PMID: 8950253Oct 1, 1996Paper

Catheter ablation of incessant ventricular tachycardia

Israel Journal of Medical Sciences
M Borggrefe

Abstract

Emergency catheter ablation of ventricular tachycardia was performed in 22 patients. All patients had incessant ventricular tachycardia that persisted for > or = 12 h/day and was only transiently terminated by stimulation techniques, anti-arrhythmic drugs or cardioversion. Radiofrequency catheter ablation was carried out using entrainment criteria as well as endocardial activation mapping. Ventricular tachycardia was terminated in 91% of cases, one patient underwent map-guided surgery and the remaining patient was managed by anti-arrhythmic drugs. After the initial ablation procedure 3 of the 20 patients who could be acutely managed died in hospital: one patient in refractory heart failure 24 h following ablation, one patient suddenly 10 days following ablation on the ward and another patient 4 weeks following ablation because of septicemia. Four patients underwent elective implantation of a cardioverter-defibrillator because of inducible ventricular tachycardia, and another patient underwent elective map-guided surgery. Overall, 12 patients were discharged without any additional non-pharmacologic intervention; 5 of them were free of anti-arrhythmic drugs and 7 patients had previously received ineffective medication including c...Continue Reading

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Citations

Sep 19, 1998·Journal of the American College of Cardiology·K E EllisonW G Stevenson
Mar 1, 2008·Pacing and Clinical Electrophysiology : PACE·Katja Zeppenfeld, William G Stevenson
Feb 6, 2010·Journal of Cardiovascular Electrophysiology·Elena Arbelo, Mark E Josephson
May 11, 2006·Journal of Cardiovascular Electrophysiology·Kazuhiro SatomiShiro Kamakura
May 11, 2006·Journal of Cardiovascular Electrophysiology·Hans Kottkamp, Gerhard Hindricks

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