Ablation of ventricular tachycardia.
Ablation is an important management tool for the treatment of ventricular arrhythmias. Even at experienced centers ventricular tachycardia ablation carries a minor but significant risk for potential complications, including vascular and thromboembolic complications, air embolism, volume overload and the precipitation of congestive heart failure, cardiac tamponade from catheter perforation or from steam pop with RF energy delivery, valve or subvalvular support structure disruption, conduction system disruption with development of heart block, coronary artery injury when ablating in the coronary cusps region or trying to gain access to the LV chamber, precipitation of cardiogenic shock from ablation of viable myocardium in patients with marginal reserve and failure to resuscitate or precipitation of cardiogenic shock from repeated VT induction, and with epicardial ablation the potential complications of epicardial access, coronary arteries and phrenic nerve damage. Recognition of these risks is paramount for their avoidance with careful pre-procedure planning and intraprocedural technique being essential to minimize the potential for complications.
Garcia
F C
FC
Hospital of the University of Pennsylvania, 3400 Spruce Street, Founders Building 9th floor, Philadelphia, PA 19104, USA. fermin.garcia@uphs.upenn.edu
Valles
E
E
Dhruvakumar
S
S
Marchlinski
F E
FE
D002304:Cardiac Pacing, Artificial; D017115:Catheter Ablation / Q000009:adverse effects*; D017023:Coronary Angiography; D004562:Electrocardiography; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012307:Risk Factors; D017180:Tachycardia, Ventricular / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed