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Related Experiment Video

Updated: Jul 26, 2026

Robotic Ablation of Atrial Fibrillation
11:21

Robotic Ablation of Atrial Fibrillation

Published on: May 29, 2015

Slow pathway ablation without femoral access.

Kiran Chandan1, Chandrashekar Ponde, Yash Lokhandwala

  • 1Department of Cardiology, PD Hinduja National Hospital and Medical Research Centre, Mumbai.

Indian Heart Journal
|May 10, 2002
PubMed
Summary

Drug-refractory atrioventricular nodal re-entry tachycardia in an elderly patient was successfully treated with radiofrequency ablation. The procedure was uniquely performed via the subclavian vein due to bilateral iliac vein occlusion.

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Area of Science:

  • Cardiology
  • Electrophysiology
  • Vascular Medicine

Background:

  • Atrioventricular nodal re-entry tachycardia (AVNRT) is a common supraventricular tachycardia.
  • Drug refractory AVNRT often requires catheter ablation for effective management.
  • Iliac vein occlusion presents a significant challenge for standard transcatheter procedures.

Observation:

  • An 80-year-old female patient experienced frequent tachycardia episodes.
  • She was diagnosed with drug-refractory atrioventricular nodal re-entry tachycardia.
  • Bilateral common iliac vein occlusion was identified as a complicating factor.

Findings:

  • Radiofrequency ablation targeting the slow pathway of AVNRT was successfully performed.
  • The ablation procedure was uniquely accessed via the subclavian vein due to iliac vein occlusion.

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Last Updated: Jul 26, 2026

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11:21

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Published on: May 29, 2015

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
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12:45

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

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  • This approach necessitated specialized techniques for catheter positioning and navigation.

    • Implications:

    • Subclavian vein access is a viable alternative for radiofrequency ablation in patients with iliac vein occlusion.
    • This case highlights the technical considerations and potential challenges in complex electrophysiology procedures.
    • Successful ablation via an alternative route offers a treatment option for patients with challenging venous anatomy.