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

Résultat de recherche: Article › examen par les pairs

52 Citations (Scopus)

Résumé

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.

Langue d'origine	English
Pages (de-à)	1176-1184
Nombre de pages	9
Journal	Heart Rhythm
Volume	17
Numéro de publication	7
DOI	https://doi.org/10.1016/j.hrthm.2020.02.010
Statut de publication	Published - juill. 2020
Publié à l'externe	Oui

Note bibliographique

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)

Accès au document

10.1016/j.hrthm.2020.02.010

Autres fichiers et liens

Citer

@article{6f0955f06f8842d59e7ef5c6c5c3a22c,

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.",

author = "Victor Neira and Pasquale Santangeli and Piotr Futyma and John Sapp and Miguel Valderrabano and Fermin Garcia and Andres Enriquez",

note = "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: {\textcopyright} 2020 Heart Rhythm Society",

year = "2020",

month = jul,

doi = "10.1016/j.hrthm.2020.02.010",

language = "English",

volume = "17",

pages = "1176--1184",

journal = "Heart Rhythm",

issn = "1547-5271",

publisher = "Elsevier",

number = "7",

}

TY - JOUR

T1 - Ablation strategies for intramural ventricular arrhythmias

AU - Neira, Victor

AU - Santangeli, Pasquale

AU - Futyma, Piotr

AU - Sapp, John

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

PY - 2020/7

Y1 - 2020/7

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85086591829&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85086591829&partnerID=8YFLogxK

U2 - 10.1016/j.hrthm.2020.02.010

DO - 10.1016/j.hrthm.2020.02.010

M3 - Article

C2 - 32087355

AN - SCOPUS:85086591829

SN - 1547-5271

VL - 17

SP - 1176

EP - 1184

JO - Heart Rhythm

JF - Heart Rhythm

IS - 7

ER -

Ablation strategies for intramural ventricular arrhythmias

Résumé

Note bibliographique

ASJC Scopus Subject Areas

Accès au document

Autres fichiers et liens

Empreinte numérique

Citer