scholarly journals Coronary Venous Mapping and Catheter Ablation for Ventricular Arrhythmias

2021 ◽  
pp. 13-18
Author(s):  
Jackson J Liang ◽  
Frank Bogun
Keyword(s):  
Catheter Ablation ◽  
Right Ventricular ◽  
Effective Treatment ◽  
Ventricular Arrhythmias ◽  
Treatment Method ◽  
Vantage Point ◽  
Venous System ◽  
Coronary Venous System ◽  
Left And Right

Catheter ablation is an effective treatment method for ventricular arrhythmias (VAs). These arrhythmias can often be mapped and targeted with ablation from the left and right ventricular endocardium. However, in some situations the VA site of origin or substrate may be intramural or epicardial in nature. In these cases, the coronary venous system (CVS) provides an effective vantage point for mapping and ablation. This review highlights situations in which CVS mapping may be helpful and discusses techniques for CVS mapping and ablation.

scholarly journals Catheter Ablation of Ventricular Arrhythmias Originating From the Region of DGCV-AIV via a Swartz Sheath Support Approach

2021 ◽  
Vol 8 ◽  
Author(s):  
Cheng Zheng ◽  
Wei-Qian Lin ◽  
Yao-Ji Wang ◽  
Fang-Zhou Lv ◽  
Qi-Qi Jin ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
Predictive Value ◽  
Ventricular Arrhythmias ◽  
Distal Portion ◽  
Left Ventricular ◽  
Venous System ◽  
Successful Ablation ◽  
Target Sites ◽  
Catheter Tip ◽  
Coronary Venous System

Aims: This study aimed to investigate an appropriate catheter manipulation approach for ventricular arrhythmias (VAs) originating from the left ventricular epicardium adjacent to the transitional area from the great cardiac vein to the anterior interventricular vein (DGCV-AIV).Methods: A total of 123 patients with DGCV-AIV VAs were retrospectively analyzed. All these patients underwent routine mapping and ablation by conventional approach [Non-Swartz sheath support (NS) approach] firstly. In the situation of the distal portion of the coronary venous system (CVS) not being accessed or a good target site not being obtained, the Swartz sheath support (SS) approach was attempted alternatively. If this still failed, the hydrophilic coated guidewire and left coronary angiographic catheter-guided deep engagement of Swartz sheath in GCV to support ablation catheter was performed.Results: A total of 103 VAs (103/123, 83.74%) were successfully eliminated in DGCV-AIV. By NS approach, the tip of the catheter reached DGCV in 39.84% VAs (49/123), reached target sites in 35.87% VAs (44/123), and achieved successful ablation in 30.89% VAs (38/123), which was significantly lower than by SS approach (88.61% (70/79), 84.81 % (67/79), and 75.95% (60/79), P < 0.05). There were no significant differences in complication occurrence between the NS approach and the SS approach (4/123, 3.25% vs. 7/79, 8.86%, p > 0.05). The angle between DGCV and AIV <83° indicated an inaccessible AIV by catheter tip with a predictive value of 94.5%. Width/height of coronary venous system>0.69 more favored a SS approach with a predictive value of 87%.Conclusion: For radiofrequency catheter ablation (RFCA) of VAs arising from DGCV-AIV, the SS approach facilitates the catheter tip to achieve target sites and contributes to a successful ablation.

1020Effect of radiofrequency energy on the left ventricular epicardial myocardium after catheter ablation of idiopathic ventricular arrhythmias within distal coronary venous system

EP Europace ◽  
2018 ◽  
Vol 20 (suppl_1) ◽  
pp. i197-i197
Author(s):  
B Candemir ◽  
E Ozyurek ◽  
V K Vurgun ◽  
N Turan ◽  
M Kilickap ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
Ventricular Arrhythmias ◽  
Left Ventricular ◽  
Venous System ◽  
Radiofrequency Energy ◽  
Coronary Venous System

Late fractionated potentials in catheter ablation for right ventricular outflow tract ventricular arrhythmias

2019 ◽  
Vol 42 (8) ◽  
pp. 1115-1124 ◽  
Author(s):  
Wei‐Chieh Lee ◽  
Po‐Jui Wu ◽  
Hsiu‐Yu Fang ◽  
Huang‐Chung Chen ◽  
Yung‐Lung Chen ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
Right Ventricular ◽  
Ventricular Arrhythmias ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract

P992Incidence, predictors, and success of ventricular tachycardia catheter ablation in arrhythmogenic right ventricular cardiomyopathy (ARVC): A long-term cohort study from the Nordic ARVC registry

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
M K Christiansen ◽  
K Haugaa ◽  
A Svensson ◽  
T Gilljam ◽  
T Madsen ◽  
...  
Keyword(s):  
Ventricular Tachycardia ◽  
Catheter Ablation ◽  
Right Ventricular ◽  
Ventricular Arrhythmias ◽  
Task Force ◽  
Arrhythmogenic Right Ventricular Cardiomyopathy ◽  
Young Age ◽  
Clinical Indication ◽  
Ventricular Cardiomyopathy ◽  
Vt Ablation

