Step-by-Step Cardioneuroablation Approach in Two Patients with Functional Atrioventricular Block

• Main Authors: Tolga Aksu, Tümer Erdem Güler, Kıvanç Yalın
• Format: Article
• Language: English
• Published: Galenos Publishing House 2019-11-01
• Series: Balkan Medical Journal
• Subjects: ablation; adult; cardiovascular disease; ganglionated plexus; parasympathetic; syncope
• Online Access: http://balkanmedicaljournal.org/text.php?lang=en&id=2149

Parasympathetic overactivity may cause functional atrioventricular block episodes and necessitate pacemaker implantation in symptomatic cases and those refractory to conventional therapies. In these patients, if it can be clearly demonstrated that there is no structural damage in the conduction system, elimination of the vagal activity based on radiofrequency catheter ablation of main ganglionated plexi around the heart, which is called as cardioneuroablation, might be a rational approach. In this review article, we try to discuss patient selection and procedural steps suitable for cardioneuroablation based on two patients with functional atrioventricular block.