Epicardial Ablation of Ventricular Tachycardia with Manual Controlled External Irrigation in a Patient with Nonischemic Cardiomyopathy

Autor: Takanori Arimoto, MD, Yukio Sekiguchi, MD, Hiroshi Tada, MD, Takashi Koyama, MD, Miyako Igarashi, MD, Hiro Yamasaki, MD, Kenji Kuroki, MD, Takeshi Machino, MD, Kyoko Soejima, MD, Kazutaka Aonuma, MD
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Zdroj: Journal of Arrhythmia, Vol 25, Iss 2, Pp 101-106 (2009)
Druh dokumentu: article
ISSN: 1880-4276
DOI: 10.1016/S1880-4276(09)80024-0
Popis: We describe a patient with nonischemic cardiomyopathy who underwent radiofrequency (RF) catheter ablation for a drug-refractory ventricular tachycardia (VT). RF ablation from a left ventricular (LV) endocardial site failed to eliminate the VT. Using a conventional ablation catheter with the temperature-controlled mode, RF ablation from the LV epicardium resulted in failed ablation because of low power due to a temperature limitation function. However, by using a pericardial pigtail catheter for manual infusion and removal of saline within the pericardial space, adequate energy could be delivered, and the ablation overlying the lowvoltage area successfully eliminated the VT.
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