Ablation of epicardial ventricular focus through coronary sinus using pulsed‐field ablation. A case report.

Bibliographic Details
Title: Ablation of epicardial ventricular focus through coronary sinus using pulsed‐field ablation. A case report.
Authors: Mestrovic, Ivica Premuzic1, Breskovic, Toni2, Markovic, Matija1, Kurtic, Ena1, Mestrovic, Tomislav3 mestrovic.tomislav@gmail.com, Anic, Ante2
Source: Journal of Cardiovascular Electrophysiology. Apr2024, Vol. 35 Issue 4, p856-861. 6p.
Subject Terms: *ARRHYTHMIA diagnosis, *ABLATION techniques, *RADIO frequency therapy, *CALCIUM antagonists, *ARRHYTHMIA, *INTRAVENOUS therapy, *ELECTROCARDIOGRAPHY, *ADRENERGIC beta blockers, *CATHETER ablation, *SINOATRIAL node, *TACHYCARDIA, *CORONARY angiography, *ELECTROPHYSIOLOGY, THERAPEUTIC use of nitroglycerin
Abstract: Introduction: With the entry of pulsed‐field ablation (PFA) into electrophysiology, new possibilities for ablation of different substrates such as epicardial foci of premature ventricular contractions (PVCs) from coronary venous system (CVS) have been opened. Methods: This article focuses on a case of a 27‐year‐old patient with frequent monomorphic PVCs of epicardial origin, treated by radiofrequency ablation, followed by PFA. Results: After unsuccessful focus ablation through CVS with RFA, successful ablations from the same region with PFA were achieved. Conclusion: This is the first described case of successful ablation of epicardial PVCs using PFA, which we hope will help in defining indications for this novel technology and enhance quality of treatment for patients with different arrhythmias. [ABSTRACT FROM AUTHOR]
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ISSN:10453873
DOI:10.1111/jce.16195
Published in:Journal of Cardiovascular Electrophysiology
Language:English