Arrhythmias & electrophysiology

High-density electroanatomic activation mapping to guide slow pathway modification in patients with persistent left superior vena cava

Heart RhythmPublished Case series with validation cohort

Authors' conclusion

High-resolution activation mapping of the KT in sinus rhythm can facilitate localization and safe SP ablation in patients with PLSVC.

Study context

Population
Patients with PLSVC and dual atrioventricular (AV) nodal physiology undergoing slow pathway modification
Participants
7 vs 21
Comparison
PLSVC vs Validation
  • PLSVCn = 7
  • Validationn = 21
Outcome
SP ablation targets by high-density activation mapping in sinus rhythm

Performance

As reported in the abstract

Ablation led to successful slow pathway (SP) modification reaching standard clinical endpoints; median radiofrequency energy

43 seconds

Median cryoablation

14 minutes

Safety

No complications

Original publication

High-density electroanatomic activation mapping to guide slow pathway modification in patients with persistent left superior vena cava. Heart Rhythm. Published 3 April 2023. doi:10.1016/j.hrthm.2023.03.1537

Summarised from the published abstract; every number is checked against it

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