Bipolar radiofrequency ablation of septal ventricular tachycardia in a patient with dilated cardiomyopathy using two 8-mm tip catheters-case report.

Autor: Ferraz AP; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, Sao Paulo, SP, Brazil. albertopferraz@gmail.com., Andere TE; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, Sao Paulo, SP, Brazil., Gonçalves ALM; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, Sao Paulo, SP, Brazil., Chokr MO; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, Sao Paulo, SP, Brazil., Melo SL; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, Sao Paulo, SP, Brazil., Hardy C; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, Sao Paulo, SP, Brazil., Pisani CF; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, Sao Paulo, SP, Brazil., Scanavacca MI; Cardiac Arrhythmia Unit - Heart Institute (InCor), University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44, Sao Paulo, SP, Brazil.
Jazyk: angličtina
Zdroj: Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing [J Interv Card Electrophysiol] 2022 Jun; Vol. 64 (1), pp. 159-163. Date of Electronic Publication: 2022 Feb 09.
DOI: 10.1007/s10840-022-01150-y
Abstrakt: Septal ventricular tachycardias exhibit high recurrence rates after radiofrequency ablation, which is mainly attributed to the deep intramyocardial circuits and the inability to create transmural lesions with the conventional unipolar ablation. Bipolar radiofrequency ablation is feasible and it has been reported as a valid technique in these cases, leading to deeper lesion formation, high non-inducibility rates, and acceptable recurrence rates during follow-up. Our goal is to report a successful case of bipolar ablation of a septal ventricular tachycardia using a simple bipolar ablation configuration with two 8-mm tip catheters.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE