Epicardial Ablation of Ventricular Tachycardia: a Review.

Abstract:

:For over 3 decades, it has been known that reentry circuits for ventricular tachycardia (VT) are not limited to the subendocardial myocardium. Rather, intramural or subepicardial substrates may also give rise to VT, particularly in those with non-ischemic cardiomyopathy. Percutaneous epicardial mapping and ablation has been successfully introduced for the treatment of such subepicardial VT. Herein, we review the indications for epicardial ablation and the identification of epicardial VT by electrocardiographic and imaging modalities. We also discuss the optimal technique for epicardial access and the implications of epicardial fat which has the potential to mimic scar, decreasing the specificity of electrogram morphology and impeding energy delivery to the tissue. Finally, we also report on possible complications of the procedure and strategies to mitigate adverse events.

journal_name

Korean Circ J

authors

Cardoso R,Aryana A,Singh SM,Tandri H,d'Avila A

doi

10.4070/kcj.2018.0210

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

778-791

issue

9

eissn

1738-5520

issn

1738-5555

pii

48.e112

journal_volume

48

pub_type

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