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Progress in Catheter Ablation pp 377–387Cite as

Epicardial Mapping and Ablation to Treat Sustained Ventricular Tachycardia

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Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 241))

Abstract

Recurrent sustained ventricular tachycardias (VT) present well-established functional characteristics.1 However, the same can not be said about the anatomic substrates responsible for their mechanisms.2,3 The lack of knowledge about the spatial organization and the anatomical location of critical portion of the VT circuit limits the success of the radiofrequency (RF) catheter ablation which essentially depends on a good contact of the catheter with the crucial portion of the VT circuit.4,5

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References

  1. Josephson ME. Recurrent ventricular tachycardia. In Josephson ME, Ed. Clinical Cardiac Electrophysiology. 2nd edition. Lea & Febiger, Philadelphia, 1993, pp.417–615.

    Google Scholar 

  2. de Bakker JMT, van Capelle FJL, Janse MJ, Wilde AA, Coronel R, Becker AE, Dingemans KP, van Hemel NM, Hauer RN. Reentry as a cause of ventricular tachycardia in patients with chronic ischemic heart disease: Electrophysiologic and anatomic correlation. Circulation 1988;589–606.

    Google Scholar 

  3. de Bakker JMT, van Capelle FJL, Janse MJ, van Hemel NM, Hauer RN, Defauw JJ, Vermeulen FE, Badder de Wekker PF. Macroreentry in the infarcted human heart: Mechanism of ventricular tachycardias with a focal activation pattern. J Am Coll Cardiol 1991;18:1005–1014.

    Article  PubMed  Google Scholar 

  4. Stevenson WG, Khan H, Sager P, Saxon LA, Middlekauff HR, Naterson PD, Wiener I. Identification of reentry circuit sites during catheter mapping and radiofrequency ablation of VT late after myocardial infarction. Circulation 1993;88:1647–1670.

    Article  PubMed  CAS  Google Scholar 

  5. Morady F, Harvey M, Kalbfleisch SJ, El-Atassi R, Calkins H, Langeberg JJ. Radiofrequency catheter ablation of ventricular tachycardia in patients with coronary artery disease. Circulation 1993;87:363–72.

    Article  PubMed  CAS  Google Scholar 

  6. Gonska BD; Cao K; Schaumann A; Dorszewski A; von zur Mühlen F; Kreuzer H. Catheter ablation of ventricular tachycardia in 136 patients with coronary artery disease: results and long-term follow-up. J Am Coll Cardiol 1994;24:1506–14.

    Article  PubMed  CAS  Google Scholar 

  7. Rothman SA; Hsia HH; Cossú SF; Chmielewski IL; Buxton AE; Miller JM. Radiofrequency catheter ablation of postinfarction ventricular tachycardia: long-term success and the significance of inducible nonclinical arrhythmias. Circulation 1997;96:3499–508.

    Article  PubMed  CAS  Google Scholar 

  8. Callans DJ; Zado E; Salter BH; Schwartzman D; Gottlieb CD; Marchlinski FE. Efficacy of radiofrequency catheter ablation for ventricular tachycardia in healed myocardial infarction. Am J Cardiol 1998;15:429–32,

    Article  Google Scholar 

  9. Trappe HJ, Klein H, Auricchio A, Wenzlaff P, Lichtlen PR. Catheter ablation of ventricular tachycardia: Role of the underlying etiology and the site of energy delivery. Pacing Clin Electrophysiol 1992;15:411–424.

    Article  PubMed  CAS  Google Scholar 

  10. Kottkamp H, Hindricks G, Chen X, Brunn J, Willens S, Haverkamp W, Block M, Breithardt G, Boorggrefe M. Radiofrequency catheter ablation of sustained ventricular tachycardia in idiopathic dilated cardiomyopathy. Circulation 1995;92:1159–1168.

    Article  PubMed  CAS  Google Scholar 

  11. Kim YH, Sosa-Suarez G, Trouton TG, O’Nunain SS, Oswaldo S, McGovern BA, Ruskin JN, Garan H. Treatment of ventricular tachycardia by transcatheter radiofrequency ablation in patients with ischemic heart disease. Circulation 1994;89:1094–1102.

