Cardioneuroablation for the treatment of reflex syncope and functional bradyarrhythmias: A Scientific Statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS) and the Latin American Heart Rhythm Society (LAHRS).
Tolga Aksu, Michele Brignole, Leonardo Calo, Philippe Debruyne, Luigi Di Biase, Jean Claude Deharo, Alessandra Fanciulli, Artur Fedorowski, Piotr Kulakowski, Carlos Morillo, Angel Moya, Roman Piotrowski, Sebastian Stec, Richard Sutton, J Gert van Dijk, Dan Wichterle, Hung-Fat Tse, Yan Yao, Robert S Sheldon, Marmar Vaseghi, Jose C Pachon, Maurício Scanavacca, Christian Meyer, Reshma Amin, Dhiraj Gupta, Massimo Magnano, Varun Malik, Patrick Schauerte, Win-Kuang Shen, Juan Carlos Zerpa Acosta
Journal: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
2024;26(8):
PMID: 39082698
Abstract
Cardioneuroablation has emerged as a potential alternative to cardiac pacing in selected cases with vasovagal reflex syncope, extrinsic vagally induced sinus bradycardia-arrest or atrioventricular block. The technique was first introduced decades ago, and its use has risen over the past decade. However, as with any intervention, proper patient selection and technique are a prerequisite for a safe and effective use of cardioneuroablation therapy. This document aims to review and interpret available scientific evidence and provide a summary position on the topic.
© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.
Address:
Department of Cardiology, Yeditepe University Hospital, İçerenköy Mah. Hastahane Sok. 4,4/1 34752 Ataşehir/İstanbul, Turkey.; Department of Cardiology, IRCCS Istituto Auxologico Italiano, Hospital S. Luca, Milan, Italy.; Department of Cardiology, Policlinico Casilino, Rome, Italy.; Department of Cardiology, Imeldaziekenhuis, 2820 Bonheiden, Belgium.; Department of Cardiology, Albert Einstein College of Medicine, at Montefiore Hospital, New York, USA.; Hôpitaux de Marseille, Centre Hospitalier Universitaire La Timone, Service de Cardiologie, France and Aix Marseille Université, C2VN, 13005 Marseille, France.; Department of Neurology, Medical University of Innsbruck, 6020 Innsbruck, Austria.; Department of Cardiology, Karolinska University Hospital, Solna, Sweden.; Department of Medicine, Karolinska Institute, 171 76 Stockholm, Sweden.; Department of Clinical Sciences, Lund University, 202 13 Malmö, Sweden.; Centre of Postgraduate Medical Education, Department of Cardiology, Grochowski Hospital, 04-073 Warsaw, Poland.; Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, T2N 1N4 Calgary, AB, Canada.; Molecular Arrhythmias, Centro Nacional de Investigaciones Cardiovasculares (CNIC) Carlos III C. de Melchor Fernández Almagro, 3, 28029, Madrid, España.; Department of Cardiology, Hospital Universitari Dexeus, 08028 Barcelona, Spain.; Division of Electrophysiology, Cardioneuroablation, Catheter Ablation and Cardiac Stimulation, Subcarpathian Center for Cardiovascular Intervention, Sanok, Poland.; Department of Cardiology, Hammersmith Hospital Campus, National Heart & Lung Institute, Imperial College, London, UK.; Department of Neurology, Leiden University Medical Centre, Albinusdreef 2, Zuid Holland, 2333 ZA Leiden, The Netherlands.; Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), 14021 Prague, Czechia.; Department of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR.; Arrhythmia Center, Fuwai Hospital, National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.; Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, T2N 1N4 Calgary, AB, Canada.; UCLA Cardiac Arrhythmia Center Division of Cardiology, Department of Medicine, University of California, Los Angeles, CA, USA.; Dante Pazzanese Cardiology Institute, São Paulo Heart Hospital, São Paulo University, São Paulo, Brazil.; Arrhythmia Unit-Heart Institute (Incor), University of São Paulo Medical School, Avenida Doutor Enéas Carvalho de Aguiar 44, São Paulo CEP 05403-000, SP, Brazil.; Division of Cardiology/Angiology/Intensive Care, EVK Düsseldorf, Teaching Hospital, University of Düsseldorf, Kirchfeldstraße 40, 40217 Düsseldorf, Germany.; Cardiovascular Department, Kings College Hospital NHS Foundation Trust, London, UK.; Department of Cardiology, Liverpool Heart and Chest Hospital, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.; Cardiology Department, Sant'Andrea Hospital, Vercelli, Italy.; Centre for heart Rhythm Disorders, University of Adelaide, Adelaide, Australia.; Department of Cardiology, Herzmedizin-Berlin HMB MVZ GmbH, Rudower Chaussee 9, 12489 Berlin, Germany.; Interventionelle Kardiologie DGK, Herzinsuffizienz DGK, Germany.; Department of Cardiovascular Diseases, Mayo Clinic, Arizona, USA.; Department of Cardiology, Mayo Clinic College of Medicine, Rochester, MN, USA.; Department of Cardiology, HCor Hospital do Coracao, Sao Paulo, SP, Brasil.
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