Management of refractory intramural left ventricular summit ventricular arrhythmia: Acute success using bipolar
Koji Sudo1, Kenji Kuroki1, Tetsuya Asakawa2
1Department of Cardiovascular Medicine University of Yamanashi Chuo Japan.
Abstract:
Bipolar radiofrequency catheter ablation (RFCA) is a novel strategy for refractory or recurrent ventricular arrhythmias (VAs) resistant to conventional ablation methods. Lesions created during bipolar RFCA are larger than those created during sequential unipolar ablation. We present a case of refractory LV summit VAs, which identified the origin using a 2.7-F over-the-wire microelectrodes catheter, and it was successfully treated with bipolar RFCA in the acute phase.
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