    Article  PubMed  CAS  Google Scholar 

  12. Blanchard SM, Walcott GP, Wharton JM, Ideker RE. Why is catheter ablation less successful than surgery for treating ventricular tachycardia that results from coronary artery disease? Pacing Clin Electrophysiol 1994;17:2315–2324.

    Article  PubMed  CAS  Google Scholar 

  13. Wilber D, Kail J, Kopp D, et al: Catheter ablation of the mitral isthmus for ventricular tachycardia associated with inferior infarction. Circulation 1995;92:3481–3489.

    Article  PubMed  CAS  Google Scholar 

  14. Svenson RH, Littmann L, Gallagher JJ, Selle JG, Zimmern SH, Fedor JM, Colavita PG. Termination sequence of ventricular tachycardia with epicardial laser photocoagulation: A clinical comparison with patients undergoing successful endocardial photocoagulation alone. J Am Coll Cardiol 1990;15:163–170.

    Article  PubMed  CAS  Google Scholar 

  15. Arruda M, Otomo K, Pitha J, Schaer A, Tondo C, Antz M, Bussey J, Nakagawa H, Lazzara R, Jackman W. Epicardial left ventricular recordings and radiofrequency catheter ablation from the coronary veins: a potential adjunct approach for mapping and ablation of ventricular tachycardia. Pacing Clin Electrophysiol 1997;20:1075.

    Article  Google Scholar 

  16. Sosa E, Scanavacca M, d’Avila A, Pilleggi F. A new technique to perform epicardial mapping in the electrophysiology laboratory. J Cardiovasc Electrophysiol 1996;7:531–536.

    Article  PubMed  CAS  Google Scholar 

  17. Sosa E, Scanavacca M, d’Avila A, Piccioni J, Sanchez O, Velarde JL, Silva M, Reolão B. Endocardial and epicardial ablation guided by nonsurgical transthoracic epicardial mapping to treat recurrent ventricular tachycardia. J Cardiovasc Electrophysiol 1998;9:229–239.

    Article  PubMed  CAS  Google Scholar 

  18. Sosa E, Scanavacca M, d’Avila A, Bellotti G, Pilleggi F. Radiofrequency catheter ablation of ventricular tachycardia guided by non-surgical epicardial mapping in chronic Chagasic heart disease. Pacing Clin Electrophysiol 1999;22:128–30.

    Article  PubMed  CAS  Google Scholar 

  19. Marin-Neto JÁ, Sirnoes MV, Sarabanda AVL. Cardiopatia Chagasica. Arq Bras Cardiol 1999;72:264–280

    Article  Google Scholar 

  20. Scanavacca M; Sosa E. Electrophysiologic study in chronic Chagas’ heart disease. Säo Paulo Medical Journal 1995;113: 841–50.

    Article  PubMed  CAS  Google Scholar 

  21. Scanavacca M, Sosa E, Lee JH, et al. Tratamento empirico com Amiodarona da Taquicardia Ventricular Sustentada em Pacentes com Cardiopatia Chagásica Crônica. Arq Bras Cardiol 1990;

    Google Scholar 

  22. Sosa E, Scalabrini, Rati M, Bellotti G, Pileggi F. Successful catheter ablation of the origin of recurrent ventricular tachycardia in chronic chagasic heart disease. J Electrophysiol 1987;1:58–61.

    Google Scholar 

  23. Sternick EB; Sobrinho AL; Lisboa JC, et al. Transcoronary chemical ablation of ventricular tachycardia in a patient with chronic chagas cardiomyopathy. Arq Bras Cardiol 1992;58:4, 307–10.

    PubMed  CAS  Google Scholar 

  24. de Paola AA; Pinheiro Tavora MZ. Radiofrequency ablation of the sustained ventricular tachycardia in patients with structural heart disease. Arq Bras Cardiol 1996; 66:1:,51–8.

    PubMed  Google Scholar 

  25. Rosas F; Velasco V; Arboleda F, et al. Catheter ablation of ventricular tachycardia in Chagasic Cardiomyopathy. Clin Cardiol 1997;20:2, 169–74.

    Article  PubMed  CAS  Google Scholar 

  26. Sosa E, Scanavacca M, Barbero Marciel M, Bellotti G, Jatene M, Pilleggi F, Jatene A. Surgical treatment of cardiac arrhthymias. In Cruz Filho FES, Maia IG,eds: Eletrofisiologia Clinica e Intervencionista das Arritmias Cardiacas. Editora Revinter Ltda, Rio de Janeiro, 1997. pp. 443–55.

    Google Scholar 

  27. Kaltenbrunner W, Cardinal R, Dubuc M, Shenasa M, Nadeau R, Tremblay G, Vermeulen M, Savard P, Pagé PL. Epicardial and endocardial mapping of ventricular tachycardia in patients with myocardial infarction. Is the origin of the tachycardia always subendocardially localized? Circulation 1991;84:1058–1071.

    Article  PubMed  CAS  Google Scholar 

  28. Littman L, Svenson RH, Gallagher JJ, Selle JG, Zimmern SH, Fedor JM, Colavita PG. Functional role of ventricular tachycardia. Observations derived from computerized epicardial activation mapping, entrainment, and epicardial laser photoablation. Circulation 1991;83:1577–1591.

    Article  Google Scholar 

  29. Hadjis T, Stevenson WG, Friedman PL, Sager P, Saxon LA: Ventricular tachycardia after inferior wall myocardial infarction: Predominance of locations for critical slow conduction zones. J Am Coll Cardiol 1995;25:108A. Abstract 926–28.

    Article  Google Scholar 

  30. de Paola AAV, Melo WDS, Távora MZ, Martinez EE. Coronary venous mapping in patients with sustained ventricular tachycardia. J Am Coll Cardiol 1997; 29:202A, Abstract 750–4.

    Google Scholar 

  31. Krikornian JG, Hancock EW. Pericardiocentesis. Am J Med 1978;65:808–816.

    Article  Google Scholar 

  32. Sosa E, Scanavacca M, d’Avila A, Oliveira F, Ramirez AF. Nonsurgical transthoracic epicardial catheter ablation to treat recurrent ventricular tachycardia occurring late after myocardial infarction (submitted).

    Google Scholar 

  33. Sosa E, Scanavacca M, d’Avila A, Tondato F, Kunyoshi R, Elias J. Nonsurgical transthoracic mapping and ablation in a child with incessant ventricular tachycardia. J Cardiovasc Electrophysiol (in press).

    Google Scholar 

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Author information

Authors and Affiliations

  1. Heart Institute, University of São Paulo Medical School, São Paulo, Brazil

    Mauricio Scanavacca, André d’Avila & Eduardo Sosa

Authors
  1. Mauricio Scanavacca
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  2. André d’Avila
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  3. Eduardo Sosa
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Editor information

Editors and Affiliations

  1. Stanford University, Stanford, California, USA

    Liong Bing Liem (Associate Professor of Medicine, Director) (Associate Professor of Medicine, Director)

  2. Experimental Cardiac Electrophysiology, Stanford University Medical Center, Stanford, California, USA

    Liong Bing Liem (Associate Professor of Medicine, Director) (Associate Professor of Medicine, Director)

  3. University of Toronto, Toronto, Ontario, Canada

    Eugene Downar (Professor of Medicine, Director) (Professor of Medicine, Director)

  4. Invasive Cardiac Electrophysiology, Toronto General Hospital, Toronto, Ontario, Canada

    Eugene Downar (Professor of Medicine, Director) (Professor of Medicine, Director)

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© 2001 Springer Science+Business Media Dordrecht

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Scanavacca, M., d’Avila, A., Sosa, E. (2001). Epicardial Mapping and Ablation to Treat Sustained Ventricular Tachycardia. In: Liem, L.B., Downar, E. (eds) Progress in Catheter Ablation. Developments in Cardiovascular Medicine, vol 241. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-9791-3_23

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  • DOI: https://doi.org/10.1007/978-94-015-9791-3_23

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-5882-9

  • Online ISBN: 978-94-015-9791-3

  • eBook Packages: Springer Book Archive

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