Skip to main content

Substrate Mapping and Ablation for Ventricular Tachycardia: The LAVA Approach

  • Chapter
  • First Online:
Cardiac Electrophysiology
  • 106 Accesses

Abstract

Comparison of real-time ICD electrograms during VT to that of stored arrhythmia events may be helpful in distinguishing “clinical” spontaneous arrhythmia from other induced “non-clinical” VTs. Abnormal local potentials recorded within the scar (LAVA, LP) reflect anisotropic slow conduction and may correlate with sites within the reentrant circuit. Substrate mapping focuses on LAVA or LP facilitates mapping and improves ablation outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Jaïs P, Maury P, Khairy P, Sacher F, Nault I, Komatsu Y, et al. 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 

  2. Hsia H, Lin D, Sauer W, Callans D, Marchlinski F. Relationship of late potentials to the ventricular tachycardia circuit defined by entrainment. J Interv Card Electrophysiol. 2009;26:21–9.

    Article  Google Scholar 

  3. Silberbauer J, Oloriz T, Maccabelli G, Tsiachris D, Baratto F, Vergara P, et al. Noninducibility and late potential abolition: a novel combined prognostic procedural end point for catheter ablation of postinfarction ventricular tachycardia. Circ Arrhythm Electrophysiol. 2014;7:424–35.

    Article  Google Scholar 

  4. Yoshida K, Liu TY, Scott C, Hero A, Yokokawa M, Gupta S, et al. The value of defibrillator electrograms for recognition of clinical ventricular tachycardias and for pace mapping of post-infarction ventricular tachycardia. J Am Coll Cardiol. 2010;56:969–79.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Henry H. Hsia .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Hsia, H.H. (2020). Substrate Mapping and Ablation for Ventricular Tachycardia: The LAVA Approach. 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_106

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-28533-3_106

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28531-9

  • Online ISBN: 978-3-030-28533-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics