Abstract
Ventricular tachycardia (VT) ablation can in many cases be one of the most challenging areas of invasive electrophysiology. Reducing symptoms associated with VT and reducing the morbidity associated with ICD shocks remain the most common indications for VT ablation . There are three broad categories of VT: VT secondary to ischaemic heart disease, non-ischaemic heart disease, and normal heart VT. The approaches to ablation in each setting are slightly different and are outlined here.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Nanthakumar K, Epstein AE, Kay GN, Plumb VJ, Lee DS. Prophylactic implantable cardioverter-defibrillator therapy in patients with left ventricular systolic dysfunction: a pooled analysis of 10 primary prevention trials. J Am Coll Cardiol. 2004;44:2166–72.
Connolly SJ, et al. Comparison of beta-blockers, amiodarone plus beta-blockers, or sotalol for prevention of shocks from implantable cardioverter defibrillators: the OPTIC study: a randomized trial. JAMA. 2006;295:165–71.
Al-Khatib SM, et al. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines and the Heart Rhythm Society. Heart Rhythm. 2018;15:e73–189.
Sapp JL, et al. Ventricular tachycardia ablation versus escalation of antiarrhythmic drugs. N Engl J Med. 2016;375:111–21.
Anter E, Tschabrunn CM, Buxton AE, Josephson ME. High-resolution mapping of postinfarction reentrant ventricular tachycardia: electrophysiological characterization of the circuit. Circulation. 2016;134:314–27.
Stevenson WG, Soejima K. Catheter ablation for ventricular tachycardia. Circulation. 2007;115:2750–60.
Stevenson WG, et al. Exploring postinfarction reentrant ventricular tachycardia with entrainment mapping. J Am Coll Cardiol. 1997;29:1180–9.
Stevenson WG, et al. Identification of reentry circuit sites during catheter mapping and radiofrequency ablation of ventricular tachycardia late after myocardial infarction. Circulation. 1993;88:1647–70.
Marchlinski FE, Callans DJ, Gottlieb CD, Zado E. Linear ablation lesions for control of unmappable ventricular tachycardia in patients with ischemic and nonischemic cardiomyopathy. Circulation. 2000;101:1288–96.
Arenal A, et al. Ablation of electrograms with an isolated, delayed component as treatment of unmappable monomorphic ventricular tachycardias in patients with structural heart disease. J Am Coll Cardiol. 2003;41:81–92.
Vergara P, et al. Late potentials abolition as an additional technique for reduction of arrhythmia recurrence in scar related ventricular tachycardia ablation. J Cardiovasc Electrophysiol. 2012;23:621–7.
Santangeli P, Marchlinski FE. Substrate mapping for unstable ventricular tachycardia. Heart Rhythm. 2016;13:569–83.
Jaïs P, et al. Elimination of local abnormal ventricular activities: a new end point for substrate modification in patients with scar-related ventricular tachycardia. Circulation. 2012;125:2184–96.
Di Biase L, et al. Ablation of clinical stable ventricular tachycardia versus substrate based ablation on long term freedom from any VT: results from a randomized multicenter study vista. Heart Rhythm. 2014.
Biase LD, et al. Endo-epicardial homogenization of the scar versus limited substrate ablation for the treatment of electrical storms in patients with ischemic cardiomyopathy. J Am Coll Cardiol. 2012;60:132–41.
Arenal A, et al. Tachycardia-related channel in the scar tissue in patients with sustained monomorphic ventricular tachycardias: influence of the voltage scar definition. Circulation. 2004;110:2568–74.
de Chillou C, et al. Localizing the critical isthmus of postinfarct ventricular tachycardia: the value of pace-mapping during sinus rhythm. Heart Rhythm. 2014;11:175–81.
Szumowski L, et al. Mapping and ablation of polymorphic ventricular tachycardia after myocardial infarction. J Am Coll Cardiol. 2004;44:1700–6.
Sosa E, Scanavacca M. Percutaneous pericardial access for mapping and ablation of epicardial ventricular tachycardias. Circulation. 2007. https://doi.org/10.1161/circulationaha.107.701623.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Srinivasan, N.T., Cambridge, A. (2020). Ventricular Tachycardia Ablation. In: Sohaib, A. (eds) Decoding Cardiac Electrophysiology. Springer, Cham. https://doi.org/10.1007/978-3-030-28672-9_8
Download citation
DOI: https://doi.org/10.1007/978-3-030-28672-9_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-28671-2
Online ISBN: 978-3-030-28672-9
eBook Packages: MedicineMedicine (R0)