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A 60-year-old man was admitted for ablation of ventricular tachycardia (VT) following anteroseptal myocardial infarction. Cardiac computed tomography (CT) images were processed with ADAS-VT software (Galgo Medical, Barcelona, Spain). Two large zones of septal and anteroapical wall thinning were found, separated by a very small zone of thicker wall. High-density electroanatomical mapping was performed using CARTO 3 and the PentaRay catheter (Biosense Webster, Diamond Bar, CA). Local abnormal ventricular activity (LAVA) and late potentials were observed between thinned segments. Two badly tolerated VTs could be induced, VT1 (right bundle branch block, superior axis) and VT2 (left bundle branch block, inferior axis).

Analysis of wall thickness to help identify critical isthmuses during ventricular tachycardia ablation