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Catheter ablation - Wikipedia

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ablation</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Go to an article in another language. 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mw-list-item"><a href="https://ca.wikipedia.org/wiki/Ablaci%C3%B3_amb_cat%C3%A8ter" title="Ablació amb catèter – Catalan" lang="ca" hreflang="ca" data-title="Ablació amb catèter" data-language-autonym="Català" data-language-local-name="Catalan" class="interlanguage-link-target"><span>Català</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Katheterablation" title="Katheterablation – German" lang="de" hreflang="de" data-title="Katheterablation" data-language-autonym="Deutsch" data-language-local-name="German" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Ablaci%C3%B3n_con_cat%C3%A9ter" title="Ablación con catéter – Spanish" lang="es" hreflang="es" data-title="Ablación con catéter" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D9%81%D8%B1%D8%B3%D8%A7%DB%8C%D8%B4_%DA%A9%D8%A7%D8%AA%D8%AA%D8%B1" title="فرسایش کاتتر – Persian" lang="fa" hreflang="fa" data-title="فرسایش کاتتر" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Ablazione_transcatetere" title="Ablazione transcatetere – Italian" lang="it" hreflang="it" data-title="Ablazione transcatetere" data-language-autonym="Italiano" data-language-local-name="Italian" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Katheterablatie" title="Katheterablatie – Dutch" lang="nl" hreflang="nl" data-title="Katheterablatie" data-language-autonym="Nederlands" data-language-local-name="Dutch" 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searchaux" style="display:none">Removal or termination of an electrical pathway from parts of the heart</div> <div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Medical intervention</div> <style data-mw-deduplicate="TemplateStyles:r1257001546">.mw-parser-output .infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox"><tbody><tr><th colspan="2" class="infobox-above" style="background-color: lightblue">Catheter ablation</th></tr><tr><td colspan="2" class="infobox-image"><span class="mw-default-size" typeof="mw:File/Frameless"><a href="/wiki/File:Herzkatheterlabor.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/b/b2/Herzkatheterlabor.jpg/280px-Herzkatheterlabor.jpg" decoding="async" width="280" height="210" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/b/b2/Herzkatheterlabor.jpg/420px-Herzkatheterlabor.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/b/b2/Herzkatheterlabor.jpg/560px-Herzkatheterlabor.jpg 2x" data-file-width="1280" data-file-height="960" /></a></span></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/ICD-9-CM_Volume_3" title="ICD-9-CM Volume 3">ICD-9-CM</a></th><td class="infobox-data"><a rel="nofollow" class="external text" href="http://icd9cm.chrisendres.com/index.php?srchtype=procs&amp;srchtext=37.34&amp;Submit=Search&amp;action=search">37.34</a></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Medical_Subject_Headings" title="Medical Subject Headings">MeSH</a></th><td class="infobox-data"><span class="reflink plainlinks nourlexpansion"><a rel="nofollow" class="external text" href="https://meshb.nlm.nih.gov/record/ui?ui=D017115">D017115</a></span></td></tr><tr class="noprint"><td colspan="2" class="infobox-full-data"><div style="text-align: right;">&#91;<a href="https://www.wikidata.org/wiki/Q436572" class="extiw" title="d:Q436572">edit on Wikidata</a>]</div></td></tr></tbody></table> <p><b>Catheter ablation</b> is a procedure that uses radio-frequency energy or other sources to terminate or modify a faulty electrical pathway from sections of the <a href="/wiki/Heart" title="Heart">heart</a> of those who are prone to developing <a href="/wiki/Cardiac_arrhythmia" class="mw-redirect" title="Cardiac arrhythmia">cardiac arrhythmias</a> such as <a href="/wiki/Atrial_fibrillation" title="Atrial fibrillation">atrial fibrillation</a>, <a href="/wiki/Atrial_flutter" title="Atrial flutter">atrial flutter</a> and <a href="/wiki/Wolff-Parkinson-White_syndrome" class="mw-redirect" title="Wolff-Parkinson-White syndrome">Wolff-Parkinson-White syndrome</a>. If not controlled, such arrhythmias increase the risk of <a href="/wiki/Ventricular_fibrillation" title="Ventricular fibrillation">ventricular fibrillation</a> and sudden <a href="/wiki/Cardiac_arrest" title="Cardiac arrest">cardiac arrest</a>. The ablation procedure can be classified by energy source: <a href="/wiki/Radiofrequency_ablation" title="Radiofrequency ablation">radiofrequency ablation</a> and <a href="/wiki/Cryoablation" title="Cryoablation">cryoablation</a>. </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Medical_uses">Medical uses</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Catheter_ablation&amp;action=edit&amp;section=1" title="Edit section: Medical uses"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Catheter ablation may be recommended for a recurrent or persistent <a href="/wiki/Heart_arrhythmia" class="mw-redirect" title="Heart arrhythmia">arrhythmia</a> resulting in symptoms or other dysfunction. <a href="/wiki/Atrial_fibrillation" title="Atrial fibrillation">Atrial fibrillation</a> frequently results from bursts of <a href="/wiki/Tachycardia" title="Tachycardia">tachycardia</a> that originate in muscle bundles extending from the <a href="/wiki/Atrium_(heart)" title="Atrium (heart)">atrium</a> to the <a href="/wiki/Pulmonary_vein" title="Pulmonary vein">pulmonary veins</a>.<sup id="cite_ref-pmid22381430_1-0" class="reference"><a href="#cite_note-pmid22381430-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> Pulmonary vein isolation by transcatheter ablation can restore <a href="/wiki/Sinus_rhythm" title="Sinus rhythm">sinus rhythm</a>.<sup id="cite_ref-pmid22381430_1-1" class="reference"><a href="#cite_note-pmid22381430-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Effectiveness">Effectiveness</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Catheter_ablation&amp;action=edit&amp;section=2" title="Edit section: Effectiveness"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Catheter ablation of most arrhythmias has a high success rate. Success rates for WPW syndrome have been as high as 95% <sup id="cite_ref-pmid8087753_2-0" class="reference"><a href="#cite_note-pmid8087753-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> For <a href="/wiki/Supraventricular_tachycardia" title="Supraventricular tachycardia">Supraventricular tachycardia</a> (SVT), single procedure success is 91% to 96% (95% Confidence Interval) and multiple procedure success is 92% to 97% (95% Confidence Interval).<sup id="cite_ref-:0_3-0" class="reference"><a href="#cite_note-:0-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> For atrial flutter, single procedure success is 88% to 95% (95% Confidence Interval) and multiple procedure success is 95% to 99% (95% Confidence Interval).<sup id="cite_ref-:0_3-1" class="reference"><a href="#cite_note-:0-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> For automatic atrial tachycardias, the success rates are 70–90%.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (March 2009)">citation needed</span></a></i>&#93;</sup> The potential complications include bleeding, blood clots, pericardial tamponade, and heart block, but these risks are very low, ranging from 2.6 to 3.2%. </p><p>For non-paroxysmal <a href="/wiki/Atrial_fibrillation" title="Atrial fibrillation">atrial fibrillation</a>, a 2016 systematic review compared catheter ablation to heart rhythm drugs. After 12 months, participants receiving catheter ablation were more likely to be free of atrial fibrillation, and less likely to need cardioversion. However, the evidence quality ranged from moderate to very low<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup> A 2006 study, including both paroxysmal and non-paroxysmal atrial fibrillation, found that the success rates are 28% for single procedures. Often, several procedures are needed to raise the success rate to a 70–80% range.<sup id="cite_ref-pmid17019636_5-0" class="reference"><a href="#cite_note-pmid17019636-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> One reason for this may be that once the heart has undergone atrial remodeling as in the case of chronic atrial fibrillation patients, largely 50 and older, it is much more difficult to correct the 'bad' electrical pathways. Young people with AF with paroxysmal, or intermittent, AF therefore have an increased chance of success with an ablation since their heart has not undergone atrial remodeling yet.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (March 2021)">citation needed</span></a></i>&#93;</sup> Several experienced teams of electrophysiologists in US heart centers claim they can achieve up to a 75% success rate.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (August 2022)">citation needed</span></a></i>&#93;</sup> </p><p>Pulmonary vein isolation has been found to be more effective than optimized antiarrhythmic drug therapy for improving quality of life at 12 months after treatment.<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> </p><p>Catheter ablation has been found to improve mental health outcomes in individuals with symptomatic atrial fibrillation.