Preprocedural imaging to guide transcoronary ethanol ablation for refractory septal ventricular tachycardia

被引:12
作者
Roca-Luque, Ivo [1 ]
Rivas-Gandara, Nuria [1 ]
Francisco-Pascual, Jaume [1 ]
Rodriguez-Sanchez, Jose [2 ]
Cuellar-Calabria, Hug [2 ]
Rodriguez-Palomares, Jose [2 ]
Garcia-Del Blanco, Bruno [3 ]
Perez-Rodon, Jordi [1 ]
Santos-Ortega, Alba [1 ]
Roses-Noguer, Ferran [1 ]
Marsal, Roger [4 ]
Rubio, Barbara [4 ]
Garcia-Dorado Garcia, David [5 ]
Moya Mitjans, Angel [1 ]
机构
[1] Hosp Univ Vall dHebron, Arrhythmia Unit, Cardiol Serv, Barcelona, Spain
[2] Hosp Univ Vall dHebron, Cardiovasc Image Unit, Cardiol Serv, Barcelona, Spain
[3] Hosp Univ Vall dHebron, Intervent Cardiol Unit, Cardiol Serv, Barcelona, Spain
[4] Abbott Med, Engn Unit, St Paul, MN USA
[5] Hosp Univ Vall dHebron, Cardiol Serv, Barcelona, Spain
关键词
cardiac magnetic resonance imaging; catheter ablation; intramural ventricular tachycardia; transcoronary ethanol ablation; CATHETER ABLATION; CARDIOMYOPATHY; FEASIBILITY; ARRHYTHMIAS; INFUSION;
D O I
10.1111/jce.13816
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Radiofrequency ablation (RF) of ventricular tachycardia (VT) due to intramural foci has a high recurrence rate. Several techniques, such as bipolar ablation, irrigated needle ablation catheter, and retrograde coronary venous ethanol ablation have been suggested. Transarterial coronary ethanol ablation (TCEA) can also be effective. We present a case series of TCEA guided with preprocedural imaging to correlated coronary arteries and the intramural substrate. Methods and Results We present three consecutive patients with previous RF of septal VT (100% male; age, 72.6 +/- 11.01 years; two patients with hypertrophic cardiomyopathy, one with mechanical aortic valve prosthesis) that underwent TCEA. Cardiac magnetic resonance was performed in two patients and cardiac CT in all patients. Correlation of septal arteries with intramural substrate was analyzed before the procedure so TCEA was attempted according to this analysis. After last TCEA (6.3 +/- 2.08 months) the VT burden was reduced in all patients (sum of all implantable cardioverter-defibrillator therapies [antitachycardia pacing and shock] before and after TCEA, 15.8 +/- 3.73 vs 0.97 +/- 0.63 therapies/month; P = 0.02). No complications occurred during TCEA. Conclusions TCEA completely guided with previous magnetic resonance imaging and computed tomography scan to select the coronary artery in relation to the substrate seems to be feasible as an alternative strategy in cases of intramural VT refractory to RF ablation.
引用
收藏
页码:448 / 456
页数:9
相关论文
共 21 条
[1]   Intramural Ventricular Recording and Pacing in Patients With Refractory Ventricular Tachycardia Initial Findings and Feasibility With a Retractable Needle Catheter [J].
AbdelWahab, Amir ;
Stevenson, William ;
Thompson, Kara ;
Parkash, Ratika ;
Gray, Christopher ;
Gardner, Martin ;
Sapp, John .
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2015, 8 (05) :1181-1188
[2]   Irrigated Needle Ablation Creates Larger and More Transmural Ventricular Lesions Compared With Standard Unipolar Ablation in an Ovine Model [J].
Berte, Benjamin ;
Cochet, Hubert ;
Magat, Julie ;
Naulin, Jerome ;
Ghidoli, Daniele ;
Pillois, Xavier ;
Casassus, Frederic ;
Yamashita, Seigo ;
Mahida, Saagar ;
Derval, Nicolas ;
Hocini, Meleze ;
Quesson, Bruno ;
Bernus, Olivier ;
Weerasooriya, Rukshen ;
Haissaguerre, Michel ;
Sacher, Frederic ;
Jais, Pierre .
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2015, 8 (06) :1498-1506
[3]   TRANSCORONARY CHEMICAL ABLATION OF VENTRICULAR-TACHYCARDIA [J].
BRUGADA, P ;
DESWART, H ;
SMEETS, JLRM ;
WELLENS, HJJ .
CIRCULATION, 1989, 79 (03) :475-482
[4]   Intramural Outflow Tract Ventricular Tachycardia Anatomy, Mapping, and Ablation [J].
Chen, Hongwu ;
Shehata, Michael ;
Swerdlow, Charles ;
Ma, Wei ;
Xu, Gang ;
Yang, Bing ;
Chen, Minglong ;
Wang, Xunzhang .
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2014, 7 (05)
[5]   Catheter Ablation of Ventricular Tachycardia and Mortality in Patients With Nonischemic Dilated Cardiomyopathy Can Noninducibility After Ablation Be a Predictor for Reduced Mortality? [J].
Dinov, Borislav ;
Arya, Arash ;
Schratter, Alexandra ;
Schirripa, Valentina ;
Fiedler, Lukas ;
Sommer, Philipp ;
Bollmann, Andreas ;
Rolf, Sascha ;
Piorkowski, Christopher ;
Hindricks, Gerhard .
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2015, 8 (03) :598-605
[6]   Cardiac CT With Delayed Enhancement in the Characterization of Ventricular Tachycardia Structural Substrate Relationship Between CT-Segmented Scar and Electro-Anatomic Mapping [J].
Esposito, Antonio ;
Palmisano, Anna ;
Antunes, Sofia ;
Maccabelli, Giuseppe ;
Colantoni, Caterina ;
Rancoita, Paola Maria Vittoria ;
Baratto, Francesca ;
Di Serio, Clelia ;
Rizzo, Giovanna ;
De Cobelli, Francesco ;
Della Bella, Paolo ;
Del Maschio, Alessandro .
JACC-CARDIOVASCULAR IMAGING, 2016, 9 (07) :822-832
[7]   Bipolar ablation for deep intra-myocardial circuits: human ex vivo development and in vivo experience [J].
Gizurarson, Sigfus ;
Spears, Danna ;
Sivagangabalan, Gopal ;
Farid, Talha ;
Ha, Andrew C. T. ;
Masse, Stephane ;
Kusha, Marjan ;
Chauhan, Vijay S. ;
Nair, Krishnakumar ;
Harris, Louise ;
Downar, Eugene ;
Nanthakumar, Kumaraswamy .
EUROPACE, 2014, 16 (11) :1684-1688
[8]   INTRACORONARY ETHANOL ABLATION FOR THE TREATMENT OF RECURRENT SUSTAINED VENTRICULAR-TACHYCARDIA [J].
KAY, GN ;
EPSTEIN, AE ;
BUBIEN, RS ;
ANDERSON, PG ;
DAILEY, SM ;
PLUMB, VJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1992, 19 (01) :159-168
[9]   Bipolar irrigated radiofrequency ablation: A therapeutic option for refractory intramural atrial and ventricular tachycardia circuits [J].
Koruth, Jacob S. ;
Dukkipati, Srinivas ;
Miller, Marc A. ;
Neuzil, Petr ;
d'Avila, Andre ;
Reddy, Vivek Y. .
HEART RHYTHM, 2012, 9 (12) :1932-1941
[10]   Retrograde Coronary Venous Ethanol Infusion for Ablation of Refractory Ventricular Tachycardia [J].
Kreidieh, Bahij ;
Rodriguez-Manero, Moises ;
Schurmann, Paul A. ;
Ibarra-Cortez, Sergio Hugo ;
Dave, Amish S. ;
Valderrabano, Miguel .
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2016, 9 (07)