Empirical Ablation to Prevent Sequential Purkinje System Recruitment: A Novel Therapy for Idiopathic Ventricular Fibrillation

Pattara Rattanawong; Vatsal Ladia; Nareg Minaskeian; Dan Sorajja; Win Kuang Shen; Komandoor S. Srivathsan

doi:10.1016/j.jaccas.2021.01.018

Empirical Ablation to Prevent Sequential Purkinje System Recruitment: A Novel Therapy for Idiopathic Ventricular Fibrillation

Pattara Rattanawong, Vatsal Ladia, Nareg Minaskeian, Dan Sorajja, Win Kuang Shen, Komandoor S. Srivathsan

Cardiovascular Diseases

Research output: Contribution to journal › Article › peer-review

Abstract

We report 3 cases (mean age 48.3 ± 11.6 years) of idiopathic ventricular fibrillation (IVF), in which a triggering premature ventricular complex leading to IVF could not be identified. All patients underwent posterior fascicle transection with empirical linear ablation of the mid-Purkinje potentials identified along the left ventricular interventricular inferior septum, and no ventricular fibrillation recurrence was documented in any of the patients. (Level of Difficulty: Advanced.)

Original language	English (US)
Pages (from-to)	517-522
Number of pages	6
Journal	JACC: Case Reports
Volume	3
Issue number	3
DOIs	https://doi.org/10.1016/j.jaccas.2021.01.018
State	Published - Mar 2021

Keywords

ablation
idiopathic ventricular fibrillation
sudden cardiac death

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.jaccas.2021.01.018

Cite this

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title = "Empirical Ablation to Prevent Sequential Purkinje System Recruitment: A Novel Therapy for Idiopathic Ventricular Fibrillation",

abstract = "We report 3 cases (mean age 48.3 ± 11.6 years) of idiopathic ventricular fibrillation (IVF), in which a triggering premature ventricular complex leading to IVF could not be identified. All patients underwent posterior fascicle transection with empirical linear ablation of the mid-Purkinje potentials identified along the left ventricular interventricular inferior septum, and no ventricular fibrillation recurrence was documented in any of the patients. (Level of Difficulty: Advanced.)",

keywords = "ablation, idiopathic ventricular fibrillation, sudden cardiac death",

author = "Pattara Rattanawong and Vatsal Ladia and Nareg Minaskeian and Dan Sorajja and Shen, {Win Kuang} and Srivathsan, {Komandoor S.}",

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AU - Rattanawong, Pattara

AU - Ladia, Vatsal

AU - Minaskeian, Nareg

AU - Sorajja, Dan

AU - Shen, Win Kuang

AU - Srivathsan, Komandoor S.

PY - 2021/3

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N2 - We report 3 cases (mean age 48.3 ± 11.6 years) of idiopathic ventricular fibrillation (IVF), in which a triggering premature ventricular complex leading to IVF could not be identified. All patients underwent posterior fascicle transection with empirical linear ablation of the mid-Purkinje potentials identified along the left ventricular interventricular inferior septum, and no ventricular fibrillation recurrence was documented in any of the patients. (Level of Difficulty: Advanced.)

AB - We report 3 cases (mean age 48.3 ± 11.6 years) of idiopathic ventricular fibrillation (IVF), in which a triggering premature ventricular complex leading to IVF could not be identified. All patients underwent posterior fascicle transection with empirical linear ablation of the mid-Purkinje potentials identified along the left ventricular interventricular inferior septum, and no ventricular fibrillation recurrence was documented in any of the patients. (Level of Difficulty: Advanced.)

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KW - idiopathic ventricular fibrillation

KW - sudden cardiac death

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Empirical Ablation to Prevent Sequential Purkinje System Recruitment: A Novel Therapy for Idiopathic Ventricular Fibrillation

Abstract

Keywords

ASJC Scopus subject areas

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