Utility of Intracardiac Echocardiography for Catheter Ablation of Complex Cardiac Arrhythmias in a Medium-Volume Training Center

2014 ◽  
Vol 32 (4) ◽  
pp. 660-670 ◽  
Author(s):  
David Filgueiras-Rama ◽  
Fernando de Torres-Alba ◽  
Sergio Castrejón-Castrejón ◽  
Alejandro Estrada ◽  
Jorge Figueroa ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
Cardiac Arrhythmias ◽  
Intracardiac Echocardiography ◽  
Training Center

scholarly journals Fluoroless Catheter Ablation of Cardiac Arrhythmias

2018 ◽  
Vol 12 (2) ◽  
pp. 107
Author(s):  
Sandeep K Goyal ◽  
Bruce S Stambler ◽  
◽  
Keyword(s):  
Catheter Ablation ◽  
Ionizing Radiation ◽  
Health Risks ◽  
Cardiac Arrhythmias ◽  
Intracardiac Echocardiography ◽  
Protective Equipment ◽  
3D Mapping ◽  
Mapping Systems ◽  
Zero Fluoroscopy ◽  
Arrhythmia Management

Catheter ablation is the mainstay of cardiac arrhythmia management, and the number of these procedures carried out is continuing to grow. Fluoroscopy has been integral to these procedures to ensure safe catheter manipulation. Unfortunately, exposure to ionizing radiation is associated with several health risks to patients and personnel. The personal protective equipment used to reduce these risks is associated with incomplete protection and orthopedic risks to physicians and other staff. 3D mapping systems and intracardiac echocardiography, if used properly, can significantly reduce the use of fluoroscopy. The study describes a zero-fluoroscopy approach to cardiac ablation of AF and other arrhythmias using 3D mapping and intracardiac echocardiography to reduce or eliminate exposure to ionizing radiation and orthopedic risks to personnel.

scholarly journals Intracardiac echocardiography during radiofrequency catheter ablation of cardiac arrhythmias in humans

1994 ◽  
Vol 24 (5) ◽  
pp. 1351-1357 ◽  
Author(s):  
Edward Chu ◽  
Jonathan M. Kalman ◽  
Michael A. Kwasman ◽  
John C.Y. Jue ◽  
Peter J. Fitzgerald ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
Cardiac Arrhythmias ◽  
Radiofrequency Catheter Ablation ◽  
Intracardiac Echocardiography

scholarly journals Catheter ablation of short-coupled variant of torsade de pointes

2021 ◽  
Author(s):  
Johannes Steinfurt ◽  
Babak Nazer ◽  
Martin Aguilar ◽  
Joshua Moss ◽  
Satoshi Higuchi ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
Torsade De Pointes ◽  
Intracardiac Echocardiography ◽  
Long Term Results ◽  
Electrical Storm ◽  
3D Mapping ◽  
Free Wall ◽  
First Line ◽  
First Line Therapy ◽  
Line Therapy

Abstract Background The short-coupled variant of torsade de pointes (sc-TdP) is a malignant arrhythmia that frequently presents with ventricular fibrillation (VF) electrical storm. Verapamil is considered the first-line therapy of sc-TdP while catheter ablation is not widely adopted. The aim of this study was to determine the origin of sc-TdP and to assess the outcome of catheter ablation using 3D-mapping. Methods and results We retrospectively analyzed five patients with sc-TdP who underwent 3D-mapping and ablation of sc-TdP at five different institutions. Four patients initially presented with sudden cardiac arrest, one patient experienced recurrent syncope as the first manifestation. All patients demonstrated a monomorphic premature ventricular contraction (PVC) with late transition left bundle branch block pattern, superior axis, and a coupling interval of less than 300 ms. triggering recurrent TdP and VF. In four patients, the culprit PVC was mapped to the free wall insertion of the moderator band (MB) with a preceding Purkinje potential in two patients. Catheter ablation using 3D-mapping and intracardiac echocardiography eliminated sc-TdP in all patients, with no recurrence at mean 2.7 years (range 6 months to 8 years) of follow-up. Conclusion 3D-mapping and intracardiac echocardiography demonstrate that sc-TdP predominantly originates from the MB free wall insertion and its Purkinje network. Catheter ablation of the culprit PVC at the MB free wall junction leads to excellent short- and long-term results and should be considered as first-line therapy in recurrent sc-TdP or electrical storm. Graphic abstract

Real‐world outcomes of ventricular tachycardia catheter ablation with versus without intracardiac echocardiography

2019 ◽  
Vol 31 (2) ◽  
pp. 417-422
Author(s):  
Michael E. Field ◽  
Michael R. Gold ◽  
Matthew R. Reynolds ◽  
Laura Goldstein ◽  
Stephanie Hsiao Yu Lee ◽  
...  
Keyword(s):  
Ventricular Tachycardia ◽  
Catheter Ablation ◽  
Real World ◽  
Intracardiac Echocardiography
Sign in / Sign up

Export Citation Format

Share Document