Abstract Background Catheter ablation may reduce ventricular tachycardia (VT) burden in arrhythmogenic right ventricular cardiomyopathy (ARVC) patients. However, little is known about factors predicting need for ablation and various outcomes have been reported. Purpose We sought to investigate predictors and use of VT ablation and to evaluate the post-procedural outcome in ARVC patients. Methods We studied 435 patients from the Nordic ARVC registry including 220 probands with definite ARVC according to the 2010 task force criteria and 215 mutation-carrying relatives identified through cascade screening. Patients were followed until first-time VT ablation, death, heart transplantation, or January 1st 2018. Additionally, patients undergoing VT ablation were further followed from the time of ablation for recurrent ventricular arrhythmias. Results Cumulative use of VT ablation was 4% (95% CI 3%-6%) and 11% (95% CI 8%-15%) after 1 and 10 years. All procedures were performed in probands in whom the cumulative use was 8% (95% CI 5%-12%) and 20% (95% CI 15%-26%). In adjusted analyses restricted to probands, only young age predicted need for ablation. In patients undergoing ablation, risk of recurrent arrhythmias was 59% (95% CI 44%-71%) and 74% (95% CI 59%-84%) 1 and 5 years after the procedure. Despite high recurrence rates, the burden of ventricular arrhythmias was reduced after ablation (p=0.0042). Young age, use of several antiarrhythmic drugs and inducibility to VT immediately after ablation were associated with an unfavorable outcome. Conclusions Twenty percent of ARVC probands developed a clinical indication for VT ablation within 10 years after diagnosis whereas mutation-carrying relatives were without such need. Although the burden of ventricular arrhythmias decreased after ablation, risk of recurrence was substantial.

Simultaneous Mapping in the Left Sinus of Valsalva and Coronary Venous System Predicts Successful Catheter Ablation from the Left Sinus of Valsalva

2005 ◽  
Vol 28 (s1) ◽  
pp. S150-S154 ◽  
Author(s):  
SACHIKO ITO ◽  
HIROSHI TADA ◽  
SHIGETO NAITO ◽  
KENJI KUROSAKI ◽  
MAREHIKO UEDA ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
Venous System ◽  
Sinus Of Valsalva ◽  
Coronary Venous System ◽  
Left Sinus Of Valsalva

scholarly journals OUTCOMES OF REMOTE MAGNETIC NAVIGATION-GUIDED CATHETER ABLATION OF LEFT VENTRICULAR SUMMIT ARRHYTHMIAS ACCESSIBLE VIA THE CORONARY VENOUS SYSTEM

2017 ◽  
Vol 69 (11) ◽  
pp. 495
Author(s):  
Guillaume Bassil ◽  
Layth Saleh ◽  
Steven Markowitz ◽  
Christopher Liu ◽  
George Thomas ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
Left Ventricular ◽  
Venous System ◽  
Magnetic Navigation ◽  
Remote Magnetic Navigation ◽  
Coronary Venous System

scholarly journals Electrical catheter ablation in the left and right ventricular wall in dogs: Relation between delivered energy and histopathologic changes

1986 ◽  
Vol 8 (3) ◽  
pp. 637-643 ◽  
Author(s):  
Richard N.W. Hauer ◽  
Willem Straks ◽  
Cornelius Borst ◽  
Etienne O. Robles De Medina
Keyword(s):  
Catheter Ablation ◽  
Right Ventricular ◽  
Ventricular Wall ◽  
Right Ventricular Wall ◽  
Left And Right ◽  
Histopathologic Changes

Idiopathic right ventricular arrhythmias not arising from the outflow tract: Prevalence, electrocardiographic characteristics, and outcome of catheter ablation

Heart Rhythm ◽  
2011 ◽  
Vol 8 (4) ◽  
pp. 511-518 ◽  
Author(s):  
Hugo Van Herendael ◽  
Fermin Garcia ◽  
David Lin ◽  
Michael Riley ◽  
Rupa Bala ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
Right Ventricular ◽  
Ventricular Arrhythmias ◽  
Outflow Tract

scholarly journals Mapping and Ablation of Epicardial Idiopathic Ventricular Arrhythmias From Within the Coronary Venous System

2010 ◽  
Vol 3 (3) ◽  
pp. 274-279 ◽  
Author(s):  
Timir S. Baman ◽  
Karl J. Ilg ◽  
Sanjaya K. Gupta ◽  
Eric Good ◽  
Aman Chugh ◽  
...  
Keyword(s):  
Ventricular Arrhythmias ◽  
Venous System ◽  
Coronary Venous System
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