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Europace Advance Access published online on April 26, 2007
Europace, doi:10.1093/europace/eum063
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

A NavXTM-guided ablation of a nodo-fascicular fibre

Christopher Reithmann*, Anton Hahnefeld and Gerhard Steinbeck

Medizinische Klinik I, Klinikum Grosshadern, Universität München, Marchioninstr. 15, Munich, Germany

The NavXTM system was used to guide mapping and successful ablation of a reciprocating antidromic tachycardia involving anterograde conduction over a nodo-fascicular fibre and retrograde conduction over the His bundle and AV node. This novel mapping system allowed visualization of the lower insertion site of the nodo-fascicular accessory pathway ~1.5–2 cm away from the tricuspid annulus in a three-dimensional reconstruction of the right atrium and right ventricle.

Key Words: Accessory pathway, Arrhythmia, Three-dimensional, Catheter ablation

* Corresponding author. Tel: +49 89 7095 3060; fax. +49 89 7095 8830. E-mail address: christopher.reithmann{at}med.uni-muenchen.de

Manuscript submitted 17 July 2006. Accepted after revision 14 March 2007.


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