Ablation of epicardial ventricular focus through coronary sinus using pulsed-field ablation. A case report.

Authors :: Mestrovic IP
Breskovic T
Markovic M
Kurtic E
Mestrovic T
Anic A
Source :: Journal of cardiovascular electrophysiology [J Cardiovasc Electrophysiol] 2024 Apr; Vol. 35 (4), pp. 856-861. Date of Electronic Publication: 2024 Jan 31.
Publication Year :: 2024
Abstract: Introduction: With the entry of pulsed-field ablation (PFA) into electrophysiology, new possibilities for ablation of different substrates such as epicardial foci of premature ventricular contractions (PVCs) from coronary venous system (CVS) have been opened.<br />Methods: This article focuses on a case of a 27-year-old patient with frequent monomorphic PVCs of epicardial origin, treated by radiofrequency ablation, followed by PFA.<br />Results: After unsuccessful focus ablation through CVS with RFA, successful ablations from the same region with PFA were achieved.<br />Conclusion: This is the first described case of successful ablation of epicardial PVCs using PFA, which we hope will help in defining indications for this novel technology and enhance quality of treatment for patients with different arrhythmias.<br /> (© 2024 Wiley Periodicals LLC.)

Subjects :: Humans
Adult
Treatment Outcome
Heart Ventricles
Coronary Sinus diagnostic imaging
Coronary Sinus surgery
Catheter Ablation adverse effects
Ventricular Premature Complexes diagnosis
Ventricular Premature Complexes surgery
Ventricular Premature Complexes etiology
Tachycardia, Ventricular diagnosis
Tachycardia, Ventricular surgery
Tachycardia, Ventricular etiology

Full Text Access

Tools