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Epicardial Ventricular Tachycardia: Simultaneous Epicardial and Endocardial Mapping and Ablation

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Cardiac Electrophysiology

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Abstract

A 56-year old male with coronary artery disease was referred to our center for recurrent VT. A simultaneous epicardial and endocardial activation map exhibited a figure-of-eight pattern reentry using the deceleration zone as the isthmus on the epicardium and a centrifugal focal activation pattern on endocardium. VT was terminated by the first ablation on epicardium and any VT could not be induced after additional ablation in both surfaces.

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References

  1. Tung R, Shivkumar K. The value of image integration for epicardial catheter ablation of ventricular tachycardia. JACC Cardiovasc Imaging. 2013;6(1):53–5.

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  2. Fan R, Cano O, Ho SY, Bala R, Callans DJ, Dixit S, et al. Characterization of the phrenic nerve course within the epicardial substrate of patients with nonischemic cardiomyopathy and ventricular tachycardia. Heart Rhythm. 2009;6(1):59–64.

    Article  Google Scholar 

  3. Di Biase L, Burkhardt JD, Pelargonio G, Dello Russo A, Casella M, Santarelli P, et al. Prevention of phrenic nerve injury during epicardial ablation: comparison of methods for separating the phrenic nerve from the epicardial surface. Heart Rhythm. 2009;6(7):957–61.

    Article  Google Scholar 

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Conflicts of Interest

None.

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Authors and Affiliations

  1. Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong Academy of Medical Sciences, Guangzhou, China

    Hongtao Liao

  2. Department of Cardiology, The University of Chicago Medicine, Center for Arrhythmia Care, Pritzker School of Medicine, Chicago, IL, USA

    Hongtao Liao & Roderick Tung

Authors
  1. Hongtao Liao
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  2. Roderick Tung
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Corresponding author

Correspondence to Roderick Tung .

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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Liao, H., Tung, R. (2020). Epicardial Ventricular Tachycardia: Simultaneous Epicardial and Endocardial Mapping and Ablation. 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_112

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  • DOI: https://doi.org/10.1007/978-3-030-28533-3_112

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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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