Atrioventricular Nodal Reentrant Tachycardia Ablation in the Setting of Bilateral Femoral Vein Occlusion


Address for reprints: Mikhael F. El-Chami, M.D., Division of Cardiology, Department of Medicine, Emory University, 550 Peachtree street, MOT 6th floor, Atlanta, GA 30308. Fax: 404-686-4826; e-mail:


Atrioventricular nodal reentrant tachycardia (AVNRT) is the most common supraventricular tachycardia. Ablation of the slow pathway is the treatment of choice for recurrent episodes despite adequate medical therapy. We present an uncommon case of AVNRT ablation using a superior vena cava approach in a patient with bilateral common femoral vein occlusion. This approach appears to be a safe alternative in patients with an absence of an inferior venous access.