Radiofrequency Ablation for Post Infarction Ventricular Tachycardia

O’Donnell, David and Nadurata, Voltaire (2004) Radiofrequency Ablation for Post Infarction Ventricular Tachycardia. [Journal (Paginated)]

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Radiofrequency ablation has an important role in the management of post infarction ventricular tachycardia. The mapping and ablation of ventricular tachycardia (VT) is complex and technically challenging. In the era of implantable cardioverter defibrillators, the role of radiofrequency ablation is most commonly reserved as an adjunctive treatment for patients with frequent, symptomatic episodes of ventricular tachycardia. In this setting the procedure has a success rate of around 70-80% and a low complication rate. With improved ability to predict recurrent VT and improvements in mapping and ablation techniques and technologies, the role of radiofrequency ablation should expand further.

Item Type:Journal (Paginated)
Keywords:ventricular tachycardia; post infarction; radio frequency ablation
Subjects:JOURNALS > Indian Pacing and Electrophysiology Journal
ID Code:4229
Deposited By: Indian Pacing and Electrophysiology, Journal
Deposited On:17 Apr 2005
Last Modified:11 Mar 2011 08:55

References in Article

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1. Multicenter Postinfarction Study Group. Mechanisms of death and prevalence of myocardial ischaemic symptoms in the terminal event after acute myocardial infarction. Am J Cardiol 1988;61:8-15.

2. Kannel WB, Sorlic P, McNamara PM. Prognosis after initial myocardial infarction: the Framingham Study. Am J Cardiol 1979;44:53-9.

3. Teo KK, Yusuf S, Furberg CD. Effects of prophylactic antiarrhythmic drug therapy in acute myocardial infarction. An overview of results from randomized controlled trials. JAMA 1993;270:1589-1595

4. J P Bourke, R W F Campbell, J M McComb, S S Furniss, J C Doig, C J Hilton Surgery for postinfarction ventricular tachycardia in the pre-implantable cardioverter defibrillator era: early and long term outcomes in 100 consecutive patients Heart 1999;82:156-162

5. The Antiarrhythmics Versus Implantable Defibrillators (AVID) investigators. A comparison of antiarrhythmic-drug therapy with implantable defibrillators in patients resuscitated from near-fatal ventricular arrhythmias. N Engl J Med 1997;337:1576-83.

6. Moss AJ, Hall WJ, Cannom DS, Daubert JP, Higgins SL, Klein H, Levine JH, Saksena S, Waldo AL, Wilber D, Brown MW, Heo M. Improved survival with an implanted defibrillator in patients with coronary disease at high risk for ventricular arrhythmia. N Engl J Med. 1996;335:1933–1940.

7. Moss AJ, Zareba W, Hall WJ et al. Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction. N Engl J Med 2002;346:877-83

8. Wathen MS, Sweeney MO, DeGroot PJ, et al. Shock reduction using antitachycardia pacing for spontaneous rapid ventricular tachycardia in patients with coronary artery disease. Circulation 2001;104:796-801

9. Bourke JP, Turkington D, Thomas G, McComb JM, Tynan M. Florid psychopathology in patients receiving shocks from implanted cardioverter-defibrillators. Heart 1997;78:581-3.

10. de Bakker JMT, van Capelle FJL, Janse MJ et al. Renetry as a cause of ventricular tachycardia in patients with chronic ischemic heart disease. Circulation 1988;68:508-515

11. Stevenson WG, Khan H, Sager P et al. Identification of reentry circuit sites during catheter mapping and radiofrequency ablation of ventricular tachycardia late after myocardial infarction. Circulation 1993;88:1647-70

12. Haissaguerre M, Shah DC Jais P et al. Role of purkinje conducting system in triggering of idiopathic ventricular fibrillation. Lancet 2002;359:677-78

13. Ursell PC, Gardener PL, Albela A et al. Structural and electrophysiological chnages in the epicardial border zone of canine myocardial infarcts during infarct healing. Circ Res 1990;66:202

14. Stevenson WG and Friedman PL Catheter ablation of ventricular tachycardia. In Cardiac Electrophysiology 3rd Edition WB Saunders 2000.

