Alternative Approaches for Ablation of Resistant Ventricular Tachycardia

Carola Gianni, Sanghamitra Mohanty, Chintan Trivedi, Luigi Di Biase, Amin Al-Ahmad, Andrea Natale, J. David Burkhardt

Research output: Contribution to journalReview article

11 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)93-98
Number of pages6
JournalCardiac Electrophysiology Clinics
Volume9
Issue number1
DOIs
StatePublished - Mar 1 2017

Keywords

  • Alcohol ablation
  • Bipolar RF ablation
  • Coil embolization
  • Simultaneous unipolar RF ablation
  • Stereotactic ablative radiosurgery
  • Surgical ablation
  • Ventricular tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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  • Cite this

    Gianni, C., Mohanty, S., Trivedi, C., Di Biase, L., Al-Ahmad, A., Natale, A., & David Burkhardt, J. (2017). Alternative Approaches for Ablation of Resistant Ventricular Tachycardia. Cardiac Electrophysiology Clinics, 9(1), 93-98. https://doi.org/10.1016/j.ccep.2016.10.006