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Atrioventricular Node Ablation for Atrial Fibrillation in a Patient With EVOQUE Tricuspid Valve: A First Reported Case

Year: 2025

Type: article

Abstract: INTRODUCTION: Atrial fibrillation (AF) is the most common arrhythmia, and atrioventricular (AV) node ablation with pacemaker implantation is a therapeutic option for refractory cases. However, AV node ablation in patients with bioprosthetic tricuspid valves poses technical challenges. METHODS: An 84-year-old male with an EVOQUE transcatheter tricuspid valve replacement underwent AV node ablation (AVNA) under intracardiac echocardiography (ICE) guidance. RESULTS: Successful AV block was achieved with precise catheter positioning, improving the patient's symptoms and ventricular rate control. CONCLUSION: This case demonstrates the feasibility of AVNA in patients with tricuspid bioprostheses, demonstrating feasibility with ICE guidance.

Source: Journal of Cardiovascular Electrophysiology

DOI: 10.1111/jce.16633

Authors: Padmapriya Muthu, Hema Vemulapalli, Poojan Prajapati, Juan F. Rodriguez‐Riascos, Ahmad Naeem Lone, Komandoor Srivathsan

Institution: Mayo Clinic Hospital

Language: English

Topic: Atrial Fibrillation Management and Outcomes

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $4,500