Document Detail

Cryothermic ablation within the coronary sinus of an epicardial posterolateral pathway.
MedLine Citation:
PMID:  12475109     Owner:  NLM     Status:  MEDLINE    
Radiofrequency ablation inside the coronary sinus (CS) is associated with the risk of vein stenosis, or perforation or damage to the circumflex artery. Cryothermic ablation has proved less harmful, but there are no data on its use within a venous structure. A patient with a posterolateral accessory pathway underwent several unsuccessful attempts at endocardial ablation. Ablation then was performed with cool energy within the CS, where the shortest VA interval and a possible Kent potential were recorded. Selective left coronary angiography showed a normal circumflex artery and the absence of lesions of the CS. Six months later, the patient was asymptomatic without taking antiarrhythmic drugs. We conclude that cryoablation within the CS may be effective and safe.
Fiorenzo Gaita; Luca Paperini; Riccardo Riccardi; Anna Ferraro
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular electrophysiology     Volume:  13     ISSN:  1045-3873     ISO Abbreviation:  J. Cardiovasc. Electrophysiol.     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-12-11     Completed Date:  2003-03-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9010756     Medline TA:  J Cardiovasc Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1160-3     Citation Subset:  IM    
Division of Cardiology, Ospedale Mauriziano Umberto I di Torino, Torino, Italy.
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MeSH Terms
Cardiac Surgical Procedures*
Coronary Angiography
Heart / physiopathology*
Neural Pathways / physiopathology
Pericardium / physiopathology*

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