Cardioneuroablation for Vasovagal Syncope and Atrioventricular Block: A
Step-by-Step Guide
Abstract
Catheter based cardioneuroablation is increasingly being utilized to
improve outcomes in patients with vasovagal syncope and functional
atrioventricular block. There is now increasing convergence amongst
enthusiasts on its various aspects, including patient selection,
technical steps, and procedural end-points. This pragmatic review aims
to take the reader through a step-by-step approach to
cardioneuroablation: we begin with a brief overview of the anatomy of
intrinsic cardiac autonomic nervous system, before focusing on the
indications, pre- and post-procedure management, necessary equipment,
and its potential limitations.