Accessory pathway ablation: When the going gets tough, the tough go epicardial

Indian Pacing and Electrophysiology Journal 2026 Open access

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Authors: Yogesh Jagannath Kulkarni, Sirish Chandra Srinath, Anand Manickavasagam, John Roshan Jacob
DOI: 10.1016/j.ipej.2026.01.006
Cited by: 0
References: 10

Abstract

A 38-year-old lady presented with recurrent episodes of palpitations since the last four years. The electrocardiogram (ECG) during tachycardia indicated pre-excited atrial fibrillation, while the baseline ECG revealed preexcitation with QS waves in the inferior leads. Initial attempts at endocardial ablation and ablation via the coronary sinus approach did not yield successful results. Subsequently, we successfully ablated the inferoparaseptal (posteroseptal) pathway by utilizing a percutaneous epicardial approach. This method should be considered in cases where other techniques fail.

Fields of Study & Subjects

Cardiac Arrhythmias and Treatments Cardiac pacing and defibrillation studies Atrial Fibrillation Management and Outcomes

Publication details

Journal / source
Indian Pacing and Electrophysiology Journal
Volume
26
Issue
2
Pages
159–161
Publication date
6 January 2026
Language
EN