HotBalloon ablation of atrial fibrillation in patients with dextrocardia and situs inversus by "mirror image" approach.
Shunsuke MiyauchiYukiko NakanoYoshihiro IkeuchiSho OkamuraYousaku OkuboNaoya HironobeTakehito TokuyamaYasuki KiharaPublished in: Journal of arrhythmia (2019)
A 51-year-old man with dextrocardia and complete situs inversus who presented with palpitation as a result of drug refractory paroxysmal atrial fibrillation (AF) was referred to our hospital for catheter ablation. Pulmonary vein isolation (PVI) was performed using the HotBalloon technique. We were able to accomplish AF ablation safely and easily using 180 degree-inversed mirror images of X-ray fluoroscopy. We have reported successful PVI for AF with dextrocardia using HotBalloon and mirror image of X-ray fluoroscopy without any complication for the first time.
Keyphrases
- catheter ablation
- atrial fibrillation
- deep learning
- left atrial
- left atrial appendage
- oral anticoagulants
- high resolution
- direct oral anticoagulants
- dual energy
- heart failure
- percutaneous coronary intervention
- convolutional neural network
- healthcare
- adverse drug
- computed tomography
- optical coherence tomography
- electron microscopy
- machine learning
- magnetic resonance imaging
- emergency department
- coronary artery disease
- acute care
- mitral valve
- mass spectrometry
- drug induced
- acute coronary syndrome
- electronic health record