(FIT)-Module 2 Workshop 3: SVT Mechanisms and Maneuvers-Miles Case 6 Answer

Video Transcription

Video Summary

The transcript discusses techniques for identifying and ablating an accessory pathway in the heart. It emphasizes the importance of detecting an early ventricular electrogram beneath the tricuspid valve rather than focusing on a larger atrial electrogram. The process involves placing the ablation catheter strategically on the ventricular side of the tricuspid annulus to achieve effective results while monitoring antegrade AV conduction to avoid damaging the AV node. The discussion highlights the necessity to avoid pacing the ventricle during energy delivery on this patient and acknowledges the benefit of ablation even if it results in a right bundle branch block.

Keywords

accessory pathway ablation

early ventricular electrogram

tricuspid valve

ablation catheter placement

right bundle branch block