{"id":10238,"date":"2012-04-22T16:06:53","date_gmt":"2012-04-22T16:06:53","guid":{"rendered":"http:\/\/cardiophile.org\/?p=7302"},"modified":"2012-04-22T16:06:53","modified_gmt":"2012-04-22T16:06:53","slug":"transcoronary-ethanol-ablation-for-ventricular-tachycardia-2","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/transcoronary-ethanol-ablation-for-ventricular-tachycardia-2\/","title":{"rendered":"Transcoronary ethanol ablation for ventricular tachycardia"},"content":{"rendered":"

Transcoronary ethanol ablation for ventricular tachycardia (VT)<\/span><\/h2>\n

Michifumi Tokuda, Piotr Sobieszczyk, Andrew C Eisenhauer, Pipin Kojodjojo, Keiichi Inada, Bruce A Koplan, Gregory F Michaud, Roy M John, Laurence M Epstein, William G Stevenson and Usha B Tedrow from Brigham and Women\u2019s Hospital & Harvard Medical School, Boston along with Fr\u00e9d\u00e9ric Sacher from Univ Bordeaux II, H\u00f4pital Cardiologique du Haut-L\u00e9v\u00eaque, Bordeaux-Pessac, France [1] have published an update on transcoronary ethanol ablation for VT for recurrent ventricular tachycardia after failed radiofrequency catheter ablation. Transcoronary ethanol ablation (TCEA) for ventricular tachycardia is considered when endocardial and epicardial radiofrequency catheter ablation has failed, or when a deep intra myocardial origin is likely.<\/p>\n

In their report, in twenty seven patients, of which fourteen had ischemic cardiomyopathy, TCEA was attempted. This was among 274 consecutive ventricular tachycardia patients taken for ablation in their centers. Eighteen of the twenty two patients in whom one to three arteries were targeted achieved non inducibility of ventricular tachycardia. Five of them developed complete heart block while three with advanced heart failure died within a month. Recurrence of ventricular tachycardia was noted in about two thirds of cases. But of the eleven patients with prior ventricular tachycardia (VT) storm, nine were free of VT storm. The technical limitations were inadequate target vessels and presence of collaterals. In seven of the eight patients with recurrences, a VT with a different QRS morphology originating from the same region was noted.<\/p>\n

Reference<\/strong><\/span><\/p>\n

    \n
  1. Michifumi Tokuda, Piotr Sobieszczyk, Andrew C Eisenhauer, Pipin Kojodjojo, Keiichi Inada, Bruce A Koplan, Gregory F Michaud, Roy M John, Laurence M Epstein, Fr\u00e9d\u00e9ric Sacher, William G Stevenson, Usha B Tedrow. Circ Arrhythm Electrophysiol. 2011;4:889-96<\/a>.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Transcoronary ethanol ablation for VT is used when endocardial \/ epicardial RF ablation has failed and for deep intra myocardial foci. <\/p>\n","protected":false},"author":1,"featured_media":39434,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[6],"tags":[],"class_list":["post-10238","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ecg-electrophysiology"],"yoast_head":"\nTranscoronary ethanol ablation for ventricular tachycardia<\/title>\n<meta name=\"description\" content=\"Transcoronary ethanol ablation for ventricular tachycardia is used when endocardial \/ epicardial RF ablation has failed and for deep intra myocardial foci.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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