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Three-dimensional electro-anatomical mapping and radiofrequency ablation as a novel treatment for atrioventricular accessory pathway in a horse : a case report

Eva Buschmann (UGent) , Glenn Van Steenkiste (UGent) , Tim Boussy, Ingrid Vernemmen (UGent) , Stijn Schauvliege (UGent) , Annelies Decloedt (UGent) and Gunther van Loon (UGent)
(2023) JOURNAL OF VETERINARY INTERNAL MEDICINE. 37(2). p.728-734
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Abstract
We describe the diagnosis and treatment of an atrioventricular accessory pathway (AP) in a horse using 3-dimensional electro-anatomical mapping (3D EAM) and radiofrequency catheter ablation (RFCA). During routine evaluation of the horse, intermittent ventricular pre-excitation was identified on the ECG, characterized by a short PQ interval and abnormal QRS morphology. A right cranial location of the AP was suspected from the 12-lead ECG and vectorcardiography. After precise localization of the AP using 3D EAM, ablation was performed and AP conduction was eliminated. Immediately after recovery from anesthesia an occasional pre-excited complex still was observed, but a 24-hour ECG and an ECG during exercise 1 and 6 weeks after the procedure showed complete disappearance of pre-excitation. This case shows the feasibility of 3D EAM and RFCA to identify and treat an AP in horses.
Keywords
arrhythmia, electrophysiology, equine cardiology, ventricular, pre-excitation, PARKINSON-WHITE-SYNDROME, CATHETER ABLATION, VENTRICULAR PREEXCITATION, ATRIAL-FIBRILLATION, INTERMITTENT, ADENOSINE, BLOCK, ISOPROTERENOL, CONDUCTION, EXERCISE

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Citation

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MLA
Buschmann, Eva, et al. “Three-Dimensional Electro-Anatomical Mapping and Radiofrequency Ablation as a Novel Treatment for Atrioventricular Accessory Pathway in a Horse : A Case Report.” JOURNAL OF VETERINARY INTERNAL MEDICINE, vol. 37, no. 2, Wiley, 2023, pp. 728–34, doi:10.1111/jvim.16668.
APA
Buschmann, E., Van Steenkiste, G., Boussy, T., Vernemmen, I., Schauvliege, S., Decloedt, A., & van Loon, G. (2023). Three-dimensional electro-anatomical mapping and radiofrequency ablation as a novel treatment for atrioventricular accessory pathway in a horse : a case report. JOURNAL OF VETERINARY INTERNAL MEDICINE, 37(2), 728–734. https://doi.org/10.1111/jvim.16668
Chicago author-date
Buschmann, Eva, Glenn Van Steenkiste, Tim Boussy, Ingrid Vernemmen, Stijn Schauvliege, Annelies Decloedt, and Gunther van Loon. 2023. “Three-Dimensional Electro-Anatomical Mapping and Radiofrequency Ablation as a Novel Treatment for Atrioventricular Accessory Pathway in a Horse : A Case Report.” JOURNAL OF VETERINARY INTERNAL MEDICINE 37 (2): 728–34. https://doi.org/10.1111/jvim.16668.
Chicago author-date (all authors)
Buschmann, Eva, Glenn Van Steenkiste, Tim Boussy, Ingrid Vernemmen, Stijn Schauvliege, Annelies Decloedt, and Gunther van Loon. 2023. “Three-Dimensional Electro-Anatomical Mapping and Radiofrequency Ablation as a Novel Treatment for Atrioventricular Accessory Pathway in a Horse : A Case Report.” JOURNAL OF VETERINARY INTERNAL MEDICINE 37 (2): 728–734. doi:10.1111/jvim.16668.
Vancouver
1.
Buschmann E, Van Steenkiste G, Boussy T, Vernemmen I, Schauvliege S, Decloedt A, et al. Three-dimensional electro-anatomical mapping and radiofrequency ablation as a novel treatment for atrioventricular accessory pathway in a horse : a case report. JOURNAL OF VETERINARY INTERNAL MEDICINE. 2023;37(2):728–34.
IEEE
[1]
E. Buschmann et al., “Three-dimensional electro-anatomical mapping and radiofrequency ablation as a novel treatment for atrioventricular accessory pathway in a horse : a case report,” JOURNAL OF VETERINARY INTERNAL MEDICINE, vol. 37, no. 2, pp. 728–734, 2023.
@article{01GZZSTMZZDF19CQR7XYG92GYM,
  abstract     = {{We describe the diagnosis and treatment of an atrioventricular accessory pathway (AP) in a horse using 3-dimensional electro-anatomical mapping (3D EAM) and radiofrequency catheter ablation (RFCA). During routine evaluation of the horse, intermittent ventricular pre-excitation was identified on the ECG, characterized by a short PQ interval and abnormal QRS morphology. A right cranial location of the AP was suspected from the 12-lead ECG and vectorcardiography. After precise localization of the AP using 3D EAM, ablation was performed and AP conduction was eliminated. Immediately after recovery from anesthesia an occasional pre-excited complex still was observed, but a 24-hour ECG and an ECG during exercise 1 and 6 weeks after the procedure showed complete disappearance of pre-excitation. This case shows the feasibility of 3D EAM and RFCA to identify and treat an AP in horses.}},
  author       = {{Buschmann, Eva and Van Steenkiste, Glenn and  Boussy, Tim and Vernemmen, Ingrid and Schauvliege, Stijn and Decloedt, Annelies and van Loon, Gunther}},
  issn         = {{0891-6640}},
  journal      = {{JOURNAL OF VETERINARY INTERNAL MEDICINE}},
  keywords     = {{arrhythmia,electrophysiology,equine cardiology,ventricular,pre-excitation,PARKINSON-WHITE-SYNDROME,CATHETER ABLATION,VENTRICULAR PREEXCITATION,ATRIAL-FIBRILLATION,INTERMITTENT,ADENOSINE,BLOCK,ISOPROTERENOL,CONDUCTION,EXERCISE}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{728--734}},
  publisher    = {{Wiley}},
  title        = {{Three-dimensional electro-anatomical mapping and radiofrequency ablation as a novel treatment for atrioventricular accessory pathway in a horse : a case report}},
  url          = {{http://doi.org/10.1111/jvim.16668}},
  volume       = {{37}},
  year         = {{2023}},
}
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