Abstract
The aim of this study is to show a simplified reversible approach to investigate and confirm vagal denervation at any time during the ablation procedure without autonomic residual effect. Parasympathetic denervation has been increasingly applied in ablation procedures such as in vagal-related atrial fibrillation and cardioneuroablation. This method proposes an easy way to study the vagal effect and to confirm its elimination following parasympathetic denervation through vagal stimulation (VS) by an electrophysiological catheter placed in the internal jugular vein. A prospective controlled study including 64 patients without significant cardiopathy (48 male [75.0%], age 46.4 ± 16.4 years) who had a well-defined RF ablation indication for symptomatic arrhythmias, comprising a "denervation group" (DG), with indication for ablation with parasympathetic denervation (vagal-related atrial fibrillation or severe cardioinhibitory syncope) and a "control group" (CG), with ablation indication without parasympathetic denervation (accessory pathway or ventricular arrhythmia). By using a neurostimulator, both groups underwent non simultaneous bilateral VS (8 to 12 s, frequency: 30 Hz, pulse width: 50 μs, amplitude: 0.5 to 1 V/kg up to 70 V) ...Continue Reading
References
Jun 3, 1997·Circulation·C W ChiouD P Zipes
Jul 21, 2000·The Anatomical Record·D H PauzaR Stropus
Mar 20, 2003·Heart and Vessels·Hiroaki KawanoKatsusuke Yano
Sep 16, 2004·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Juan Carlos Gallego-PageJosé Ortíz-Berrocal
Nov 3, 2004·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Jose C Pachon MAdib D Jatene
Dec 21, 2004·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Dave T KimMichael C Fishbein
Jan 27, 2005·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Jose C PachonAdib D Jatene
Mar 29, 2006·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Robert LemeryMichael Gollob
Apr 12, 2006·Pacing and Clinical Electrophysiology : PACE·Jose C Pachon MAdib D Jatene
Aug 23, 2006·Circulation·Mauricio ScanavaccaEduardo Sosa
Jan 16, 2008·Circulation·Kristina LemolaStanley Nattel
Jul 16, 2008·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Mauricio Arruda, Andrea Natale
Dec 22, 2009·Journal of Cardiovascular Electrophysiology·Raphael RossoJonathan M Kalman
Jul 20, 2010·Pacing and Clinical Electrophysiology : PACE·Seil OhYun-Shik Choi
Jun 30, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Jose Carlos M PachonTomas Guilhermo P Santillana
Dec 8, 2011·Circulation. Arrhythmia and Electrophysiology·Leonardo CalòErnesto Lioy
Jan 26, 2012·Circulation. Arrhythmia and Electrophysiology·Yan YaoShu Zhang
Feb 7, 2012·Pacing and Clinical Electrophysiology : PACE·Zhao LiangLiao Dening
Mar 6, 2012·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hugh CalkinsDavid Wilber
Feb 25, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·Hung-Yu ChangShih-Ann Chen
Citations
Jul 15, 2017·Circulation. Arrhythmia and Electrophysiology·Esteban W Rivarola, Mauricio Scanavacca
Jul 15, 2017·Circulation. Arrhythmia and Electrophysiology·José Carlos Pachón-Mateos, Enrique I Pachón-Mateos
Aug 11, 2017·Circulation. Arrhythmia and Electrophysiology·Esteban Rivarola, Mauricio Scanavacca
Apr 24, 2020·Pacing and Clinical Electrophysiology : PACE·Tolga AksuRakesh Gopinathannair
May 8, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Alan GarciaJorge Gomez-Flores
Jun 16, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Jose Carlos Pachon M, Enrique I Pachon M
Sep 20, 2017·Pacing and Clinical Electrophysiology : PACE·Kazuhiro KatoNobukazu Nakasato
May 13, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Tolga AksuKivanc Yalin
Jan 20, 2021·Heart·Michele Brignole, Giulia Rivasi
Nov 18, 2020·Circulation. Arrhythmia and Electrophysiology·Jose Carlos Pachon-MThiago G Osorio
Apr 15, 2021·Journal of Arrhythmia·Marco RebecchiLeonardo Calò
May 25, 2021·HeartRhythm Case Reports·Alvaro V SarabandaMauricio Scanavacca
Jun 30, 2021·Indian Pacing and Electrophysiology Journal·Antoni WileczekSebastian Stec
Aug 3, 2021·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Jose Carlos Pachon-M, Enrique I Pachon-M
Aug 23, 2021·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Bert VandenberkSatish R Raj
Nov 9, 2021·Pacing and Clinical Electrophysiology : PACE·Muzaffar AliKhalil Kanjwal