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Atrioventricular Node Ablation for Atrial Fibrillation in a Patient With EVOQUE Tricuspid Valve: A First Reported Case

  • Padmapriya Muthu
  • , Hema Vemulapalli
  • , Poojan Prajapati
  • , Juan F. Rodriguez-Riascos
  • , Ahmad Naeem Lone
  • , Komandoor Srivathsan

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Atrial fibrillation (AF) is the most common arrhythmia, and atrioventricular (AV) node ablation with pacemaker implantation is a therapeutic option for refractory cases. However, AV node ablation in patients with bioprosthetic tricuspid valves poses technical challenges. Methods: An 84-year-old male with an EVOQUE transcatheter tricuspid valve replacement underwent AV node ablation (AVNA) under intracardiac echocardiography (ICE) guidance. Results: Successful AV block was achieved with precise catheter positioning, improving the patient's symptoms and ventricular rate control. Conclusion: This case demonstrates the feasibility of AVNA in patients with tricuspid bioprostheses, demonstrating feasibility with ICE guidance.

Original languageEnglish (US)
Pages (from-to)1107-1111
Number of pages5
JournalJournal of cardiovascular electrophysiology
Volume36
Issue number5
DOIs
StatePublished - May 2025

Keywords

  • Atrioventricular Node Ablation
  • Clinical: Catheter ablation
  • atrial fibrillation
  • tricuspid bioprosthesis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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