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Clin Case Rep. 2016 Nov 13;4(12):1195-1200. doi: 10.1002/ccr3.739. eCollection 2016 Dec.

Catheter ablation of ventricular ectopy with para-hisian origin: importance of mapping both sides of the interventricular septum and understanding when to stop ablating.

Clinical case reports

Antonio Madaffari, Anett Große, Santi Raffa, Markus Frommhold, Agnes Fink, J Christoph Geller

Affiliations

  1. Department of Arrhythmia and Electrophysiology Division of Cardiology Zentralklinik Bad Berka Bad Berka Germany.
  2. Department of Arrhythmia and Electrophysiology Division of Cardiology Zentralklinik Bad Berka Bad Berka Germany; Otto-von-Guericke University School of Medicine Magdeburg Germany.

PMID: 27980762 PMCID: PMC5134218 DOI: 10.1002/ccr3.739

Abstract

Catheter ablation of para-Hisian premature ventricular contractions (PVCs) still represents a challenge and is a compromise between success and inadvertent AV block. We describe a possible strategy to address PVCs from this location with high-amplitude His-bundle potentials at the site of earliest activation.

Keywords: Catheter ablation; His‐bundle; para‐Hisian premature ventricular contraction; premature ventricular contractions

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