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Accessory pathway ablation: When the going gets tough, the tough go epicardial

Year: 2026

Type: article

Abstract: A 38-year-old lady presented with recurrent episodes of palpitations since the last four years. The electrocardiogram (ECG) during tachycardia indicated pre-excited atrial fibrillation, while the baseline ECG revealed preexcitation with QS waves in the inferior leads. Initial attempts at endocardial ablation and ablation via the coronary sinus approach did not yield successful results. Subsequently, we successfully ablated the inferoparaseptal (posteroseptal) pathway by utilizing a percutaneous epicardial approach. This method should be considered in cases where other techniques fail.

Source: Indian Pacing and Electrophysiology Journal

DOI: 10.1016/j.ipej.2026.01.006

Authors: Yogesh Jagannath Kulkarni, Sirish Chandra Srinath, Anand Manickavasagam, John Roshan Jacob

Institution: Christian Medical College, Vellore

Language: English

Topic: Cardiac Arrhythmias and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $550