Sequential Unipolar Biventricular Pulsed Field Ablation for Refractory Intramural Septal Ventricular Tachycardia

María Cespón-Fernández, MD, PhD; Luigi Pannone, MD; Domenico Della Rocca, MD, PhD; Mark La Meir, MD, PhD; Alexander Almorad, MD; Gian-Battista Chierchia, MD, PhD; Carlo de Asmundis, MD, PhD; Andrea Sarkozy, MD, PhD

JACC: Case Reports (Jun 2024)

Sequential Unipolar Biventricular Pulsed Field Ablation for Refractory Intramural Septal Ventricular Tachycardia

María Cespón-Fernández, MD, PhD,
Luigi Pannone, MD,
Domenico Della Rocca, MD, PhD,
Mark La Meir, MD, PhD,
Alexander Almorad, MD,
Gian-Battista Chierchia, MD, PhD,
Carlo de Asmundis, MD, PhD,
Andrea Sarkozy, MD, PhD

Affiliations

María Cespón-Fernández, MD, PhD: Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium; Health Research Institute Galicia Sur, Vigo, Spain
Luigi Pannone, MD: Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium
Domenico Della Rocca, MD, PhD: Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium
Mark La Meir, MD, PhD: Cardiac Surgery Department, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, Brussels, Belgium
Alexander Almorad, MD: Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium
Gian-Battista Chierchia, MD, PhD: Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium
Carlo de Asmundis, MD, PhD: Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium
Andrea Sarkozy, MD, PhD: Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium; Address for correspondence: Dr Andrea Sarkozy, Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Wilrijkstraat 10, Edegem, Antwerpen 2610, Belgium.

Journal volume & issue: Vol. 29, no. 12
p. 102356

Abstract

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Catheter ablation of septal ventricular tachycardia (VT) is challenging. Pulsed field ablation is a promising technology, potentially reaching deep substrates. We report the first sequential unipolar biventricular pulsed field ablation targeting refractory septal VT. Besides, we illustrate the importance of searching underlying cardiomyopathy in patients with recurrent multiple morphology VTs and normal magnetic resonance imaging.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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