Recent developments in the ablation of ventricular arrhythmias.

Future Cardiol

Mayo Clinic Arizona, Division of Cardiovascular Diseases, Mayo Clinic Hospital, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.

Published: November 2013

AI Article Synopsis

  • Catheter ablation is a promising treatment for recurrent ventricular arrhythmias (VAs) and can effectively stop VAs during episodes, known as electrical storms.
  • New technologies have improved how doctors can map the heart and modify areas to treat VAs while the heart is still in a normal rhythm.
  • Advances like epicardial ablation and percutaneous hemodynamic support are improving success rates and options for managing various types of VAs.

Article Abstract

Catheter ablation for the management of recurrent ventricular arrhythmias (VAs) is an emerging technology, with good efficacy in selected patients. It is an effective treatment for recurrent VA and can terminate VA during electrical storm. Recent innovations enhance the accuracy of ventricular mapping, allowing for substrate modification while the patient remains in sinus rhythm, thus facilitating the treatment of different types of VA. Epicardial ablation is now a feasible option for treating VA and increases the likelihood of success in certain types of VA. Percutaneous hemodynamic support facilitates successful ablation during poorly tolerated VA. This article reviews recent advances in catheter ablation techniques for VA and approaches to the management of specific types of VA, with a view toward future developments.

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Source
http://dx.doi.org/10.2217/fca.13.79DOI Listing

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