"Three-level shock" in ablation-refractory paroxysmal atrial fibrillation.

Abstract:

:His-bundle ablation is a very effective method to control drug-refractory supraventricular arrhythmias. We present a 69-year-old woman with paroxysmal atrial fibrillation, in whom several attempts of unipolar and bipolar His-bundle ablation were ineffective. Ultimately a stable 2/1 atrioventricular block was induced when three successive shocks of 400 W were applied. The first shock was given in that position with the largest His-potential deflection. The other two shocks were applied at catheter positions more distal and more proximal from the first one, respectively. We suppose that the initial lack of success was due to an atypical atrioventricular junction anatomy.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Pop T,Treese N,Erbel R,Von Olshausen K,Meyer J

doi

10.1002/clc.4960100516

subject

Has Abstract

pub_date

1987-05-01 00:00:00

pages

367-9

issue

5

eissn

0160-9289

issn

1932-8737

journal_volume

10

pub_type

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