Ultra-high-density mapping for safe and effective typical atrioventricular nodal reentrant tachycardia ablation
概要
Catheter ablation for typical atrioventricular nodal reentrant tachycardia (AVNRT) is an
established effective treatment.1 Conventional target sites for ablation include the slow potential
of the slow pathway (SP)2,3 or a specific anatomical site.4 Recently, a detailed analysis of
the excitatory propagation of the Koch’s triangle in typical AVNRT was conducted using the
Rhythmia electroanatomic mapping system,5 with successful outcomes of ablation performed at
the recording site of Jackman potentials (JPs), characterized by dull and spiky potentials on
detailed mapping of the Koch’s triangle using the same system.6 Herein, we report our use of
ultra-high-density (UHD) mapping to identify the ablation optimal site for the treatment of typical
slow-fast AVNRT, diagnosed by electrophysiological study and established criteria.7
Received: November 24, 2022; accepted: January 18, 2023
Corresponding Author: Yusuke Sakamoto, MD, PhD
Department of Cardiology, Tosei General Hospital, 160 Nishi-Oiwake-cho, Seto 489-8642, Japan
Tel: +81-561-82-5101, Fax: +81-561-82-9139, E-mail: aimnaz_sheena@yahoo.co.jp
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