Ablation strategies for intramural ventricular arrhythmias

Victor Neira; Pasquale Santangeli; Piotr Futyma; John Sapp; Miguel Valderrabano; Fermin Garcia; Andres Enriquez

doi:10.1016/j.hrthm.2020.02.010

Ablation strategies for intramural ventricular arrhythmias

Victor Neira, Pasquale Santangeli, Piotr Futyma, John Sapp, Miguel Valderrabano, Fermin Garcia, Andres Enriquez

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

52 Citas (Scopus)

Resumen

Intramural origin of ventricular arrhythmias is one of the reasons for failure of catheter ablation, especially in nonischemic substrates. Conventional unipolar ablation has limited efficacy for the creation of deep transmural lesions in the ventricular myocardium, and alternative ablation strategies have been developed to overcome this problem. These novel approaches include simultaneous unipolar ablation, bipolar ablation, use of low-ionic irrigant solution, needle ablation, and ethanol ablation. This review provides an overview of each one of these techniques, including their main advantages and limitations.

Idioma original	English
Páginas (desde-hasta)	1176-1184
Número de páginas	9
Publicación	Heart Rhythm
Volumen	17
N.º	7
DOI	https://doi.org/10.1016/j.hrthm.2020.02.010
Estado	Published - jul. 2020
Publicado de forma externa	Sí

Nota bibliográfica

Funding Information:
Dr Santangeli is a consultant for Abbot and Biosense Webster. Dr Futyma has applied for a patent on bipolar ablation. Dr Sapp has received research grants from Biosense Webster and Abbott and speaker honoraria from Medtronic and Abbott, and he is a coholder of a patent for the needle catheter. Dr Valderrabano has received research support from Biosense Webster and Circa Scientific and is a consultant for Boston Scientific and LifeTech. Dr Garcia has received education grants from and is a speaker for Biosense Webster and Abbott. The rest of the authors report no conflicts of interest.

Publisher Copyright:
© 2020 Heart Rhythm Society

ASJC Scopus Subject Areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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title = "Ablation strategies for intramural ventricular arrhythmias",

abstract = "Intramural origin of ventricular arrhythmias is one of the reasons for failure of catheter ablation, especially in nonischemic substrates. Conventional unipolar ablation has limited efficacy for the creation of deep transmural lesions in the ventricular myocardium, and alternative ablation strategies have been developed to overcome this problem. These novel approaches include simultaneous unipolar ablation, bipolar ablation, use of low-ionic irrigant solution, needle ablation, and ethanol ablation. This review provides an overview of each one of these techniques, including their main advantages and limitations.",

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AU - Valderrabano, Miguel

AU - Garcia, Fermin

AU - Enriquez, Andres

N1 - Funding Information: Dr Santangeli is a consultant for Abbot and Biosense Webster. Dr Futyma has applied for a patent on bipolar ablation. Dr Sapp has received research grants from Biosense Webster and Abbott and speaker honoraria from Medtronic and Abbott, and he is a coholder of a patent for the needle catheter. Dr Valderrabano has received research support from Biosense Webster and Circa Scientific and is a consultant for Boston Scientific and LifeTech. Dr Garcia has received education grants from and is a speaker for Biosense Webster and Abbott. The rest of the authors report no conflicts of interest. Publisher Copyright: © 2020 Heart Rhythm Society

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Ablation strategies for intramural ventricular arrhythmias

Resumen

Nota bibliográfica

ASJC Scopus Subject Areas

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