Endocardial-only catheter ablation with substantial improvement in ventricular fibrillation recurrences in a patient with Brugada syndrome Tatsuya Hayashi,

Slides:

Advertisements

Similar presentations

Epicardial access and ventricular tachycardia ablation in a postmyocarditis patient using a nonfluoroscopic catheter visualization system Akiko Ueda,

Advertisements

Abnormal epicardial electrophysiologic substrate in patients with early repolarization pattern and reduced left ventricular systolic function: A report.

Ellis Rochelson, MD, Lynn Nappo, RN, Robert H. Pass, MD

Wolff-Parkinson-White syndrome due to a left atrial appendage–to–left ventricular connection: A case of a successful pathway elimination from inside of.

A novel mapping technique to detect non–pulmonary vein triggers: A case report of self- reference mapping technique Yasuharu Matsunaga-Lee, MD, Yuzuru.

Successful ablation of ventricular tachycardia arising from a midmyocardial septal outflow tract site utilizing a simplified bipolar ablation setup Peter.

Incessant bundle branch reentrant ventricular tachycardia in a patient with corrected transposition of the great arteries Ken Kato, MD, Daigo Yagishita,

Successful ablation of premature ventricular contractions originating from the inferoseptal process of the left ventricle using a coronary sinus approach

Ablation of ventricular tachycardia from the aortic root after transcatheter aortic valve replacement Uma N. Srivatsa, MBBS, MAS, FHRS, Eric J. Nordsieck,

Atypical inferoseptal accessory pathway connection associated with an aneurysm of the coronary sinus: Insight from a three-dimensional combined image.

Jeremy W. Docekal, MD, Gregory Francisco, MD, Joseph C. Lee, MD, FHRS

Acute right coronary artery occlusion after radiofrequency catheter ablation of cavotricuspid isthmus: Vascular response assessed by optical frequency.

Volume 15, Issue 1, Pages (January 2018)

Premature ventricular contractions with two QRS morphologies originate from one focus in great cardiac vein Juan Ma, MD, Ke-Xiang Wu, MD, Yu-Bin Wang,

Correlation between functional and ultrastructural substrate in Brugada syndrome Pablo E. Tauber, MD, Virginia Mansilla, MD, Guillermo Mercau, MD, Felix.

First case of epicardial ablation to coexistent J waves in the inferior leads in a patient with clinical diagnosis of Brugada syndrome Shingo Maeda,

Successful elimination of recurrent ventricular tachycardia by epicardial ablation over coronary artery supplying postinfarction aneurysm Kenichiro Yamagata,

Epicardial substrate ablation for Brugada syndrome

Concomitant Brugada syndrome substrate ablation and epicardial abdominal cardioverter-defibrillator implantation in a child Carlo de Asmundis, MD, PhD,

HeartRhythm Case Reports

Ablation of epicardial ventricular tachycardia in a chagasic patient with situs inversus totalis: A case report Lucas Hollanda Oliveira, MD, MSc, Enia.

An interesting case of reverse electrical remodeling of the left atrium after radiofrequency ablation Bharath Yarlagadda, MD, Tawseef Dar, MD, Valay.

Radiofrequency catheter ablation for drug-refractory paroxysmal atrial fibrillation in a patient with Ebstein’s anomaly Yong-Giun Kim, MD, Shin-Jae Kim,

Spontaneous regression of submitral pseudoaneurysm after radiofrequency catheter ablation in a patient with Wolff-Parkinson-White syndrome Dongmin Kim,

Local activation delay exacerbates local J-ST elevation in the epicardium: Electrophysiological substrate in Brugada syndrome Naoya Kataoka, MD, PhD,

Isolated Wolff-Parkinson-White syndrome in identical twins

Fractionated electrograms with ST-segment elevation recorded from the human right ventricular outflow tract Edward J. Vigmond, PhD, Igor R. Efimov, PhD,

B-cell lymphoma of the pericardium presenting with ventricular tachycardia with a successful catheter ablation Takumi Yamada, MD, Franjo Siric, MD, Vishnu.

Right coronary artery wall edema provoked by cavotricuspid isthmus radiofrequency ablation Takuro Nishimura, MD, Masahiko Goya, MD, Shinya Shiohira,

Jonathan T. Jaffe, MD, Lee-Gardie Jean, MD, Richard J. Murray, MD

Pseudo typical atrial flutter occurring after cavotricuspid isthmus ablation in a patient with a prior history of Senning operation Naoki Yoshida, MD,

Isolation of the conduction between the Marshall bundle and distal coronary sinus and the entire coronary sinus for an atrial tachycardia after catheter.

Bradley D. Brochu, MD, Ahmed Abdi-Ali, MD, Jeffrey Shaw, MD, F

Swallowing-induced atrial tachycardia arising from superior vena cava: Significant involvement of parasympathetic nerve activity Koji Higuchi, MD, PhD,

Parasternal intercostal approach as an alternative to subxiphoid approach for epicardial catheter ablation: A case report Koji Miyamoto, MD, Takashi.

Finding the right pathway is the key to success

Hemoptysis after five months of cryoballoon ablation: What is the relationship? Keita Watanabe, MD, Junichi Nitta, MD, PhD, Akira Sato, MD, Masahiko Goya,

Recording of isolated very delayed potentials on the right ventricular epicardium in a patient with Brugada syndrome Atsuyuki Watanabe, MD, Hiroshi Morita,

Epicardial access and ventricular tachycardia ablation in a postmyocarditis patient using a nonfluoroscopic catheter visualization system Akiko Ueda,

Focal atrial fibrillation presenting in the origin of atrial tachycardia Chin-Yu Lin, MD, Yenn-Jiang Lin, MD, Fa-Po Chung, MD, Shih-Ann Chen, MD HeartRhythm.

A case of ventricular fibrillation triggered by ventricular premature depolarizations exiting from different sites of the Purkinje network Stavros E.

Unconventional warfare: Successful ablation of ventricular tachycardia by direct ventricular puncture in a patient with double mechanical heart valves

An unusual approach to intractable AVNRT in a pediatric patient

A case series and review of the literature regarding coronary artery complications associated with coronary sinus catheter ablation Paul J. Garabelli,

Successful ablation for non-pulmonary multi-foci atrial fibrillation/tachycardia in a patient with coronary sinus ostial atresia by transseptal puncture.

Ablation of parahisian ventricular focus

Atrial Tachycardia in a Patient With Fabry’s Disease

An unusual cause of lone atrial fibrillation in a young female subject due to a rapid- cycling focal atrial trigger Shankar Baskar, MD, Mehran Attari,

Progressive electrical remodeling in apical hypertrophic cardiomyopathy leading to implantable cardioverter-defibrillator sensing failure during ventricular.

Radiofrequency ablation of common atrial flutter via right subclavian/jugular vein access in a patient with bilateral lower limb venous obstruction: Importance.

HeartRhythm Case Reports

Brugada syndrome—Malignant phenotype associated with acute cardiac inflammation? Anthony Li, MBBS, MD, Roderick Tung, MD, FHRS, Kalyanam Shivkumar, MD,

Hiroko Asakai, MD, Laura Fenwick, BSc, Robert M. Hamilton, MD, FRCP(C)

Utility of entrainment pacing to clarify the circuit of macroreentrant tachycardia with dual early sites on activation maps Koichi Nagashima, MD, PhD,

Discrete prepotentials with an isoelectric segment at the successful ablation site in the right ventricular outflow tract and pulmonary artery junction.

Abnormal epicardial electrophysiologic substrate in patients with early repolarization pattern and reduced left ventricular systolic function: A report.

Impact of a novel algorithm designed to reduce T-wave oversensing with the subcutaneous defibrillator in a patient with type I Brugada electrocardiogram

A case of incessant VT from an intramural septal focus: Ethanol or bipolar ablation? Benjamin Berte, MD, Nicolas Derval, MD, Frederic Sacher, MD, PhD,

Radiofrequency ablation of ventricular tachycardia originating from a lipomatous hamartoma localized in the right ventricle cavity Jin Xu, PhD, Yingmin.

