Late elimination of challenging idiopathic ventricular arrhythmias originating from left ventricular summit by anatomical ablation

CANDEMİR B., Baskovski E., Duzen V., Coskun F., Vurgun K., Goksuluk H., ...Daha Fazla

Indian Pacing and Electrophysiology Journal, cilt.19, sa.3, ss.114-118, 2019 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 19 Sayı: 3
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1016/j.ipej.2019.02.001
  • Dergi Adı: Indian Pacing and Electrophysiology Journal
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.114-118
  • Anahtar Kelimeler: Anatomical approach, Coronary sinus, Idiopathic ventricular arrhythmias, Left ventricular summit, Radiofrequency
  • Ankara Üniversitesi Adresli: Evet

Özet

© 2019 Indian Heart Rhythm SocietyAblation of premature ventricular complexes (PVCs) originating from left ventricular outflow tract (LVOT)/left ventricular summit (LVS) is challenging with considerable rate of failure. Recently, in a novel approach to ablation of these arrythmias, application of radiofrequency energy to anatomically opposite sites of presumed origin of arrythmia, has been associated with moderate procedure success. Although late elimination of PVCs that are persistent following an ablation procedure has been previously reported, this observation has not been studied sufficiently. In this report, firstly, we present three cases of lately eliminated LVS PVCs, then, we discuss possible mechanism of this observation and conclude that after an initial failed attempt of anatomic ablation, operators may choose a period of watchful waiting before attempting a redo procedure.