Erschienen in:
14.07.2023 | Invasive Electrophysiology and Pacing (EK Heist, Section Editor)
Venous Ethanol Ablation Approaches for Radiofrequency-Refractory Cardiac Arrhythmias
verfasst von:
Stephanie Fuentes, Miguel Valderrábano
Erschienen in:
Current Cardiology Reports
|
Ausgabe 9/2023
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Abstract
Purpose of Review
In this review, we summarize the procedural approach and outcomes of venous ethanol infusion in the treatment of ventricular arrhythmias with intramural site of origin.
Recent Findings
Coronary venous ethanol infusion has emerged as a novel, safe, and effective adjunctive strategy to radiofrequency ablation of drug refractory ventricular arrhythmias with an intramural origin.
Summary
Radiofrequency catheter ablation is the first-line treatment for drug refractory ventricular arrythmias. Its success is highly dependent on the ability to reach targeted myocardium. Radiofrequency failures are common in patients with ventricular arrhythmias arising from deep intramural substrates, and those whose origin is in close proximity to vital structures such as coronary arteries or the phrenic nerve. Coronary venous ethanol infusion has emerged as a novel technique that circumvents these limitations.