Aleksander Bardyszewski
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Limited impact of endocardial radiofrequency ablation on epicardial substrate in post-infarction ventricular tachycardia
Abstract Catheter ablation is key therapy for post-myocardial infarction (post-MI) ventricular tachycardia (VT). However, outcomes remain suboptimal when an endocardial-only approach is used because epicardial or intramural substrate frequently contributes to arrhythmogenesis. This study aimed to quantify the prevalence and extent of epicardial substrate in post-MI VT and to assess the direct impact of endocardial radiofrequency (RF) ablation on epicardial electrograms.
Bipolar Endo-Epicardial Radiofrequency Ablation of Therapy-Resistant Ventricular Arrhythmias: A Brief Case Series
JACC Journals › JACC: Clinical EP › Archives › Vol. 9 No. 6 Abstract Despite extensive conventional endoepicardial ablation, significant intramural arrhythmogenic substrate may remain out of reach of unipolar radiofrequency ablation (RFA). The authors present clinical findings and procedural workflow for bipolar radiofrequency ablation (B-RFA) with 1 catheter placed against the endocardium and the other in the pericardial sac to ablate refractory ventricular arrhythmias.
Simultaneous Entrainment Response Assessment at Multiple Sites:
JACC Journals › JACC: Clinical EP › Archives › Vol. 8 No. 11 Abstract Background The entrainment response, defined as the difference between the postpacing interval and the tachycardia cycle length (TCL) recorded from a mapping catheter, allows to track down the components of the tachycardia loop.
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