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Transcoronary Venous Radiofrequency Catheter Ablation of Ventricular Tachycardia
Author(s) -
STELLBRINK CHRISTOPH,
DIEM BJÖRN,
SCHAUERTE PATRICK,
ZIEGERT KATHRIN,
HANRATH PETER
Publication year - 1997
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/j.1540-8167.1997.tb00853.x
Subject(s) - medicine , cardiology , ventricular tachycardia , ventricle , ablation , catheter ablation , coronary sinus , tachycardia , radiofrequency catheter ablation , great cardiac vein , intracardiac injection , radiofrequency ablation
Coronary Venous Ablation of VT. Ventricular tachycardias in coronary artery disease arise mostly from endocardial sites. However, little is known about the site of origin in other diseases. We present the case of an incessant, adenosine‐sensitive ventricular tachycardia arising from the lateral wall of the left ventricle in a patient with mildly reduced left ventricular function. Intracardiac mapping suggested an epicardial origin, and the tachycardia was successfully ablated from a coronary sinus branch. After ablation, left ventricular function returned to normal. Transcoronary venous radiofrequency catheter ablation is a new approach for the treatment of ventricular tachycardia. Its value in the management of other types of ventricular tachycardia has yet to he determined.