Three‐dimensional mapping and superior approach for catheter ablation in patients without inferior vena cava access

• Published in: Pacing and clinical electrophysiology Vol. 47; no. 11; pp. 1507 - 1514
• Main Authors: Hsu, Chu‐Yu, Chang, Shih‐Lin, Lin, Yenn‐Jiang, Lo, Li‐We, Hu, Yu‐Feng, Chung, Fa‐Po, Lin, Chin‐Yu, Chang, Ting‐Yung, Chuang, Chieh‐Mao, Kou, Ming‐Jen, Chen, Wei‐Tso, Chhay, Chheng, Kao, Pei‐Heng, Ibrahim, Ahliah E., Lin, Wei‐Shiang, Chen, Shih‐Ann
• Format: Journal Article
• Language: English
• Published: United States Wiley Subscription Services, Inc 01.11.2024
• Subjects: Adult; Aged; Arrhythmia; Atrial Fibrillation - surgery; Catheter ablation; Catheter Ablation - methods; Catheters; Female; Heart; Humans; Imaging, Three-Dimensional; Male; Mapping; Middle Aged; Radiofrequency ablation; superior approach; Tachyarrhythmia; Tachycardia; Three‐dimentional mapping; Vena Cava, Inferior - diagnostic imaging; Vena Cava, Inferior - surgery; superior approach; Three‐dimentional mapping; Catheter ablation
• ISSN: 0147-8389; 1540-8159; 1540-8159
• DOI: 10.1111/pace.15047

Catheter ablation for tachyarrhythmia via superior approach has been used in patients without possible inferior vena cava access such as in cases of venous occlusion or complex anomaly. Difficulty in catheter manipulation, instability, number of required vascular access, and radiation exposure of operator had been described in the procedure. Application of three‐dimensional (3‐D) mapping system in catheter ablation via superior approach could navigate the guiding catheter and provide more precise ablation. We reported four cases receiving catheter ablation due to atrioventricular nodal reentry tachycardia, atrial fibrillation, and right ventricular arrhythmia via superior approach facilitated by 3‐D mapping system with fewer vascular access and catheters.