A Novel Method for Sinus Node Modification and Phrenic Nerve Protection in Resistant Cases

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Endocardial Catheter for IST Ablation. This is a case report of inappropriate sinus tachycardia in a patient who had a previous unsuccessful endocardial ablation, which had been limited due to concerns of phrenic nerve injury. The patient required a repeat ablation that utilized a novel combined epicardial and endocardial approach for sinus node modification and simultaneous protection of the phrenic nerve via an epicardial balloon.(J Cardiovasc Electrophysiol, Vol. 20, pp. 689–691, June 2009)

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