Percutaneous endocardial and epicardial ablation of hypotensive ventricular tachycardia with percutaneous left ventricular assist in the electrophysiology laboratory

Paul A. Friedman, Thomas M. Munger, Norman Torres, Charanjit Rihal

Research output: Contribution to journalArticle

42 Scopus citations

Abstract

Percutaneous Endocardial and Epicardial Ablation of Hypotensive VT. Ventricular tachycardia (VT) in the setting of structural heart disease is challenging to treat with percutaneous catheter ablation due to the presence of complex substrate, multiple morphologies, hemodynamic instability, and epicardial circuits. When substrate-based approaches fail, however, it may be impossible to map and ablate hemodynamically unstable arrhythmias. We describe a novel approach to endocardial and epicardial mapping and ablation of hypotensive VT using a percutaneous left ventricular assist device in the electrophysiology laboratory, permitting near-surgical access to cardiac structures.

Original languageEnglish (US)
Pages (from-to)106-109
Number of pages4
JournalJournal of cardiovascular electrophysiology
Volume18
Issue number1
DOIs
StatePublished - Jan 1 2007

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Keywords

  • Catheter ablation
  • Electrophysiology
  • Ventricular tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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