Preventing Complications During Mapping and Ablation of Left Ventricular Summit Arrhythmias.
| Autor: | Restrepo AJ; Marshfield Clinic Health System, 1000 North Oak Avenue, Marshfield, WI 54449, USA; University of Maryland School of Medicine, Baltimore, MD, USA. Electronic address: Jimenezrestrepo.alejandro@marshfieldclinic.org., Saenz Morales LC; International Arrhythmia Center, Fundacion CardioInfantil, Bogota, Colombia; Fundacion CardioInfantil, Instituto de Cardiologia, Calle 163 #13b-60, Bogota, Colombia. |
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| Jazyk: | angličtina |
| Zdroj: | Cardiac electrophysiology clinics [Card Electrophysiol Clin] 2023 Mar; Vol. 15 (1), pp. 93-109. Date of Electronic Publication: 2022 Dec 13. |
| DOI: | 10.1016/j.ccep.2022.07.004 |
| Abstrakt: | The left ventricular summit is a site of origin for idiopathic ventricular arrhythmias. With advancements in mapping and ablation techniques, sites previously considered inaccessible can now be approached. Anatomical knowledge of the 3-dimensional landmarks of this space is important, as critical structures reside within its boundaries and are potentially liable to collateral injury during ablation. This article reviews reported complications from ablation of ventricular arrhythmias arising from the left ventricular summit and its vicinity and discusses the pros and cons of different ablation technique and the role of an individualized anatomical approach to reduce procedural related complications and improve outcomes. Competing Interests: Disclosures Neither author reports conflicts of interest pertaining to the writing of this article. (Copyright © 2022 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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