TY - JOUR
T1 - Alternative Approaches for Ablation of Resistant Ventricular Tachycardia
AU - Gianni, Carola
AU - Mohanty, Sanghamitra
AU - Trivedi, Chintan
AU - Di Biase, Luigi
AU - Al-Ahmad, Amin
AU - Natale, Andrea
AU - David Burkhardt, J.
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Ventricular tachycardia (VT) ablation is usually performed with an ablation catheter that delivers unipolar radiofrequency (RF) energy to eliminate the re-entry circuit responsible for VT. However, there are some instances when unipolar RF ablation fails, notably in VTs with a deep intramural origin, or cases in which epicardial access is not attainable due to prior cardiac surgery. To overcome these limitations, several alternative approaches have been used in clinical practice, including alcohol ablation or coil embolization, simultaneous unipolar or bipolar RF ablation, surgical ablation, or noninvasive ablation with stereotactic radiosurgery. This review article describes some of these alternative techniques.
AB - Ventricular tachycardia (VT) ablation is usually performed with an ablation catheter that delivers unipolar radiofrequency (RF) energy to eliminate the re-entry circuit responsible for VT. However, there are some instances when unipolar RF ablation fails, notably in VTs with a deep intramural origin, or cases in which epicardial access is not attainable due to prior cardiac surgery. To overcome these limitations, several alternative approaches have been used in clinical practice, including alcohol ablation or coil embolization, simultaneous unipolar or bipolar RF ablation, surgical ablation, or noninvasive ablation with stereotactic radiosurgery. This review article describes some of these alternative techniques.
KW - Alcohol ablation
KW - Bipolar RF ablation
KW - Coil embolization
KW - Simultaneous unipolar RF ablation
KW - Stereotactic ablative radiosurgery
KW - Surgical ablation
KW - Ventricular tachycardia
UR - http://www.scopus.com/inward/record.url?scp=85008199787&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85008199787&partnerID=8YFLogxK
U2 - 10.1016/j.ccep.2016.10.006
DO - 10.1016/j.ccep.2016.10.006
M3 - Review article
C2 - 28167089
AN - SCOPUS:85008199787
SN - 1877-9182
VL - 9
SP - 93
EP - 98
JO - Cardiac Electrophysiology Clinics
JF - Cardiac Electrophysiology Clinics
IS - 1
ER -