Empirical Ablation to Prevent Sequential Purkinje System Recruitment
2021; Elsevier BV; Volume: 3; Issue: 3 Linguagem: Inglês
10.1016/j.jaccas.2021.01.018
ISSN2666-0849
AutoresPattara Rattanawong, Vatsal Ladia, Nareg Minaskeian, Dan Sorajja, Win-Kuang Shen, Komandoor Srivathsan,
Tópico(s)Cardiac pacing and defibrillation studies
ResumoWe report 3 cases (mean age 48.3 ± 11.6 years) of idiopathic ventricular fibrillation (IVF), in which a triggering premature ventricular complex leading to IVF could not be identified. All patients underwent posterior fascicle transection with empirical linear ablation of the mid-Purkinje potentials identified along the left ventricular interventricular inferior septum, and no ventricular fibrillation recurrence was documented in any of the patients. (Level of Difficulty: Advanced.)
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