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Delayed CAVB After SP Ablation for AVNRT: Mechanistic Insights Into FP Injury and Pacing Decision-Making
Nobuhiro Honda1, Kiyohiro Ogawa1, Kotaro Tasaki1
1Department of Cardiology, General Hospital Hamanomachi, Fukuoka, Fukuoka, Japan.
Delayed complete atrioventricular block (CAVB) after slow pathway (SP) ablation for atrioventricular nodal re-entrant tachycardia (AVNRT) can be reversible. Careful assessment of AV conduction is crucial before permanent pacemaker implantation.
Area of Science:
- Cardiology
- Electrophysiology
- Medical Devices
Background:
- Radiofrequency ablation of the slow pathway (SP) is standard therapy for atrioventricular nodal re-entrant tachycardia (AVNRT).
- Delayed complete atrioventricular block (CAVB) is a rare but challenging complication post-ablation, impacting pacemaker decisions.
- A 79-year-old male with pre-existing first-degree AV block experienced delayed CAVB post-SP ablation.
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