Bipolar Radiofrequency Ablation of Atrial Tachycardia Originating From RAA via Pericardium Pathway-A Case Report.
Liang Xiong, Lili Qiu, Xiaowen Xie et al.
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Case in brief
The report describes a patient with atrial tachycardia originating from the right atrial appendage (RAA). Because catheter ablation of RAA tachycardia can be challenging in the setting of the appendage’s complex anatomy, the team used bipolar radiofrequency ablation via a pericardial pathway. The procedure successfully treated the tachycardia. The abstract does not provide further patient characteristics or clinical follow-up details.
What made this case unusual
Bipolar radiofrequency ablation was delivered to an RAA tachycardia origin via a pericardial pathway, addressing the anatomical challenge associated with conventional ablation in this location.
Diagnostic / clinical pearl
For tachycardia arising from the anatomically complex RAA, bipolar radiofrequency ablation via a pericardial pathway may be a successful approach in an individual case.