Catheter Ablation of Left Ventricular Summit Arrhythmias from Adjacent Anatomic Vantage Points

Abstract

Idiopathic ventricular arrhythmias (VA), particularly left ventricular outflow tract (LVOT) VA accounts for up to 10% of all VAs referred for ablative therapy. In addition to being infrequent, its intricate anatomy and its pathophysiology make catheter ablation (CA) of these arrhythmias a challenge even for experts. In this scenario, detailed right ventricular outflow tract as well as LVOT electroanatomic mapping including epicardial mapping are essential. In this article, we will emphasize our approach toward the CA technique used for LVOT VA, particularly IVS and/or LVS VA originating from intramural foci, along with its acute and long-term efficacy and safety.

Keywords: Cardiac ablation; Epicardial mapping and ablation; Idiopathic ventricular arrhythmia; Intraventricular septum and left ventricular summit; Left ventricular outflow tract ventricular arrhythmia.