<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup> </p><p>A 2018 study showed efficacy of cardiac ablation for treatment of <a href="/wiki/Premature_ventricular_contraction" title="Premature ventricular contraction">Premature Ventricular Contraction</a> as 94.1%.<sup id="cite_ref-pmid30170545_8-0" class="reference"><a href="#cite_note-pmid30170545-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Technique">Technique</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Catheter_ablation&amp;action=edit&amp;section=3" title="Edit section: Technique"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Catheter ablation is usually performed by an <a href="/wiki/Clinical_cardiac_electrophysiology" title="Clinical cardiac electrophysiology">electrophysiologist</a> (a specially trained <a href="/wiki/Cardiologist" class="mw-redirect" title="Cardiologist">cardiologist</a>) in a <a href="/wiki/Cath_lab" class="mw-redirect" title="Cath lab">cath lab</a>.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (March 2021)">citation needed</span></a></i>&#93;</sup> </p><p>Catheter ablation procedure involves advancing several flexible <a href="/wiki/Catheters" class="mw-redirect" title="Catheters">catheters</a> into the patient's <a href="/wiki/Blood_vessel" title="Blood vessel">blood vessels</a>, usually either in the <a href="/wiki/Femoral_vein" title="Femoral vein">femoral vein</a>, internal jugular vein, or <a href="/wiki/Subclavian_vein" title="Subclavian vein">subclavian vein</a>. The catheters are then advanced towards the heart. The catheters have electrodes at the tips that can measure the electrical signals from the heart. These electrodes create a map of the abnormal pathways causing arrhythmias. Then, the electrophysiologist uses the map to identify areas from which abnormal heart rhythms originate.<sup id="cite_ref-:2_9-0" class="reference"><a href="#cite_note-:2-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> </p><p>Once the abnormal areas are located, catheters are used to deliver energy via local heating or freezing to <a href="/wiki/Ablation#Medicine" title="Ablation">ablate</a> (destroy) the abnormal tissue that is causing the arrhythmia. The energy is applied cautiously to avoid damaging healthy heart tissue.<sup id="cite_ref-:2_9-1" class="reference"><a href="#cite_note-:2-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> Originally, a <a href="/wiki/Direct_current" title="Direct current">DC</a> impulse was used to create lesions in the intra-cardiac conduction system.<sup id="cite_ref-pmid7148651_10-0" class="reference"><a href="#cite_note-pmid7148651-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> However, due to a high incidence of complications, widespread use was never achieved. </p><p>In contrast to the thermal methods (extreme heat or cold) <a href="/wiki/Electroporation" title="Electroporation">electroporation</a> is being used and evaluated as a means of killing very small areas of heart muscle. The cardiac catheter delivers trains of high-voltage ultra-rapid electrical pulses that form irreversible pores in cell membranes, resulting in cell death of cardiac muscle, while not killing adjacent tissues (<a href="/wiki/Esophagus" title="Esophagus">esophagus</a> and <a href="/wiki/Phrenic_nerve" title="Phrenic nerve">phrenic nerve</a>).<sup id="cite_ref-pmid37427302_11-0" class="reference"><a href="#cite_note-pmid37427302-11"><span class="cite-bracket">&#91;</span>11<span class="cite-bracket">&#93;</span></a></sup> It is thought to allow better selectivity than the previous thermal techniques, which used heat or cold to kill larger volumes of muscle.<sup id="cite_ref-pmid37354168_12-0" class="reference"><a href="#cite_note-pmid37354168-12"><span class="cite-bracket">&#91;</span>12<span class="cite-bracket">&#93;</span></a></sup> </p><p>One type of catheter ablation is pulmonary vein isolation, where the ablation is done in the left atrium in the area where the 4 pulmonary veins connect.<sup id="cite_ref-13" class="reference"><a href="#cite_note-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-14" class="reference"><a href="#cite_note-14"><span class="cite-bracket">&#91;</span>14<span class="cite-bracket">&#93;</span></a></sup> Radiofrequency ablation for atrial fibrillation can be unipolar (one electrode) or bipolar (two electrodes).<sup id="cite_ref-pmid29792146_15-0" class="reference"><a href="#cite_note-pmid29792146-15"><span class="cite-bracket">&#91;</span>15<span class="cite-bracket">&#93;</span></a></sup> Although bipolar can be more successful, it is technically more difficult, resulting in unipolar being used more often.<sup id="cite_ref-pmid29792146_15-1" class="reference"><a href="#cite_note-pmid29792146-15"><span class="cite-bracket">&#91;</span>15<span class="cite-bracket">&#93;</span></a></sup> But bipolar is more effective in preventing recurrent atrial arrhythmias.