Arrhythmogenic triggers associated with an autonomic response from a posteroseptal region after extensive ablation in a patient with long-standing atrial.

Radiofrequency catheter ablation for treatment of premature ventricular contractions triggering ventricular fibrillation from the right ventricular outflow.

Clinical and electrophysiological features of respiratory cycle–dependent atrial tachycardia: An analysis of three cases Osamu Inaba, MD, Junichi Nitta,

Nishaki Mehta, MD, Benjamin E. Peterson, MD, Roy M. John, MD, PhD

Usefulness of a 2-F catheter electrode in a case with successful electrical isolation of remarkably hypoplastic right inferior pulmonary vein Takeshi.

Two apparently remote types of ventricular tachycardia from a single right bundle branch focal source Jaromír Josiek, MD, Jaroslav Januška, MD, PhD,

Catheter ablation for the treatment of persistent atrial fibrillation: Maintenance of sinus rhythm with left atrial appendage and coronary sinus isolation.

Recurrent polymorphic ventricular tachycardia initiated by Purkinje ectopy in a patient with cardiac sarcoidosis Faisal Matto, MD, Mohsan Chaudhry, MD,

Risen from the dead: Cardiac stereotactic ablative radiotherapy as last rescue in a patient with refractory ventricular fibrillation storm Eberhard P.

HeartRhythm Case Reports

Epicardial ablation of ventricular tachycardia in a patient with Becker muscular dystrophy Siva Mohan Krothapalli, MD, Elaine Demetroulis, MD, Gardar.

Presentation transcript:

Endocardial-only catheter ablation with substantial improvement in ventricular fibrillation recurrences in a patient with Brugada syndrome Tatsuya Hayashi, MD, Junichi Nitta, MD, Masahiko Goya, MD, Mitsuaki Isobe, MD, Kenzo Hirao, MD HeartRhythm Case Reports Volume 2, Issue 5, Pages 428-431 (September 2016) DOI: 10.1016/j.hrcr.2016.06.007 Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 1 A: CARTO mapping in the endocardial right ventricular outflow tract showed low-voltage areas beneath the pulmonary artery valve, with discrete irregularly shaped extensions mostly in the anterior surface, but with some to the lateral and septal sides. B: Electrograms from areas marked a to c in panel A. Fractionated and delayed potentials were observed mostly within the low-voltage area, all of which were targeted as ablation sites. ABL = ablation catheter; AP = anterior-posterior view; d = distal; p = proximal; PA = posterior-anterior view; RV = right ventricle; SPT = sinus of pulmonary trunk. HeartRhythm Case Reports 2016 2, 428-431DOI: (10.1016/j.hrcr.2016.06.007) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 2 All the delayed and fractionated potentials around the right ventricular outflow tract were targeted and ablated. Red tags show ablation points. Application power was limited to 30 W except for some septal sites where it was 35 W, and an SL0 sheath was used to maintain firm contact (A). Typical coved-type electrocardiogram displayed at the beginning of the procedure (Before). ST-segment elevation gradually diminished as ablation proceeded Radio frequency catheter ablation (RFCA #24). We ended the procedure with the disappearance of the coved-type electrocardiographic pattern, the improvement of ST-segment elevation in lead V2, and the cessation of ventricular fibrillation occurrences (Final Application (#59)) (B). AP = anterior-posterior view; PA = posterior-anterior view. HeartRhythm Case Reports 2016 2, 428-431DOI: (10.1016/j.hrcr.2016.06.007) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 3 ST level showed changes with daily variance over the 2 days after the ablation procedure until discharge. Antiarrhythmic drugs were discontinued 14 days after the procedure. Minimum ST level was observed 42 days after the procedure. The coved-type electrocardiographic pattern was not observed during the half year of follow-up. HeartRhythm Case Reports 2016 2, 428-431DOI: (10.1016/j.hrcr.2016.06.007) Copyright © 2016 Heart Rhythm Society Terms and Conditions