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Ablation of Ventricular Tachycardia Using a Non-ventricular Site

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Cardiac Electrophysiology

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Abstract

A 49 year old man with a non-ischemic cardiomyopathy and a mechanical mitral valve presented with unstable ventricular tachycardia for ablation. Multiple procedural and mapping strategies were considered. Ultimately, the posterior superior process of the left ventricle accessed from the right atrium was a critical target site for ablation.

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References

  1. Soejima K, Stevenson WG, Sapp JL, Selwyn AP, Couper G, Epstein LM. Endocardial and epicardial radiofrequency ablation of ventricular tachycardia associated with dilated cardiomyopathy: the importance of low-voltage scars. J Am Coll Cardiol. 2004;43:1834–42.

    Article  Google Scholar 

  2. Soejima K, Couper G, Cooper JM, Sapp JL, Epstein LM, Stevenson WG. Subxiphoid surgical approach for epicardial catheter-based mapping and ablation in patients with prior cardiac surgery or difficult pericardial access. Circulation. 2004;110:1197–201.

    Article  Google Scholar 

  3. Dixit S, Callans DJ. Mapping for ventricular tachycardia. Card Electrophysiol Rev. 2002;6:436–41.

    Article  Google Scholar 

  4. Stevenson WG, Friedman PL, Sager PT, Saxon LA, Kocovic D, Harada T, Wiener I, Khan H. Exploring postinfarction reentrant ventricular tachycardia with entrainment mapping. J Am Coll Cardiol. 1997;29:1180–9.

    Article  CAS  Google Scholar 

  5. Kocovic DZ, Harada T, Friedman PL, Stevenson WG. Characteristics of electrograms recorded at reentry circuit sites and bystanders during ventricular tachycardia after myocardial infarction. J Am Coll Cardiol. 1999;34:381–8.

    Article  CAS  Google Scholar 

  6. Josephson ME, Waxman HL, Cain ME, Gardner MJ, Buxton AE. Ventricular activation during ventricular endocardial pacing. II. Role of pace-mapping to localize origin of ventricular tachycardia. Am J Cardiol. 1982;50:11–22.

    Article  CAS  Google Scholar 

  7. Gardner PI, Ursell PC, Fenoglio JJ Jr, Wit AL. Electrophysiologic and anatomic basis for fractionated electrograms recorded from healed myocardial infarcts. Circulation. 1985;72:596–611.

    Article  CAS  Google Scholar 

  8. Jais P, Maury P, Khairy P, Sacher F, Nault I, Komatsu Y, Hocini M, Forclaz A, Jadidi AS, Weerasooryia R, Shah A, Derval N, Cochet H, Knecht S, Miyazaki S, Linton N, Rivard L, Wright M, Wilton SB, Scherr D, Pascale P, Roten L, Pederson M, Bordachar P, Laurent F, Kim SJ, Ritter P, Clementy J, Haissaguerre M. Elimination of local abnormal ventricular activities: a new end point for substrate modification in patients with scar-related ventricular tachycardia. Circulation. 2012;125:2184–96.

    Article  Google Scholar 

  9. Di Biase L, Burkhardt JD, Lakkireddy D, Carbucicchio C, Mohanty S, Mohanty P, Trivedi C, Santangeli P, Bai R, Forleo G, Horton R, Bailey S, Sanchez J, Al-Ahmad A, Hranitzky P, Gallinghouse GJ, Pelargonio G, Hongo RH, Beheiry S, Hao SC, Reddy M, Rossillo A, Themistoclakis S, Dello Russo A, Casella M, Tondo C, Natale A. Ablation of stable VTs versus substrate ablation in ischemic cardiomyopathy: the VISTA randomized multicenter trial. J Am Coll Cardiol. 2015;66:2872–82.

    Article  Google Scholar 

  10. Soejima K, Suzuki M, Maisel WH, Brunckhorst CB, Delacretaz E, Blier L, Tung S, Khan H, Stevenson WG. Catheter ablation in patients with multiple and unstable ventricular tachycardias after myocardial infarction: short ablation lines guided by reentry circuit isthmuses and sinus rhythm mapping. Circulation. 2001;104:664–9.

    Article  CAS  Google Scholar 

  11. Santangeli P, Hutchinson MD, Supple GE, Callans DJ, Marchlinski FE, Garcia FC. Right atrial approach for ablation of ventricular arrhythmias arising from the left posterior-superior process of the left ventricle. Circ Arrhythm Electrophysiol. 2016;9:e004048.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Section of Cardiac Electrophysiology, Temple University Hospital, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA

    Isaac R. Whitman, Hardik Mangrolia, Anuj Basil & Joshua M. Cooper

Authors
  1. Isaac R. Whitman
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  2. Hardik Mangrolia
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  3. Anuj Basil
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  4. Joshua M. Cooper
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Corresponding author

Correspondence to Isaac R. Whitman .

Editor information

Editors and Affiliations

  1. N. IH 35 3000, St. David’s Medical Center, Austin, TX, USA

    Andrea Natale

  2. Department of Cardiovascular Medicine, Stanford University, Stanford, CA, USA

    Paul J. Wang

  3. Texas Cardiac Arrhythmia, Austin, TX, USA

    Amin Al-Ahmad

  4. University of Pittsburgh, Pittsburgh, PA, USA

    N. A. Mark Estes

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Whitman, I.R., Mangrolia, H., Basil, A., Cooper, J.M. (2020). Ablation of Ventricular Tachycardia Using a Non-ventricular Site. In: Natale, A., Wang, P., Al-Ahmad, A., Estes, N. (eds) Cardiac Electrophysiology. Springer, Cham. https://doi.org/10.1007/978-3-030-28533-3_1

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  • DOI: https://doi.org/10.1007/978-3-030-28533-3_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28531-9

  • Online ISBN: 978-3-030-28533-3

  • eBook Packages: MedicineMedicine (R0)

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