Use of half-normal saline irrigant with cooled radiofrequency ablation within the great cardiac vein to ablate premature ventricular contractions arising from the left ventricular summit
| Autor: | Joseph L. Schuller, William H. Sauer, Alexis Z. Tumolo, Wendy S. Tzou, Duy T. Nguyen, Amneet Sandhu |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Radiofrequency ablation medicine.medical_treatment 030204 cardiovascular system & hematology Great cardiac vein law.invention Electrocardiography Ventricular Dysfunction Left 03 medical and health sciences 0302 clinical medicine law Internal medicine medicine Humans 030212 general & internal medicine Saline Coronary sinus Radiofrequency Ablation Saline irrigation business.industry General Medicine Middle Aged Ablation Ventricular Premature Complexes Cardiology Saline Solution Cardiology and Cardiovascular Medicine business |
| Zdroj: | Pacing and Clinical Electrophysiology. 42:301-305 |
| ISSN: | 0147-8389 |
| Popis: | A 62-year-old man was referred to our institution for high-density, symptomatic premature ventricular contractions (PVCs) with resultant decrease in left ventricular (LV) function having failed prior ablation attempts. Successful, durable ablation of the patient's mid-myocardial PVC arising from the LV summit region was achieved through the proximal great cardiac vein with ablation depth augmented by use of half-normal saline irrigant. Though standard ablation of ventricular arrhythmias using normal saline irrigation from the coronary venous system has been well-reported, this may be of limited value in addressing mid-myocardial sites of origin. This novel case describes the safe use of cooled radiofrequency ablation with use of half-normal saline irrigant from the distal coronary sinus as an option to address complex sites of PVC origin such as the LV summit. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text