Journals / E Journal of Cardiovascular Medicine / 2018 / Cilt: 6 - Sayı: 3

Idiopathic premature ventricular contractions originating from left ventricular summit successfully ablated from the epicardial approach

Pages
117–121
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We report on a 45-year-old man with VAs originated from the LVS who underwent an epicardial ablation.

📌 3 Key Takeaways

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Objective & Hypothesis:Catheter ablation of ventricular arrhythmias originating from the left ventricular summit can be challenging, given the high risk of vascular injury and low success rates during radiofrequency ablation.
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Key Findings & Data:Epicardial approach is an effective alternative strategy in failed cases.
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Conclusion & Impact:We report on a 45-year-old man with VAs originated from the LVS who underwent an epicardial ablation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Catheter ablation of ventricular arrhythmias originating from the left ventricular summit can be challenging, given the high risk of vascular injury and low success rates during radiofrequency ablation. In case of failed endocardial ablation attempt, ablation from adjacent structures such as the coronary cusps, coronary venous system, and the septal right ventricular outflow tract should be tried as effective alternative approaches, respectively. Epicardial approach is an effective alternative strategy in failed cases. We report on a 45-year-old man with VAs originated from the LVS who underwent an epicardial ablation.

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Cite This Article

AKSU, T., GÜLER, T. E., BOZYEL, S. (2018). Idiopathic premature ventricular contractions originating from left ventricular summit successfully ablated from the epicardial approach. E Journal of Cardiovascular Medicine, Cilt: 6 - Sayı: 3, 117–121. https://ajindex.com/articles/154339

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References (2)

  1. Stevenson WG, Soejima K. Catheter ablation for ventricular tachycardia. Circulation. 2007;115:2750–2760. DOI: 10.1161/CIRCULATIONAHA.106.655720 Mc Alpine WA. Heart and CoronaryArteries. New York: Springer-Verlag; 1975.
  2. Yamada T, McElderry HT, Doppalapudi H, Okada T, Murakami Y, Yoshida Y, Yoshida N, Inden Y, Murohara T, Plumb VJ, Kay GN. Idiopathic ventricular arrhythmias originating from the leftventricular summit: anatomic concepts relevant to ablation. CircArrhythmElectrophysiol. 2010;3:616–623. doi: 10.1161/CIRCEP.110.939744. Jauregui Abularach ME, Campos B, Park KM, Tschabrunn CM, Frankel DS, Park RE, Gerstenfeld EP, Mountantonakis SE, Mountantonakis S, Garcia FC, Dixit S, Tzou WS, Hutchinson MD, Lin D, Riley MP, Cooper JM, Bala R, Callans DJ, Marchlinski FE. Ablation of ventricula rarrhythmias arising near the anterior epicardial veins from the left sinus of Valsalva region: ECG features, anatomic distance, and outcome. HeartRhythm. 2012;9:865–873. doi: 10.1016/j.hrthm.2012.01.022. Obel OA, d’Avila A, Neuzil P, Saad EB, Ruskin JN, Reddy VY. Ablation of left ventricular epicardial outflow tract tachycardia from the distal great cardiac vein. J AmCollCardiol. 2006;48:1813–1817. doi: 10.1016/j.jacc.2006.06.006. Frankel DS, Mountantonakis S, Dahu MI, Marchlinski FE. Elimination of ventricular arrhythmias originating from the anterior interventricular vein with ablation in the right ventricular outflow tract. HeartRhythm. 2014;11:S217. Santangeli P, Marchlinski FE, Zado ES, Benhayon D, Hutchinson MD, Lin D, Frankel DS, Riley MP, Supple GE, Garcia FC, Bala R, Desjardins B, Callans DJ, Dixit S. Percutaneous epicardial ablation of ventricular arrhythmias arising from the left ventricular summit: outcomes and electrocardiogram correlates of success. CircArrhythmElectrophysiol. 2015 Apr;8(2):337-43. doi: 10.1161/CIRCEP.114.002377. Yamada T, McElderry HT, Okada T, Murakami Y, Doppalapudi H, Yoshida N, Yoshida Y, Inden Y, Murohara T, Epstein AE, Plumb VJ, Kay GN. Idiopathic left ventricular arrhythmias originating adjacent to the left aortic sinus of valsalva: electrophysiological rationale for the surface electrocardiogram. J CardiovascElectrophysiol. 2010;21:170–176. doi: 10.1111/j.1540-8167.2009.01608.x. DiBiase L, Al-Ahamad A, Santangeli P, Hsia HH, Sanchez J, Bai R, Bailey S, Horton R, Gallinghouse GJ, Burkhardt DJ, Lakkireddy D, Yang Y, Badhwar N, Scheinman M, Tung R, DelloRusso A, Pelargonio G, Casella M, Tomassoni G, Shivkumar K, Natale A. Safety and out