1. Modern mapping and ablation techniques to treat ventricular arrhythmias from the left ventricular summit and interventricular septum
- Author
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David F. Briceno, Miguel Valderrábano, Juan Carlos Diaz, Andrea Natale, Kalayanam Shivkumar, Isabella Alviz, Jorge Romero, and Luigi Di Biase
- Subjects
medicine.medical_specialty ,Ablation Techniques ,Heart Ventricles ,medicine.medical_treatment ,Ventricular Septum ,030204 cardiovascular system & hematology ,Ventricular tachycardia ,Alcohol ablation ,03 medical and health sciences ,0302 clinical medicine ,Physiology (medical) ,Internal medicine ,medicine ,Humans ,cardiovascular diseases ,030212 general & internal medicine ,Interventricular septum ,Coil embolization ,business.industry ,Cardiac electrophysiology ,Ablation ,medicine.disease ,Coronary arteries ,medicine.anatomical_structure ,Catheter Ablation ,Tachycardia, Ventricular ,cardiovascular system ,Cardiology ,Electrophysiologic Techniques, Cardiac ,Tomography, X-Ray Computed ,Cardiology and Cardiovascular Medicine ,business - Abstract
Managing arrhythmias from the left ventricular summit and interventricular septum is a major challenge for the clinical electrophysiologist requiring intimate knowledge of cardiac anatomy, advanced training and expertise. Novel mapping and ablation strategies are needed to treat arrhythmias originating from these regions given the current suboptimal long-term success rates with standard techniques. Herein, we describe innovative approaches to improve acute and long-term clinical outcomes such as mapping and ablation using the septal coronary venous system and the septal coronary arteries, alcohol ablation, coil embolization, and ablation of all early sites among others.
- Published
- 2020