Multidisciplinary Approach to Hemodynamic Management During High-Risk Ventricular Tachycardia Ablation

Aditya Bharadwaj; Melissa D McCabe; Tahmeed Contractor; Hyungjin Ben Kim; Antoine Sakr; Anthony Hilliard; Ravi Mandapati; Rahul Bhardwaj

doi:10.1016/j.jaccas.2022.02.016

Multidisciplinary Approach to Hemodynamic Management During High-Risk Ventricular Tachycardia Ablation

JACC Case Rep. 2022 Jun 1;4(11):639-644. doi: 10.1016/j.jaccas.2022.02.016.

Authors

Aditya Bharadwaj¹, Melissa D McCabe², Tahmeed Contractor¹, Hyungjin Ben Kim¹, Antoine Sakr¹, Anthony Hilliard¹, Ravi Mandapati¹, Rahul Bhardwaj¹

Affiliations

¹ Division of Cardiology, Department of Medicine, Loma Linda University, Loma Linda, California, USA.
² Department of Anesthesiology, Loma Linda University, Loma Linda, California, USA.

Abstract

Percutaneous ventricular assist devices have been used for high-risk ventricular tachycardia ablation when hemodynamic decompensation is expected. Utilizing a case example, we present our experience with development of a coordinated, team-based approach focused on periprocedural management of patients with high-risk ventricular tachycardia. (Level of Difficulty: Advanced.).

Keywords: AHD, acute hemodynamic decompensation; CPO, cardiac power output; HR-VTA, high-risk ventricular tachycardia ablation; ICD, implantable cardioverter-defibrillator; LV, left ventricular; MCS, mechanical circulatory support; SVO2, mixed venous oxygen saturation; VT, ventricular tachycardia; VTA, ventricular tachycardia ablation; ablation; hemodynamics; multidisciplinary care; pVAD, percutaneous ventricular assist device; percutaneous mechanical circulatory support; ventricular tachycardia.

Publication types

Case Reports