<sup id="cite_ref-pmid29326836_16-0" class="reference"><a href="#cite_note-pmid29326836-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup> </p><p>During the procedure, the patient's heart rhythm is monitored continuously. The electrophysiologist can observe changes to the patient's cardiac electrical activity to determine the success of the ablation. If the cardiac rhythm shows no abnormal signals or arrhythmias, the catheters are withdrawn from the heart and the incision is closed. </p> <div class="mw-heading mw-heading2"><h2 id="Recovery_or_rehabilitation">Recovery or rehabilitation</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Catheter_ablation&amp;action=edit&amp;section=4" title="Edit section: Recovery or rehabilitation"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>After catheter ablation the patients are moved to a cardiac recovery unit, intensive care unit, or <a href="/wiki/Coronary_care_unit" title="Coronary care unit">cardiovascular intensive care unit</a> where they are not allowed to move for 4–6 hours. Minimizing movement helps prevent bleeding from the site of catheter insertion. Some people have to stay overnight for observation, some need to stay much longer and others are able to go home on the same day. This all depends on the problem, the length of the operation and whether or not <a href="/wiki/General_anaesthetic" title="General anaesthetic">general anaesthetic</a> was used.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (March 2021)">citation needed</span></a></i>&#93;</sup> </p><p>Recurrence of atrial fibrillation within three months of an ablation is seen in most patients, but many of those patients become free of atrial fibrillation in the long term.<sup id="cite_ref-pmid29016840_17-0" class="reference"><a href="#cite_note-pmid29016840-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup> For this reason the first three months after an ablation are described as the "blanking period," during which no further intervention is to be attempted.<sup id="cite_ref-pmid29016840_17-1" class="reference"><a href="#cite_note-pmid29016840-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup> Recurrence during the nine months following the blanking period, occurs in 25% to 40% of patients, the variability greatly affected by obesity and the severity of atrial fibrillation before the ablation.<sup id="cite_ref-pmid29016840_17-2" class="reference"><a href="#cite_note-pmid29016840-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Complications">Complications</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Catheter_ablation&amp;action=edit&amp;section=5" title="Edit section: Complications"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Some potential complications associated with the procedure include:<sup id="cite_ref-18" class="reference"><a href="#cite_note-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup> </p> <ul><li>Bleeding - <a href="/wiki/Catheter" title="Catheter">catheter insertion</a> into arteries or veins can cause bleeding at the insertion site.</li> <li>Blood vessel damage - insertion of the catheter can also damage the blood vessels and lead to hematoma, which is a collection of blood outside the blood vessels, or vessel perforation.</li> <li>Infection - infections can occur at the catheter insertion site or in the heart tissue. Patients require additional treatment if infection is a complication.</li> <li>Blood clots - catheterization can cause blood clots to form in the vessels. These clots can be <a href="/wiki/Thrombosis" title="Thrombosis">thrombotic</a>, possibly causing <a href="/wiki/Embolism" title="Embolism">embolism</a> in major organs.</li> <li><a href="/wiki/Pericardial_effusion" title="Pericardial effusion">Pericardial effusion</a> - the ablation procedure can irritate the heart tissue and lead to accumulation of fluid under the pericardium (lining of the heart).</li> <li><a href="/wiki/Cardiac_tamponade" title="Cardiac tamponade">Cardiac tamponade</a> - Similarly, if greater amounts of fluid accumulate around the heart due to irritation of the heart tissue, it can put pressure on the heart leading to tamponade. This is a serious condition as it affects the heart's ability to pump blood to the body and thus requires immediate intervention.</li> <li>Arrhythmia - the ablation procedure can result in a new rhythm disturbance in the heart.</li></ul> <p>Patients may also experience a return of the arrhythmia after the procedure, requiring them to undergo further treatment. However, in general this procedure is considered a safe, effective, and minimally invasive method to treat arrhythmias. Studies have shown that the overall complication rate of cardiac ablation procedures is about 6%.