Interventional Management of Ventricular Arrhythmias, An Issue of Cardiac Electrophysiology Clinics

1st Edition, Volume 14-4 - November 17, 2022
Editors: Auras R. Atreya, Calambur Narasimhan
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 9 8 7 9 7 - 4
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 8 7 9 8 - 1

In this issue of Cardiac Electrophysiology Clinics, guest editors Auras R. Atreya and Calambur Narasimhan bring their considerable expertise to the topic of Ventricular Tachycardia… Read more

Interventional Management of Ventricular Arrhythmias, An Issue of Cardiac Electrophysiology Clinics

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In this issue of Cardiac Electrophysiology Clinics, guest editors Auras R. Atreya and Calambur Narasimhan bring their considerable expertise to the topic of Ventricular Tachycardia Ablation.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Mechanisms of Ventricular Arrhythmias and Implications for Catheter Ablation
Key points
Introduction
Idiopathic ventricular arrhythmias
Ventricular arrhythmias in structural heart disease
Summary
Clinics care points
Intracardiac Electrogram Targets for Ventricular Tachycardia Ablation
Key points
Introduction
Mechanism of ventricular tachycardia in cardiomyopathy and ventricular scar
General challenges in ventricular tachycardia ablation
Clinics care points
Best Practices for the Catheter Ablation of Ventricular Arrhythmias
Key points
Introduction
Section I: Preprocedural evaluation and planning
Section II: Procedural safety and efficacy
Section III: Postablation care
Section IV: Special considerations
Summary
Clinics care points
Acknowledgement
Conflict of interest disclosure
Improving Outcomes in Ventricular Tachycardia Ablation Using Imaging to Identify Arrhythmic Substrates
Key points
Introduction
Ventricular tachycardia pathophysiology and cardiac substrate
Echocardiography
Nuclear cardiac imaging
Right ventricular scar localization
Assessing postablation lesion formation
T1-weighted imaging
T2-weighted imaging
Magnetic resonance imaging-defined conduction channels
Additive value of imaging and future directions
Summary
Clinics care points
Techniques for Catheter Ablation of Idiopathic Ventricular Arrhythmias Originating from the Outflow Tract and Left Ventricular Summit
Key points
Introduction
Summary
Clinics care points
Disclosure
Catheter Ablation for Ventricular Tachycardia Involving the His-Purkinje System: Fascicular and Bundle Branch Reentrant Ventricular Tachycardia
Key points
Introduction
Fascicular ventricular tachycardia
Bundle branch reentrant ventricular tachycardia
Summary
Clinics care points
Supplementary data
Patient Selection, Techniques, and Complication Mitigation for Epicardial Ventricular Tachycardia Ablation
Key points
Introduction
Best practice: When to attempt percutaneous epicardial access
Best practice: How to safely obtain epicardial access
Best practice: How to minimize and manage complications from epicardial access
Best practice: How to map and ablate ventricular tachycardia in the epicardial space
Best practice: How to make use of alternatives to percutaneous access
Summary
Clinics care point
Catheter Ablation of Ventricular Tachycardia in Arrhythmogenic Right Ventricular Cardiomyopathy
Key points
Introduction
Summary
Clinics care points
Advances in Ventricular Arrhythmia Ablation for Brugada Syndrome
Key points
Introduction
Future directions
Clinics care points
Supplementary data
Catheter Ablation for Ventricular Arrhythmias in Hypertrophic Cardiomyopathy
Key points
Introduction
Mechanisms of ventricular arrhythmias
Endocardial versus epicardial substrate
Selection of patients for catheter ablation
Utility of preoperative imaging before ablation
Outcomes of ablation in hypertrophic cardiomyopathy
Strategies to improve ablation outcomes
Summary
Disclosures
Ventricular Tachycardia in Granulomatous Myocarditis: Role of Catheter Ablation
Key points
Introduction
Spectrum of disease
Treatment modalities
Role of catheter ablation in patients with granulomatous myocarditis
Impact of inflammation on catheter ablation
Response to therapy
Disclosure
Ventricular Tachycardia Ablation in Adult Congenital Heart Disease
Key points
Introduction
Preprocedural evaluation
Evolving mapping and ablation techniques
Patient population
Tetralogy of Fallot
Ventricular tachycardia substrate and mapping strategies in repaired tetralogy of Fallot
The impact of the surgical era on electroanatomical ventricular tachycardia substrates
Substrate ablation and endpoints
Ablation failure and potential solutions
Complications
Other ventricular tachycardia substrates in repaired tetralogy of Fallot
Surgical ablation
Evolving indications for catheter and surgical ablation in repaired tetralogy of Fallot
Ventricular tachycardia substrate and ablation strategies in other congenital heart disease
Ventricular septal defects
Transposition of the Great Arteries
Ebstein’s anomaly
Future directions
Summary
Clinics care points
Catheter Ablation of Ventricular Fibrillation
Key points
Introduction
Premature ventricular complex-triggered ventricular fibrillation
Ventricular fibrillation––role of the His–Purkinje system in ventricular fibrillation maintenance
Autonomic modulation for ventricular fibrillation
Clinical cases
Summary
Clinics care points
Chemical Ablation of Ventricular Tachycardia Using Coronary Arterial and Venous Systems
Key points
Introduction
Why ethanol?
History of chemical ablation for ventricular arrhythmias
Transcoronary ethanol ablation: current role
Retrograde coronary venous ethanol ablation
Venous ethanol for left ventricular summit
Summary
Clinics care point
Improvement in Lesion Formation with Radiofrequency Energy and Utilization of Alternate Energy Sources (Cryoablation and Pulsed Field Ablation) for Ventricular Arrhythmia Ablation
Introduction
Radiofrequency ablation systems
Cryothermia ablation system
Pulsed electric field ablation
Summary
Funding
Adjunctive Therapies for Ventricular Arrhythmia Management: Autonomic Neuromodulation—Established and Emerging Therapies
Key points
Introduction
Autonomic neuromodulation
Summary
Clinics care points
Stereotactic Radiotherapy in the Management of Ventricular Tachycardias: More Questions than Answers?
Key points
Introduction
Summary
Clinics care points
Funding
Disclosure
Surgical Ablation of Ventricular Tachycardia
Key points
Introduction
Indication for surgery
Ischemic ventricular tachycardia
Nonischemic ventricular tachycardia
Summary
Clinics care points

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Interventional Management of Ventricular Arrhythmias, An Issue of Cardiac Electrophysiology Clinics

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Auras R. Atreya

Calambur Narasimhan