15. Bogun F, Bahu M, Knight BP et al. Response to pacing at sites of isolated diastolic potentials during ventricular tachycardia inpatients with previous myocardial infarction. J Am Coll Cardiol 1997;30:505-13

16. Maclean WAH, Plumb VJ, Waldo AL: Transient entrainment and interruption of ventricular tachycardia. PACE 1981;4:348-55

17. Stevenson WG, Friedman PL, Sager PT et al. Exploring post-infarct reentrant ventriuclar tachycardia with entrainment mapping. J Am Coll Cardiol 1997;29:1180-9.

18. Morton JB, Sanders P, Deen V et al. Sensitivity and specificity of concealed entrainment for the identification of a critical isthmus in the atrium: relationship to rate, anatomic location and antidromic penetration. J Am Coll Cardiol 2002;39:896-906.

19. William G Stevenson, Etienne Delacretaz Radiofrequency catheter ablation of ventricular tachycardia. Heart 2000;84:553-9.

20. O'Callaghan PA, Poloniecki J, Sosa-Suarez G, Ruskin JN, McGovern BA, Garan H. Long-term clinical outcome of patients with prior myocardial infarction after palliative radiofrequency catheter ablation for frequent ventricular tachycardia. Am J Cardiol. 2001 Apr 15;87(8):975-979.

21. Strickberger SA, Man KC, Daoud EG, et al. A prospective evaluation of catheter ablation of ventricular tachycardia as adjuvant therapy in patients with coronary artery disease and an implantable cardioverter-defibrillator. Circulation 1997;96:1525-1531

22. F Morady, M Harvey, SJ Kalbfleisch, R El-Atassi, H Calkins and JJ Langberg, Radiofrequency catheter ablation of ventricular tachycardia in patients with coronary artery disease. Circulation 87 (1993), pp. 363¯372

23. Stevenson WG, Friedman PL, Kucovic D, Sager PT, Saxon LA, Pavri B. Radiofrequency catheter ablation of ventricular tachycardia after myocardial infarction. Circulation 1998;98:308-

24. Gonska BD, Cao K, Schaumann A, Dorszewski A, von zur Muhlen F, Kreuzer H.

Catheter ablation of ventricular tachycardia in 136 patients with coronary artery disease: results and long-term follow-up. J Am Coll Cardiol. 1994 Nov 15;24(6):1506-14

25. Rothman SA, Hsia HH, Cossu SF, et al. Radiofrequency catheter ablation of postinfarction ventricular tachycardia: long-term success and the significance of inducible nonclinical arrhythmias. Circulation 1997;96:3499-3508

26. O’Donnell D, Bourke JP, Anilkumar R et al. Radiofrequency ablation for post infarction ventricular tachycardia – report of a single centre experience of 112 cases. Eur Heart J 2002;23:1699-705.

27. Della Bella P, De Ponti R, Uriarte JA et al. Catheter ablation and antiarrythmic drugs for hemodynamically tolerated post-infarction ventricular tachycardia. Eur Heart J 2002;23:414-24

28. Marchlinski FE, Callans DJ, Gottlieb CD, Zado E. Linear ablation lesions for control of unmappable ventricular tachycardia in patients with ischemic and nonischemic cardiomyopathy. Circulation. 2000 Mar 21;101(11):1288-96.

29. Furniss S, Anil-Kumar R, Bourke JP, Behulova R, Simeonidou E. Radiofrequency ablation of haemodynamically unstable ventricular tachycardia after myocardial infarction. Heart. 2000 Dec;84(6):648-52

30. Calkins H for the Cooled RF Multicenter Investigator Group. Catheter ablation of ventricular tachycardia in patients with structural heart disease using cooled RF energy: results of a prospective multicenter study. J Am Coll Cardiol 2000;35:1905-14

31. Sosa E, Scanavacca M, d’Avila et al. Nonsurgical transthoracic epicardial catheter ablation to treat recurrent ventricular tachycardia occurring late after myocardial infarction. J Am Coll Cardiol 2000;35:1442-9

32. Kay Gn, Epstien AE, Bubien RS et al. Intracoronary ethanol ablation for the treatment of recurrent sustained ventricular tachycardia. J Am Coll Cardiol 1992;19:159-68

33. O’Donnell D, Bourke JP, Furniss SS. Standardized stimulation protocol to predict the long-term success of radiofrequency ablation of post infarction ventricular tachycardia. Pacing Clin Electrophysiol 2003;26:348-51


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