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Ablation of epicardial ventricular focus through coronary sinus using pulsed-field ablation. A case report.
Mestrovic, Ivica Premuzic; Breskovic, Toni; Markovic, Matija; Kurtic, Ena; Mestrovic, Tomislav; Anic, Ante.
Afiliação
  • Mestrovic IP; Department of Cardiology, Clinical Hospital Merkur, Zagreb, Croatia.
  • Breskovic T; Department of Cardiology, Clinical Hospital Center Split, Split, Croatia.
  • Markovic M; Department of Cardiology, Clinical Hospital Merkur, Zagreb, Croatia.
  • Kurtic E; Department of Cardiology, Clinical Hospital Merkur, Zagreb, Croatia.
  • Mestrovic T; Department of Surgery, University Hospital Center Zagreb, Zagreb, Croatia.
  • Anic A; Department of Cardiology, Clinical Hospital Center Split, Split, Croatia.
J Cardiovasc Electrophysiol ; 35(4): 856-861, 2024 Apr.
Article em En | MEDLINE | ID: mdl-38297424
ABSTRACT

INTRODUCTION:

With the entry of pulsed-field ablation (PFA) into electrophysiology, new possibilities for ablation of different substrates such as epicardial foci of premature ventricular contractions (PVCs) from coronary venous system (CVS) have been opened.

METHODS:

This article focuses on a case of a 27-year-old patient with frequent monomorphic PVCs of epicardial origin, treated by radiofrequency ablation, followed by PFA.

RESULTS:

After unsuccessful focus ablation through CVS with RFA, successful ablations from the same region with PFA were achieved.

CONCLUSION:

This is the first described case of successful ablation of epicardial PVCs using PFA, which we hope will help in defining indications for this novel technology and enhance quality of treatment for patients with different arrhythmias.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Taquicardia Ventricular / Ablação por Cateter / Complexos Ventriculares Prematuros / Seio Coronário Limite: Adult / Humans Idioma: En Revista: J Cardiovasc Electrophysiol Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Taquicardia Ventricular / Ablação por Cateter / Complexos Ventriculares Prematuros / Seio Coronário Limite: Adult / Humans Idioma: En Revista: J Cardiovasc Electrophysiol Ano de publicação: 2024 Tipo de documento: Article