with interruption of inferior vena cava (IVC) with azygos continuation, who underwent radiofrequency catheter ablation of atrioventricular nodal reentrant tachycardia (AVNRT). We recorded a His bundle electrogram with an electrode catheter positioned in the aortic root. We also introduced an electrode catheter through the right femoral vein, advanced it via an enlarged azygos vein and the superior vena cava and positioned it at the right ventricular apex (RVA). AVNRT was induced by programmed pacing from a coronary sinus catheter introduced through the left subclavian vein. It was successfully ablated with an ablation catheter introduced through the right internal jugular vein. In a patient with interruption of IVC, it is impossible to access the right side of the heart directly via femoral vein and IVC. In this case, however, alternative routes to the His bundle, RVA and ablation site enabled us to perform an electrophysiologic study and a successful catheter ablation.http://www.sciencedirect.com/science/article/pii/S1880427609800239ArrhythmiaAzygos veinVenous anomalyElectrophysiologic studyRight cardiac catheterization |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kou Suzuki, MD Shingo Kaneko, MD Kenichiro Otomo, MD, PhD Yoshiyuki Hirono, MD Tomoko Terai, MD PhD Hiroki Imoto, MD Emi Takayama, MD Toru Iwama, MD Ichiro Kubo, MD |
spellingShingle |
Kou Suzuki, MD Shingo Kaneko, MD Kenichiro Otomo, MD, PhD Yoshiyuki Hirono, MD Tomoko Terai, MD PhD Hiroki Imoto, MD Emi Takayama, MD Toru Iwama, MD Ichiro Kubo, MD Radiofrequency Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia in Patient with Interruption of Inferior Vena Cava Journal of Arrhythmia Arrhythmia Azygos vein Venous anomaly Electrophysiologic study Right cardiac catheterization |
author_facet |
Kou Suzuki, MD Shingo Kaneko, MD Kenichiro Otomo, MD, PhD Yoshiyuki Hirono, MD Tomoko Terai, MD PhD Hiroki Imoto, MD Emi Takayama, MD Toru Iwama, MD Ichiro Kubo, MD |
author_sort |
Kou Suzuki, MD |
title |
Radiofrequency Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia in Patient with Interruption of Inferior Vena Cava |
title_short |
Radiofrequency Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia in Patient with Interruption of Inferior Vena Cava |
title_full |
Radiofrequency Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia in Patient with Interruption of Inferior Vena Cava |
title_fullStr |
Radiofrequency Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia in Patient with Interruption of Inferior Vena Cava |
title_full_unstemmed |
Radiofrequency Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia in Patient with Interruption of Inferior Vena Cava |
title_sort |
radiofrequency catheter ablation of atrioventricular nodal reentrant tachycardia in patient with interruption of inferior vena cava |
publisher |
Wiley |
series |
Journal of Arrhythmia |
issn |
1880-4276 |
publishDate |
2009-01-01 |
description |
We present a 72-year-old man with interruption of inferior vena cava (IVC) with azygos continuation, who underwent radiofrequency catheter ablation of atrioventricular nodal reentrant tachycardia (AVNRT).
We recorded a His bundle electrogram with an electrode catheter positioned in the aortic root. We also introduced an electrode catheter through the right femoral vein, advanced it via an enlarged azygos vein and the superior vena cava and positioned it at the right ventricular apex (RVA). AVNRT was induced by programmed pacing from a coronary sinus catheter introduced through the left subclavian vein. It was successfully ablated with an ablation catheter introduced through the right internal jugular vein.
In a patient with interruption of IVC, it is impossible to access the right side of the heart directly via femoral vein and IVC. In this case, however, alternative routes to the His bundle, RVA and ablation site enabled us to perform an electrophysiologic study and a successful catheter ablation. |
topic |
Arrhythmia Azygos vein Venous anomaly Electrophysiologic study Right cardiac catheterization |
url |
http://www.sciencedirect.com/science/article/pii/S1880427609800239 |
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