Abstract
The article describes successful epicardial catheter ablation of ventricular tachycardia using the transpericardial approach in a 14-year-old adolescent. Conventional mapping of endocardial surface revealed criteria consistent with subpericardial localization of arrythmogenic substrate. Epicardial mapping using a transpericardial approach enabled localization and successful elimination of the ventricular tachycardia on the lateral wall of the right ventricle.
Similar content being viewed by others
References
Bartlett T, Mitchell R, Friedman P, Stevenson W (1995) Histologic evolution of RF lesions in an old human myocardial infarct causing ventricular tachycardia. J Cardiovasc Electrophysiol 6:625–629
Daoud E, Morady F (1995) Catheter ablation of ventricular tachycardia. Curr Opin Cardiol 10:21–25
Nakagawa H, Wittkampf F, Yamanashi W, Pitha J, Imai S, Campbell B, Arruda M, Lazzara R, Jackman W (1998) Inverse relationship between electrode size and lesion size during RF ablation with active electrode cooling. Circulation 98:458–465
Stevenson WG, Khan H, Sager P, Saxon L, Middlekauff H, Natterson P, Wiener I (1993) Identification of reentry circuit sites during catheter mapping and RF ablation of VT late after myocardial infarction. Circulation 88:1647–1670
Sosa E, Scanavacca M, d’Avila A, Pilleggi F (1996) A new technique to perform epicardial mapping in the electrophysiology laboratory. J Cardiovasc Electrophysiol 7:531–536
Trappe H, Klein H, Auricchio A, Wenzlaff P, Lichtlen P (1992) Catheter ablation of ventricular tachycardia: role of the underlying etiology and the site of energy delivery. PACE 15:411–424
Zei P, Stevenson W (2006) Epicardial catheter mapping and ablation of ventricular tachycardia. Heart Rhythm 3:360–363
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Pokushalov, E., Turov, A., Shugayev, P. et al. Successful Epicardial Catheter Ablation of Micro-Reentrant Ventricular Tachycardia in a 14-Year-Old Child. Pediatr Cardiol 30, 533–535 (2009). https://doi.org/10.1007/s00246-008-9379-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00246-008-9379-9