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Pulmonary Vein Isolation Followed by AV node Ablation and CRT-P Implantation without Fluoroscopy in a Super Morbidly Obese Patient: A Case Report

We present the first ever reported case of a super morbidly obese patient (BMI > 60) with drug refractory, symptomatic persistent atrial fibrillation who underwent an uncomplicated, but unsuccessfulPVI ablation procedure and subsequently underwent AV node ablation and cardiac resynchronization therapy – pacemaker (CRT-P) insertion using a zero fluoroscopy technique. This case demonstrates the following two critical points: (1) difficulties in the treatment of massively obese patients with arrhythmias1; (2) increased use of fluorolessprocedures

Credits: Robert L. Percell, Jr, Matthew E. Johnson, RaghuveerDendi

Biosense Webster
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Introduction to AFib
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