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Updated: Dec 20, 2025

Ablation of Ischemic Ventricular Tachycardia Using a Multipolar Catheter and 3-dimensional Mapping System for High-density Electro-anatomical Reconstruction
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Ablation of Ischemic Ventricular Tachycardia Using a Multipolar Catheter and 3-dimensional Mapping System for High-density Electro-anatomical Reconstruction

Published on: January 31, 2019

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Benefits of effective multidisciplinary teamwork: catheter ablation of premature ventricular ectopics

John Daveney1, Thomas Nguyen2, Matt Wright2

  • 1King's College London, London, UK john.daveney@kcl.ac.uk.

BMJ Case Reports
|May 23, 2020
PubMed

Insights

This case report details a challenging but successful catheter ablation for right ventricular outflow tract ectopy in a young man. Effective management of unexpected procedural complications highlights the importance of interdisciplinary collaboration.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Electrophysiology

Background:

  • A 33-year-old male presented with a 16-year history of symptomatic premature ventricular contractions (PVCs).
  • Pharmacological management with beta-blockers proved ineffective, with a 24-hour Holter monitor showing a 10% ectopy burden.
  • Cardiac imaging revealed a structurally normal heart, indicating the ectopy originated from a functional abnormality.

Observation:

  • During catheter ablation for right ventricular outflow tract ectopy, the catheter became uncurable and lodged in the right femoral artery.
  • This unexpected intraprocedural complication necessitated immediate intervention.

Findings:

  • The case was successfully managed through immediate collaboration between interventional cardiology and interventional radiology.
  • The successful resolution of the complication and completion of the ablation procedure were achieved.

Implications:

  • This case underscores the critical role of multidisciplinary teamwork in managing unexpected events during complex electrophysiological procedures.
  • Rapid consultation and integration of subspecialty expertise are essential for ensuring patient safety and procedural success.
  • The unique perspective of a patient who is also a coauthor offers valuable insights into the patient experience during such challenging interventions.

Keywords:
arrhythmiasinterventional cardiologyinterventional radiologypacing and electrophysiology

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