21.02.2013 Views

Dr R Beynon University Hospital of North Staffordshire

Dr R Beynon University Hospital of North Staffordshire

Dr R Beynon University Hospital of North Staffordshire

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EPS and attempted ablation<br />

• TV annulus remapped with SRO sheath, F curve cool tip catheter<br />

• AF spontaneously induced with degeneration to VF – cardioverted<br />

to SR<br />

• Prolonged mapping at TV annulus with early signals at 6 o’clock.<br />

• Multiple ablations with occasional suggestion <strong>of</strong> a change in the<br />

degree <strong>of</strong> pre-excitation.<br />

• Good signals up to 40 msec ahead <strong>of</strong> delta over a reasonably wide<br />

area.<br />

• Eventually exchanged SR0 for an Agilis sheath to get better contact<br />

and perform<br />

• Further ablation without success.

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