Optimal Ablation Techniques for Ventricular Tachycardia Management

Jose M Sanchez; Chen Yuan; Henry H Hsia

doi:10.19102/icrm.2018.090101

Optimal Ablation Techniques for Ventricular Tachycardia Management

J Innov Card Rhythm Manag. 2018 Jan 15;9(1):2969-2981. doi: 10.19102/icrm.2018.090101. eCollection 2018 Jan.

Authors

Jose M Sanchez¹, Chen Yuan², Henry H Hsia¹

Affiliations

¹ Cardiac Electrophysiology Section, University of California, San Francisco, San Francisco, CA, USA.
² Department of Cardiology, Cangzhou Central Hospital, Cangzhou, Hebei Province, China.

Abstract

Ventricular arrhythmias arise from complex electroanatomical substrates in patients with structural heart disease. There have been significant advancements in technologies and techniques for ventricular tachycardia catheter ablation. A systematic approach to mapping and ablation is paramount, and catheter ablation has shifted to be a potential first-line therapy for patients needing early intervention, particularly for those with post-infarction arrhythmias. Furthermore, imaging integration, coupled with a systematic, detailed substrate characterization, has shown promise and provides a safe and effective approach for long-term arrhythmia control.

Keywords: Ablation; image integration; mapping; substrate characterization.

Publication types

Review