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Identifying_reliable_sources_(medicine)" title="Wikipedia:Identifying reliable sources (medicine)"><span title="Material near this tag needs references to reliable medical sources. (August 2023)">medical citation needed</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Catheter_ablation&amp;action=edit&amp;section=6" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-pmid22381430-1"><span class="mw-cite-backlink">^ <a href="#cite_ref-pmid22381430_1-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-pmid22381430_1-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite id="CITEREFMcGarryNarayan2012" class="citation journal cs1">McGarry TJ, Narayan SM (2012). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3393092">"The anatomical basis of pulmonary vein reconnection after ablation for atrial fibrillation: wounds that never felt a scar?"</a>. <i><a href="/wiki/Journal_of_the_American_College_of_Cardiology" title="Journal of the American College of Cardiology">Journal of the American College of Cardiology</a></i>. <b>50</b> (10): 939–941. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.jacc.2011.11.032">10.1016/j.jacc.2011.11.032</a>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3393092">3393092</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/22381430">22381430</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Journal+of+the+American+College+of+Cardiology&amp;rft.atitle=The+anatomical+basis+of+pulmonary+vein+reconnection+after+ablation+for+atrial+fibrillation%3A+wounds+that+never+felt+a+scar%3F&amp;rft.volume=50&amp;rft.issue=10&amp;rft.pages=939-941&amp;rft.date=2012&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3393092%23id-name%3DPMC&amp;rft_id=info%3Apmid%2F22381430&amp;rft_id=info%3Adoi%2F10.1016%2Fj.jacc.2011.11.032&amp;rft.aulast=McGarry&amp;rft.aufirst=TJ&amp;rft.au=Narayan%2C+SM&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3393092&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACatheter+ablation" class="Z3988"></span></span> </li> <li id="cite_note-pmid8087753-2"><span class="mw-cite-backlink"><b><a href="#cite_ref-pmid8087753_2-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFThakurKleinYee1994" class="citation journal cs1">Thakur RK, Klein GJ, Yee R (September 1994). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1337132">"Radiofrequency catheter ablation in patients with Wolff-Parkinson-White syndrome"</a>. <i>CMAJ</i>. <b>151</b> (6): 771–776. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1337132">1337132</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/8087753">8087753</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=CMAJ&amp;rft.atitle=Radiofrequency+catheter+ablation+in+patients+with+Wolff-Parkinson-White+syndrome&amp;rft.volume=151&amp;rft.issue=6&amp;rft.pages=771-776&amp;rft.date=1994-09&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC1337132%23id-name%3DPMC&amp;rft_id=info%3Apmid%2F8087753&amp;rft.aulast=Thakur&amp;rft.aufirst=RK&amp;rft.au=Klein%2C+GJ&amp;rft.au=Yee%2C+R&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC1337132&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACatheter+ablation" class="Z3988"></span></span> </li> <li id="cite_note-:0-3"><span class="mw-cite-backlink">^ <a href="#cite_ref-:0_3-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-:0_3-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite 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id="CITEREFWymanSafianPortwaySkillman1988" class="citation journal cs1">Wyman RM, Safian RD, Portway V, Skillman JJ, McKay RG, Baim DS (December 1988). <a rel="nofollow" class="external text" href="https://doi.org/10.1016%2FS0735-1097%2888%2980002-0">"Current complications of diagnostic and therapeutic cardiac catheterization"</a>. <i>Journal of the American College of Cardiology</i>. <b>12</b> (6): 1400–1406. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1016%2FS0735-1097%2888%2980002-0">10.1016/S0735-1097(88)80002-0</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/2973480">2973480</a>. <a href="/wiki/S2CID_(identifier)" class="mw-redirect" title="S2CID (identifier)">S2CID</a>&#160;<a rel="nofollow" class="external text" href="https://api.semanticscholar.org/CorpusID:3110166">3110166</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Journal+of+the+American+College+of+Cardiology&amp;rft.atitle=Current+complications+of+diagnostic+and+therapeutic+cardiac+catheterization&amp;rft.volume=12&amp;rft.issue=6&amp;rft.pages=1400-1406&amp;rft.date=1988-12&amp;rft_id=https%3A%2F%2Fapi.semanticscholar.org%2FCorpusID%3A3110166%23id-name%3DS2CID&amp;rft_id=info%3Apmid%2F2973480&amp;rft_id=info%3Adoi%2F10.1016%2FS0735-1097%2888%2980002-0&amp;rft.aulast=Wyman&amp;rft.aufirst=RM&amp;rft.au=Safian%2C+RD&amp;rft.au=Portway%2C+V&amp;rft.au=Skillman%2C+JJ&amp;rft.au=McKay%2C+RG&amp;rft.au=Baim%2C+DS&amp;rft_id=https%3A%2F%2Fdoi.org%2F10.1016%252FS0735-1097%252888%252980002-0&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACatheter+ablation" class="Z3988"></span></span> </li> </ol></div></div> <div 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style="padding:3px"><table class="nowraplinks mw-collapsible autocollapse navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><style data-mw-deduplicate="TemplateStyles:r1239400231">.mw-parser-output .navbar{display:inline;font-size:88%;font-weight:normal}.mw-parser-output .navbar-collapse{float:left;text-align:left}.mw-parser-output .navbar-boxtext{word-spacing:0}.mw-parser-output .navbar ul{display:inline-block;white-space:nowrap;line-height:inherit}.mw-parser-output .navbar-brackets::before{margin-right:-0.125em;content:"[ "}.mw-parser-output .navbar-brackets::after{margin-left:-0.125em;content:" ]"}.mw-parser-output .navbar li{word-spacing:-0.125em}.mw-parser-output .navbar a>span,.mw-parser-output .navbar a>abbr{text-decoration:inherit}.mw-parser-output .navbar-mini abbr{font-variant:small-caps;border-bottom:none;text-decoration:none;cursor:inherit}.mw-parser-output .navbar-ct-full{font-size:114%;margin:0 7em}.mw-parser-output .navbar-ct-mini{font-size:114%;margin:0 4em}html.skin-theme-clientpref-night .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}@media(prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}}@media print{.mw-parser-output .navbar{display:none!important}}</style><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Cardiac_procedures" title="Template:Cardiac procedures"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Cardiac_procedures" title="Template talk:Cardiac procedures"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Cardiac_procedures" title="Special:EditPage/Template:Cardiac procedures"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Tests_and_procedures_involving_the_heart" style="font-size:114%;margin:0 4em">Tests and <a href="/wiki/Medical_procedure" title="Medical procedure">procedures</a> involving the <a href="/wiki/Heart" title="Heart">heart</a></div></th></tr><tr><td class="navbox-abovebelow hlist" colspan="2"><div> <ul><li><a href="/wiki/Cardiac_surgery" title="Cardiac surgery">Cardiac surgery</a></li> <li><a href="/wiki/Interventional_cardiology" title="Interventional cardiology">Interventional cardiology</a></li> <li><a href="/wiki/Cardiology_diagnostic_tests_and_procedures" title="Cardiology diagnostic tests and procedures">Cardiology diagnostic tests and procedures</a></li> <li><a href="/wiki/Cardiac_imaging" title="Cardiac imaging">Cardiac imaging</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Surgery</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Heart_valve" title="Heart valve">Heart valves</a><br />and septa</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Heart_valve_repair" title="Heart valve repair">Valve repair</a></li> <li><a href="/wiki/Valvulotomy" title="Valvulotomy">Valvulotomy</a></li> <li><a href="/wiki/Mitral_valve_repair" title="Mitral valve repair">Mitral valve repair</a></li> <li><a href="/wiki/Valvuloplasty" class="mw-redirect" title="Valvuloplasty">Valvuloplasty</a> <ul><li><a href="/wiki/Aortic_valvuloplasty" title="Aortic valvuloplasty">aortic</a></li> <li><a href="/wiki/Mitral_valvuloplasty" class="mw-redirect" title="Mitral valvuloplasty">mitral</a></li></ul></li> <li><a href="/wiki/Valve_replacement" title="Valve replacement">Valve replacement</a></li> <li><a href="/wiki/Aortic_valve_repair" title="Aortic valve repair">Aortic valve repair</a></li> <li><a href="/wiki/Aortic_valve_replacement" title="Aortic valve replacement">Aortic valve replacement</a> <ul><li><a href="/wiki/Ross_procedure" title="Ross procedure">Ross procedure</a></li> <li><a href="/wiki/Transcatheter_aortic_valve_replacement" title="Transcatheter aortic valve replacement">Transcatheter</a></li></ul></li> <li><a href="/wiki/Mitral_valve_replacement" title="Mitral valve replacement">Mitral valve replacement</a></li> <li><a href="/wiki/Transcatheter_pulmonary_valve_replacement" title="Transcatheter pulmonary valve replacement">Transcatheter pulmonary valve replacement</a></li></ul> <dl><dt><span class="nobold">production of septal defect in heart</span></dt> <dd><i>enlargement of existing septal defect</i> <dl><dd><a href="/wiki/Atrial_septostomy" title="Atrial septostomy">Atrial