Chai and colleagues have demonstrated the safety and efficacy of catheter ablation for para-Hisian accessory pathways, despite the inherent risk of conduction disorders due to their proximity to the cardiac conduction system. 1 Notably, the superior vena cava (SVC) approach proved effective, particularly in cases where conventional ablation via the inferior vena cava (IVC) had previously failed.However, various concerns have arisen in this context, particularly