Catheter-Based Cardio-Neural Ablation for Refractory Vasovagal Syncope

Yu Lu, MD, PhD; Wei Wei, MD, PhD; Gaurav A. Upadhyay, MD; Roderick Tung, MD

JACC: Case Reports (Jul 2020)

Catheter-Based Cardio-Neural Ablation for Refractory Vasovagal Syncope

Yu Lu, MD, PhD,
Wei Wei, MD, PhD,
Gaurav A. Upadhyay, MD,
Roderick Tung, MD

Affiliations

Yu Lu, MD, PhD: Department of Medicine, Section of Cardiology, The University of Chicago Medicine Center for Arrhythmia Care, Pritzker School of Medicine, Chicago, Illinois; Department of Cardiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China
Wei Wei, MD, PhD: Department of Medicine, Section of Cardiology, The University of Chicago Medicine Center for Arrhythmia Care, Pritzker School of Medicine, Chicago, Illinois; Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, China
Gaurav A. Upadhyay, MD: Department of Medicine, Section of Cardiology, The University of Chicago Medicine Center for Arrhythmia Care, Pritzker School of Medicine, Chicago, Illinois
Roderick Tung, MD: Department of Medicine, Section of Cardiology, The University of Chicago Medicine Center for Arrhythmia Care, Pritzker School of Medicine, Chicago, Illinois; Department of Cardiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China; Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, China; Address for correspondence: Dr. Roderick Tung, The University of Chicago Medicine Center for Arrhythmia Care, Pritzker School of Medicine, 5841 South Maryland Avenue, MC 6080, Chicago, Illinois 60637.

Journal volume & issue: Vol. 2, no. 8
pp. 1161 – 1165

Abstract

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We highlight the feasibility and efficacy of a new application for catheter ablation to target atrial ganglionated plexi in a patient with refractory vasovagal syncope. We describe a physiologically guided technique and demonstrate 18-month freedom from syncope with 2 tilt-table tests to objectively assess reproducible elimination of symptomatology and underlying pathophysiology. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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