Termination of Sustained Ventricular Fibrillation During Radiofrequency Catheter Ablation

Aalap Narichania; Pablo Salazar; Ryan Burris; Roderick Tung

doi:10.1016/j.jaccas.2022.07.039

Termination of Sustained Ventricular Fibrillation During Radiofrequency Catheter Ablation

Aalap Narichania, Pablo Salazar, Ryan Burris, Roderick Tung

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

After a ST-segment elevation inferior myocardial infarction, a patient developed multiple drug-refractory ventricular fibrillation (VF), triggered by a stereotypic premature ventricular complex. During an episode of sustained VF, catheter ablation of the moderator band terminated VF, with transition into monomorphic ventricular tachycardia. To the best of our knowledge, this is the first-in-human report of termination of VF during delivery of radiofrequency energy, which suggests that the focal area on moderator band of Purkinje system had an active role in the perpetuation of VF. (Level of Difficulty: Advanced.)

Original language	English (US)
Pages (from-to)	1218-1223
Number of pages	6
Journal	JACC: Case Reports
Volume	4
Issue number	18
DOIs	https://doi.org/10.1016/j.jaccas.2022.07.039
State	Published - Sep 21 2022
Externally published	Yes

Keywords

Purkinje
catheter ablation
moderator band
premature ventricular complex
ventricular fibrillation

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.jaccas.2022.07.039

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title = "Termination of Sustained Ventricular Fibrillation During Radiofrequency Catheter Ablation",

abstract = "After a ST-segment elevation inferior myocardial infarction, a patient developed multiple drug-refractory ventricular fibrillation (VF), triggered by a stereotypic premature ventricular complex. During an episode of sustained VF, catheter ablation of the moderator band terminated VF, with transition into monomorphic ventricular tachycardia. To the best of our knowledge, this is the first-in-human report of termination of VF during delivery of radiofrequency energy, which suggests that the focal area on moderator band of Purkinje system had an active role in the perpetuation of VF. (Level of Difficulty: Advanced.)",

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author = "Aalap Narichania and Pablo Salazar and Ryan Burris and Roderick Tung",

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T1 - Termination of Sustained Ventricular Fibrillation During Radiofrequency Catheter Ablation

AU - Narichania, Aalap

AU - Salazar, Pablo

AU - Burris, Ryan

AU - Tung, Roderick

PY - 2022/9/21

Y1 - 2022/9/21

N2 - After a ST-segment elevation inferior myocardial infarction, a patient developed multiple drug-refractory ventricular fibrillation (VF), triggered by a stereotypic premature ventricular complex. During an episode of sustained VF, catheter ablation of the moderator band terminated VF, with transition into monomorphic ventricular tachycardia. To the best of our knowledge, this is the first-in-human report of termination of VF during delivery of radiofrequency energy, which suggests that the focal area on moderator band of Purkinje system had an active role in the perpetuation of VF. (Level of Difficulty: Advanced.)

AB - After a ST-segment elevation inferior myocardial infarction, a patient developed multiple drug-refractory ventricular fibrillation (VF), triggered by a stereotypic premature ventricular complex. During an episode of sustained VF, catheter ablation of the moderator band terminated VF, with transition into monomorphic ventricular tachycardia. To the best of our knowledge, this is the first-in-human report of termination of VF during delivery of radiofrequency energy, which suggests that the focal area on moderator band of Purkinje system had an active role in the perpetuation of VF. (Level of Difficulty: Advanced.)

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KW - catheter ablation

KW - moderator band

KW - premature ventricular complex

KW - ventricular fibrillation

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Termination of Sustained Ventricular Fibrillation During Radiofrequency Catheter Ablation

Abstract

Keywords

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