DOI QR코드

DOI QR Code

Catheter Ablation of Parahisian Premature Ventricular Complex

  • Kim, Jun (Department of Internal Medicine, Pusan National University School of Medicine, Cardiovascular Center, Pusan National University Yangsan Hospital) ;
  • Kim, Jeong-Su (Department of Internal Medicine, Pusan National University School of Medicine, Cardiovascular Center, Pusan National University Yangsan Hospital) ;
  • Park, Yong-Hyun (Department of Internal Medicine, Pusan National University School of Medicine, Cardiovascular Center, Pusan National University Yangsan Hospital) ;
  • Kim, June-Hong (Department of Internal Medicine, Pusan National University School of Medicine, Cardiovascular Center, Pusan National University Yangsan Hospital) ;
  • Chun, Kook-Jin (Department of Internal Medicine, Pusan National University School of Medicine, Cardiovascular Center, Pusan National University Yangsan Hospital)
  • Published : 2011.12.30

Abstract

Catheter ablation is performed in selected patients with a symptomatic premature ventricular complex (PVC) or PVC-induced cardiomyopathy. Ablation of PVC from the His region has a high risk of inducing a complete atrioventricular block. Here we report successful catheter ablation of a parahisian PVC in a 63-year-old man.

Keywords

References

  1. Zhu DW, Maloney JD, Simmons TW, et al. Radiofrequency catheter ablation for management of symptomatic ventricular ectopic activity. J Am Coll Cardiol 1995;26:843-9. https://doi.org/10.1016/0735-1097(95)00287-7
  2. Seidl K, Schumacher B, Hauer B, et al. Radiofrequency catheter ablation of frequent monomorphic ventricular ectopic activity. J Cardiovasc Electrophysiol 1999;10:924-34. https://doi.org/10.1111/j.1540-8167.1999.tb01263.x
  3. Takemoto M, Yoshimura H, Ohba Y, et al. Radiofrequency catheter ablation of premature ventricular complexes from right ventricular outflow tract improves left ventricular dilation and clinical status in patients without structural heart disease. J Am Coll Cardiol 2005;45:1259-65. https://doi.org/10.1016/j.jacc.2004.12.073
  4. Yarlagadda RK, Iwai S, Stein KM, et al. Reversal of cardiomyopathy in patients with repetitive monomorphic ventricular ectopy originating from the right ventricular outflow tract. Circulation 2005;112:1092-7. https://doi.org/10.1161/CIRCULATIONAHA.105.546432
  5. Bogun F, Crawford T, Reich S, et al. Radiofrequency ablation of frequent, idiopathic premature ventricular complexes: comparison with a control group without intervention. Heart Rhythm 2007;4:863-7. https://doi.org/10.1016/j.hrthm.2007.03.003
  6. Kanei Y, Friedman M, Ogawa N, Hanon S, Lam P, Schweitzer P. Frequent premature ventricular complexes originating from the right ventricular outflow tract are associated with left ventricular dysfunction. Ann Noninvasive Electrocardiol 2008;13:81-5. https://doi.org/10.1111/j.1542-474X.2007.00204.x
  7. Haissaguerre M, Extramiana F, Hocini M, et al. Mapping and ablation of ventricular fibrillation associated with long-QT and Brugada syndromes. Circulation 2003;108:925-8. https://doi.org/10.1161/01.CIR.0000088781.99943.95
  8. Noda T, Shimizu W, Taguchi A, et al. Malignant entity of idiopathic ventricular fibrillation and polymorphic ventricular tachycardia initiated by premature extrasystoles originating from the right ventricular outflow tract. J Am Coll Cardiol 2005;46:1288-94. https://doi.org/10.1016/j.jacc.2005.05.077
  9. Yamauchi Y, Aonuma K, Takahashi A, et al. Electrocardiographic characteristics of repetitive monomorphic right ventricular tachycardia originating near the His-bundle. J Cardiovasc Electrophysiol 2005;16:1041-8. https://doi.org/10.1111/j.1540-8167.2005.40787.x
  10. Ashikaga K, Tsuchiya T, Nakashima A, Hayashida K. Catheter ablation of premature ventricular contractions originating from the His bundle region. Europace 2007;9:781-4. https://doi.org/10.1093/europace/eum085
  11. Callans DJ, Menz V, Schwartzman D, Gottlieb CD, Marchlinski FE. Repetitive monomorphic tachycardia from the left ventricular outflow tract: electrocardiographic patterns consistent with a left ventricular site of origin. J Am Coll Cardiol 1997;29:1023-7. https://doi.org/10.1016/S0735-1097(97)00004-1
  12. Ito S, Tada H, Naito S, et al. Development and validation of an ECG algorithm for identifying the optimal ablation site for idiopathic ventricular outflow tract tachycardia. J Cardiovasc Electrophysiol 2003;14:1280-6. https://doi.org/10.1046/j.1540-8167.2003.03211.x
  13. Anderson RH, Ho SY, Becker AE. Anatomy of the human atrioventricular junctions revisited. Anat Rec 2000;260:81-91. https://doi.org/10.1002/1097-0185(20000901)260:1<81::AID-AR90>3.0.CO;2-3
  14. Haisaguerre M, Marcus F, Poquet F, Gencel L, Le Metayer P, Clementy J. Electrocardiographic characteristics and catheter ablation of parahissian accessory pathways. Circulation 1994;90:1124-8. https://doi.org/10.1161/01.CIR.90.3.1124
  15. Di Biase L, Al-Ahamad A, Santangeli P, et al. Safety and outcomes of cryoablation for ventricular tachyarrhythmias: results from a multicenter experience. Heart Rhythm 2011;8:968-74. https://doi.org/10.1016/j.hrthm.2011.02.038
  16. Choi YS, Sung JD, Song JM, et al. Radiofrequency catheter ablation of anteroseptal accessory pathways from right atrium. Korean Circ J 1999;29:1089-96. https://doi.org/10.4070/kcj.1999.29.10.1089

Cited by

  1. Iatrogenic Atrioventricular Block vol.13, pp.4, 2011, https://doi.org/10.1016/j.ccep.2021.06.010