Response by Rivarola and Scanavacca to Letter Regarding Article, “Targets and End Points in Cardiac Autonomic Denervation Procedures”
This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
We would like to thank Dr Debruyne for his interest in our article Targets and End Points in Cardiac Autonomic Denervation Procedures1 and for bringing in some important topics on this technique. Based on his observations,2 Dr Debruyne proposes that:
The procedure must be limited to the right side of the interatrial septum, and the anterior right ganglionated plexus should be considered the main target.
The procedure must be tailored and the ablation lesion kept to a minimum.
The P-P interval measurement should be considered a procedural end point.
A solely anatomic approach is preferred.
Whereas agreement among authors is often …