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Updated: May 12, 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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Idiopathic ventricular tachycardia ablation under spinal anesthesia

Rahul Jain1, Sandeep Gautam1, Rohit Jain2

  • 1University of Missouri School of Medicine, Columbia, Missouri.

Heartrhythm Case Reports
|May 7, 2025
PubMed
Summary

No abstract available in PubMed .

Keywords:
AblationElectrogramPremature ventricular complexSpinal anesthesiaVentricular tachycardia

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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