septostomy</a></dd> <dd><a href="/wiki/Balloon_septostomy" title="Balloon septostomy">Balloon septostomy</a></dd></dl></dd> <dd><i>creation of septal defect in heart</i> <dl><dd><a href="/wiki/Blalock%E2%80%93Hanlon_procedure" title="Blalock–Hanlon procedure">Blalock–Hanlon procedure</a></dd></dl></dd></dl> <dl><dt><span class="nobold">shunt from heart chamber to blood vessel</span></dt> <dd><a href="/wiki/Atrium_(heart)" title="Atrium (heart)">atrium</a> to <a href="/wiki/Pulmonary_artery" title="Pulmonary artery">pulmonary artery</a> <dl><dd><a href="/wiki/Fontan_procedure" title="Fontan procedure">Fontan procedure</a></dd></dl></dd> <dd><a href="/wiki/Left_ventricle" class="mw-redirect" title="Left ventricle">left ventricle</a> to <a href="/wiki/Aorta" title="Aorta">aorta</a> <dl><dd><a href="/wiki/Rastelli_procedure" title="Rastelli procedure">Rastelli procedure</a></dd></dl></dd> <dd><a href="/wiki/Right_ventricle" class="mw-redirect" title="Right ventricle">right ventricle</a> to <a href="/wiki/Pulmonary_artery" title="Pulmonary artery">pulmonary artery</a> <dl><dd><a href="/wiki/Sano_shunt" title="Sano shunt">Sano shunt</a></dd></dl></dd></dl> <dl><dt><span class="nobold">compound procedures</span></dt> <dd>for <a href="/wiki/Transposition_of_the_great_vessels" title="Transposition of the great vessels">transposition of the great vessels</a> <dl><dd><a href="/wiki/Arterial_switch_operation" title="Arterial switch operation">Arterial switch operation</a></dd> <dd><a href="/wiki/Mustard_procedure" title="Mustard procedure">Mustard procedure</a></dd> <dd><a href="/wiki/Senning_procedure" title="Senning procedure">Senning procedure</a></dd></dl></dd> <dd>for univentricular defect <dl><dd><a href="/wiki/Norwood_procedure" title="Norwood procedure">Norwood procedure</a></dd> <dd><a href="/wiki/Kawashima_procedure" title="Kawashima procedure">Kawashima procedure</a></dd></dl></dd></dl> <dl><dt><span class="nobold">shunt from blood vessel to blood vessel</span></dt> <dd><a href="/wiki/Systemic_circulation" class="mw-redirect" title="Systemic circulation">systemic circulation</a> to <a href="/wiki/Pulmonary_artery" title="Pulmonary artery">pulmonary artery</a> shunt <dl><dd><a href="/wiki/Blalock%E2%80%93Taussig_shunt" class="mw-redirect" title="Blalock–Taussig shunt">Blalock–Taussig shunt</a></dd></dl></dd> <dd><a href="/wiki/Superior_vena_cava" title="Superior vena cava">SVC</a> to the right <a href="/wiki/Pulmonary_artery" title="Pulmonary artery">PA</a> <dl><dd><a href="/wiki/Glenn_procedure" title="Glenn procedure">Glenn procedure</a></dd></dl></dd></dl> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Cardiac vessels</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <dl><dt><span class="nobold"><a href="/wiki/Coronary_artery_disease" title="Coronary artery disease">CHD</a></span></dt> <dd><a href="/wiki/Percutaneous_coronary_intervention" title="Percutaneous coronary intervention">Angioplasty</a></dd> <dd><a href="/wiki/Vascular_bypass" title="Vascular bypass">Bypass</a>/<a href="/wiki/Coronary_artery_bypass_surgery" title="Coronary artery bypass surgery">Coronary artery bypass</a> <dl><dd><a href="/wiki/MIDCAB" class="mw-redirect" title="MIDCAB">MIDCAB</a></dd> <dd><a href="/wiki/Off-pump_coronary_artery_bypass" title="Off-pump coronary artery bypass">Off-pump CAB</a></dd> <dd><a href="/wiki/TECAB" class="mw-redirect" title="TECAB">TECAB</a></dd></dl></dd></dl> <dl><dt><span class="nobold"><a href="/wiki/Coronary_stent" title="Coronary stent">Coronary stent</a></span></dt> <dd><a href="/wiki/Bare-metal_stent" title="Bare-metal stent">Bare-metal stent</a></dd> <dd><a href="/wiki/Drug-eluting_stent" title="Drug-eluting stent">Drug-eluting stent</a></dd></dl> <dl><dt><span class="nobold">Obstacle removal</span></dt> <dd><a href="/wiki/Endarterectomy" title="Endarterectomy">Endarterectomy</a></dd> <dd><a href="/wiki/Atherectomy" title="Atherectomy">Atherectomy</a></dd></dl> <ul><li><a href="/wiki/Bentall_procedure" title="Bentall procedure">Bentall procedure</a></li> <li><a href="/wiki/Valve-sparing_aortic_root_replacement" title="Valve-sparing aortic root replacement">Valve-sparing aortic root replacement</a></li></ul> <ul><li><a href="/wiki/LeCompte_maneuver" title="LeCompte maneuver">LeCompte maneuver</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <dl><dt><span class="nobold"><a href="/wiki/Pericardium" title="Pericardium">Pericardium</a></span></dt> <dd><a href="/wiki/Pericardiocentesis" title="Pericardiocentesis">Pericardiocentesis</a></dd> <dd><a href="/wiki/Pericardial_window" title="Pericardial window">Pericardial window</a></dd> <dd><a href="/wiki/Pericardiectomy" title="Pericardiectomy">Pericardiectomy</a></dd></dl> <dl><dt><span