Cardioneuroablation:

An Innovative Approach to Refractory Vasovagal Syncope

Cardioneuroablation is a minimally invasive procedure that aims to modulate the cardiac autonomic nervous system through ablation of the atrial ganglion plexuses. Intended for selected patients with vasovagal syncope and functional bradycardia, the procedure has shown promising results, offering new hope for those who do not respond to conventional therapies.

Specifically, CNA is recommended for patients with mixed or cardioinhibitory types of vasovagal syncope, where an inadequate autonomic response leads to frequent and unpredictable episodes of fainting. This condition not only significantly compromises quality of life but also represents a therapeutic challenge.

Of particular interest is the indication for CNA in young patients, under 60 years of age, and most notably for those under 40. In this population, the procedure stands out as a preferable alternative to pacemaker implantation, considering the long-term implications and lifestyle restrictions associated with implantable devices.

Although cardioneuroablation is a relatively new technique, initial results are promising, showing a significant reduction in syncope recurrence in patients who underwent the procedure. We continue to monitor our patients closely, evaluating long-term outcomes to ensure the continued success of the treatment.

To ensure the appropriate selection of candidates for this treatment, we request that patients undergo a prior evaluation at our clinic. We are prepared to conduct a comprehensive assessment, including an atropine challenge test, to determine the patient's suitability for the CNA procedure.

If you or someone you know is struggling with recurring episodes of syncope and wants to explore treatment options beyond conventional therapies, contact us to schedule a consultation. Our team is here to provide detailed information about cardioneuroablation and discuss whether this procedure may be right for you.

Our clinic's distinguishing feature lies not only in the advanced techniques and state-of-the-art equipment we use; it is deeply rooted in the qualifications and professional recognition of our team. Dr. Marcio GianottoHe has a specific area of expertise in invasive clinical electrophysiology, recognized by the Federal Council of Medicine and certified by the Brazilian Society of Cardiac Arrhythmias (SOBRAC) as an electrophysiologist. This recognition is not merely symbolic; it reflects a specialization and skill that are crucial for the safety and effectiveness of radiofrequency ablation procedures.

The delicacy and precision required for performing ablation procedures should not be underestimated. Intervention by non-specialized professionals or those without the proper qualifications in invasive clinical electrophysiology can result in serious complications. Therefore, we emphasize the importance of verifying that the physician in charge of your ablation procedure has the appropriate registration in this subspecialty. Choosing a specialist without the proper certification can jeopardize not only the success of the procedure but also your health.

Furthermore, in our practice, patient safety is paramount. Unlike some services that seek to reduce costs through resterilization and reuse of materials, we guarantee the exclusive use of new materials in each procedure. The reuse of electrophysiology catheters and other equipment can compromise sterility, increasing the risk of infections and negatively affecting the outcome of the procedure. This disposable materials policy reinforces our commitment to the highest quality of care and patient safety.

Dr. Gianotto's vast experience, reflected in over 1,000 ablation procedures performed, significantly contributes to the high success rate and minimization of risks associated with these interventions. The almost daily frequency with which we perform these procedures enriches our practice and increases our ability to handle a wide range of cases, thus reducing the likelihood of complications that could require additional interventions, such as pacemaker implantation, or result in even more serious outcomes.

In short, our approach is defined by a combination of specialization, safety, and experience. We are dedicated to offering our patients the highest standard of care, focusing on treatment effectiveness and minimizing risks. The choice of Dr. Marcio Gianotto Choosing our team for your ablation procedure is a decision that guarantees peace of mind, safety, and the best possible results.