Empirical Ablation to Prevent Sequential Purkinje System Recruitment: A Novel Therapy for Idiopathic Ventricular Fibrillation

Pattara Rattanawong, Vatsal Ladia, Nareg Minaskeian, Dan Sorajja, Win Kuang Shen, Komandoor S. Srivathsan

Research output: Contribution to journalArticlepeer-review

Abstract

We report 3 cases (mean age 48.3 ± 11.6 years) of idiopathic ventricular fibrillation (IVF), in which a triggering premature ventricular complex leading to IVF could not be identified. All patients underwent posterior fascicle transection with empirical linear ablation of the mid-Purkinje potentials identified along the left ventricular interventricular inferior septum, and no ventricular fibrillation recurrence was documented in any of the patients. (Level of Difficulty: Advanced.)

Original languageEnglish (US)
Pages (from-to)517-522
Number of pages6
JournalJACC: Case Reports
Volume3
Issue number3
DOIs
StatePublished - Mar 2021

Keywords

  • ablation
  • idiopathic ventricular fibrillation
  • sudden cardiac death

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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