class="nobold"><a href="/wiki/Myocardium" class="mw-redirect" title="Myocardium">Myocardium</a></span></dt> <dd><a href="/wiki/Cardiomyoplasty" title="Cardiomyoplasty">Cardiomyoplasty</a></dd> <dd><a href="/wiki/Dor_procedure" title="Dor procedure">Dor procedure</a></dd> <dd><a href="/wiki/Septal_myectomy" title="Septal myectomy">Septal myectomy</a></dd> <dd><a href="/wiki/Ventricular_reduction" class="mw-redirect" title="Ventricular reduction">Ventricular reduction</a></dd> <dd><a href="/wiki/Alcohol_septal_ablation" title="Alcohol septal ablation">Alcohol septal ablation</a></dd></dl> <dl><dt><span class="nobold"><a href="/wiki/Cardiac_conduction_system" title="Cardiac conduction system">Conduction system</a></span></dt> <dd>Maze procedure (<a href="/wiki/Cox_maze_procedure" title="Cox maze procedure">Cox maze</a> and <a href="/wiki/Minimaze_procedure" title="Minimaze procedure">minimaze</a>)</dd> <dd><a class="mw-selflink selflink">Catheter ablation</a></dd> <dd><a href="/wiki/Cryoablation" title="Cryoablation">Cryoablation</a></dd> <dd><a href="/wiki/Radiofrequency_ablation" title="Radiofrequency ablation">Radiofrequency ablation</a></dd> <dd><a href="/wiki/Artificial_cardiac_pacemaker" title="Artificial cardiac pacemaker">Pacemaker insertion</a></dd> <dd><a href="/wiki/S-ICD" class="mw-redirect" title="S-ICD">S-ICD</a> implantation</dd> <dd><a href="/wiki/Implantable_cardioverter-defibrillator" title="Implantable cardioverter-defibrillator">ICD</a> implantation</dd> <dd><a href="/wiki/Cardiac_resynchronization_therapy" title="Cardiac resynchronization therapy">Cardiac resynchronization therapy</a></dd></dl> <ul><li><a href="/wiki/Left_atrial_appendage_occlusion" title="Left atrial appendage occlusion">Left atrial appendage occlusion</a></li> <li><a href="/wiki/Cardiotomy" title="Cardiotomy">Cardiotomy</a></li> <li><a href="/wiki/Heart_transplantation" title="Heart transplantation">Heart transplantation</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Tests</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <dl><dt><span class="nobold"><a href="/wiki/Electrophysiology" title="Electrophysiology">Electrophysiology</a></span></dt> <dd><a href="/wiki/Electrocardiography" title="Electrocardiography">Electrocardiography</a> <dl><dd><a href="/wiki/Vectorcardiography" title="Vectorcardiography">Vectorcardiography</a></dd></dl></dd> <dd><a href="/wiki/Holter_monitor" title="Holter monitor">Holter monitor</a></dd> <dd><a href="/wiki/Implantable_loop_recorder" title="Implantable loop recorder">Implantable loop recorder</a></dd> <dd><a href="/wiki/Cardiac_stress_test" title="Cardiac stress test">Cardiac stress test</a> <dl><dd><a href="/wiki/Bruce_protocol" title="Bruce protocol">Bruce protocol</a></dd></dl></dd> <dd><a href="/wiki/Electrophysiology_study" title="Electrophysiology study">Electrophysiology study</a></dd></dl> <dl><dt><span class="nobold"><a href="/wiki/Cardiac_imaging" title="Cardiac imaging">Cardiac imaging</a></span></dt> <dd><a href="/wiki/Angiocardiography" class="mw-redirect" title="Angiocardiography">Angiocardiography</a></dd> <dd><a href="/wiki/Echocardiography" title="Echocardiography">Echocardiography</a> <dl><dd><a href="/wiki/Transthoracic_echocardiogram" title="Transthoracic echocardiogram">TTE</a></dd> <dd><a href="/wiki/Transesophageal_echocardiogram" title="Transesophageal echocardiogram">TEE</a></dd></dl></dd> <dd><a href="/wiki/Myocardial_perfusion_imaging" title="Myocardial perfusion imaging">Myocardial perfusion imaging</a></dd> <dd><a href="/wiki/Cardiac_magnetic_resonance_imaging" title="Cardiac magnetic resonance imaging">Cardiovascular MRI</a></dd> <dd><a href="/wiki/Cardiac_ventriculography" title="Cardiac ventriculography">Ventriculography</a> <dl><dd><a href="/wiki/Radionuclide_ventriculography" class="mw-redirect" title="Radionuclide ventriculography">Radionuclide ventriculography</a></dd></dl></dd> <dd><a href="/wiki/Cardiac_catheterization" title="Cardiac catheterization">Cardiac catheterization</a>/<a href="/wiki/Coronary_catheterization" title="Coronary catheterization">Coronary catheterization</a></dd> <dd><a href="/wiki/Cardiac_CT" class="mw-redirect" title="Cardiac CT">Cardiac CT</a></dd> <dd><a href="/wiki/Cardiac_PET" title="Cardiac PET">Cardiac PET</a></dd></dl> <dl><dt><span class="nobold"><a href="/wiki/Sound" title="Sound">sound</a></span></dt> <dd><a href="/wiki/Phonocardiogram" title="Phonocardiogram">Phonocardiogram</a></dd></dl> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Cardiology_diagnostic_tests_and_procedures" title="Cardiology diagnostic tests and procedures">Function tests</a></th><td class="navbox-list-with-group 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