Ablation of Incessant Premature Ventricular Complex Through Retrograde Transvenous Ethanol Infusion

David Meier; Anna Giulia Pavon; Patrizio Pascale; Valérie Stolt; Antoine Delinière; Claudia Herrera-Siklody; Olivier Muller; Etienne Pruvot

doi:10.1016/j.jaccas.2020.01.032

Ablation of Incessant Premature Ventricular Complex Through Retrograde Transvenous Ethanol Infusion

JACC Case Rep. 2020 May 13;2(6):973-978. doi: 10.1016/j.jaccas.2020.01.032. eCollection 2020 Jun.

Authors

David Meier¹, Anna Giulia Pavon¹, Patrizio Pascale^{1

2}, Valérie Stolt³, Antoine Delinière¹, Claudia Herrera-Siklody¹, Olivier Muller^{1

2}, Etienne Pruvot^{1

2}

Affiliations

¹ Department of Cardiology, University Hospital of Lausanne, Lausanne, Switzerland.
² Faculty of Biology and Medicine, Lausanne University, Lausanne, Switzerland.
³ Internal Medicine and Cardiology, Hôpital Intercantonal de la Broye, Payerne, Switzerland.

Abstract

Ethanol infusion has been used for the treatment of ventricular arrhythmia. We describe a case of ethanol infusion through the coronary sinus venous network to treat refractory epicardial premature ventricular complexes. The premature ventricular complexes were initially successfully suppressed but recurred after resolution of the myocardial edema. (Level of Difficulty: Intermediate.).

Keywords: CMR, cardiac magnetic resonance; CS, coronary sinus; LGE, late gadolinium enhancement; LV, left ventricle; MVO, microvascular obstruction; NSVT, nonsustained ventricular tachycardia; PVC, premature ventricular complex; VT, ventricular tachycardia; ablation; ethanol; premature ventricular complexes; retrograde infusion; ventricular arrhythmia.

Publication types

Case Reports