Tricuspid annular PVCS: Radiofrequency ablation by subtricuspid retrograde catheter approach |
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Affiliation: | 1. Department of Cardiology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India;2. Department of Cardiology, Sri Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum, Kerala, India |
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Abstract: | Tricuspid annular PVCs constitute 8% of idiopathic PVCs and 5% of RV PVCs. Although a rare entity to encounter in routine clinical practice, it can be a prime culprit behind major arrhythmic burden in few individuals. Electroanatomic approach with sub tricuspid retrograde catheter technique can target those annular PVCs and decrease the arrhythmia burden to normal or near normal range. Although procedural approach for parahisian PVCs requires a close look to avoid injury to native conduction system, TA PVCs are a real challenge due to inherent catheter instability and contact issue in sub tricuspid retrograde approach. |
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Keywords: | Tricuspid Annular PVC Subtricuspid Retrograde Catheter Approach |
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