Percutaneous epicardial cryoablation of idiopathic premature ventricular contractions near the left anterior descending artery Victor A. Abrich, MD,

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Presentation transcript:

Percutaneous epicardial cryoablation of idiopathic premature ventricular contractions near the left anterior descending artery Victor A. Abrich, MD, Win-Kuang Shen, MD, FHRS, Siva K. Mulpuru, MD, FHRS, Komandoor Srivathsan, MD, FHRS HeartRhythm Case Reports Volume 5, Issue 7, Pages 367-370 (July 2019) DOI: 10.1016/j.hrcr.2019.03.013 Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 1 Electrocardiogram demonstrating frequent ventricular ectopy. HeartRhythm Case Reports 2019 5, 367-370DOI: (10.1016/j.hrcr.2019.03.013) Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 2 Pace-match in PASO (Biosense Webster, Diamond Bar, CA). The QRS of the ventricular ectopic (green outline) overlays the QRS of the paced beat (yellow outline). HeartRhythm Case Reports 2019 5, 367-370DOI: (10.1016/j.hrcr.2019.03.013) Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 3 Fluoroscopic views during coronary angiography. A: Left anterior oblique (LAO) view with the quadripolar catheter in the right ventricular outflow tract (left), cryoablation catheter in the pericardial space (middle), and quadripolar catheter in the anterior interventricular vein (right). B: Right anterior oblique (RAO) view with the cryoablation catheter in the pericardial space (top), quadripolar catheter in the anterior interventricular vein (middle), and quadripolar catheter in the right ventricular outflow tract (bottom). HeartRhythm Case Reports 2019 5, 367-370DOI: (10.1016/j.hrcr.2019.03.013) Copyright © 2019 Heart Rhythm Society Terms and Conditions