AV Nodal Re-Entrant Tachycardia: Surgical Therapy 1st order Electrocardioversion in circulatory unstable patients. Radiofrequency catheter ablation for recurrent AV nodal re-entrant tachycardia (very high success rate; approximately 96%). 2nd order Insertion of a pacemaker in AV block III° as a complication after radiofrequency catheter ablation.