A patient was admitted to the hospital with a history of repeated chest tightness and pain for 7 years,accompanied by palpitations lasting 2 hours.Clinical diagnosis revealed paroxysmal supraventricular tachy-cardia(PSVT).The patient had an inferior vena cava filter implanted 20 years ago.A clear diagnosis was estab-lished through electrophysiological examination,indicating right concealed accessory pathway-mediated atrioven-tricular reentrant tachycardia(anterograde).Successful ablation was performed through the superior vena cava ap-proach.Therefore,the superior vena cava approach may be considered a safe,effective,and feasible method for patients who are challenging to ablate via the inferior vena cava approach.