Bail-out Ablation of Ventricular Tachycardia Electrical Storm in a Patient with a Durable Left Ventricular Assist Device
The therapeutic strategy for sustained ventricular tachycardia (VT) during left ventricular assist device usage remains unclear. We encountered a patient with durable left ventricular assist device who presented sustained VT. Electrophysiological mapping was able to be established appropriately owin...
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| Veröffentlicht in: | Internal Medicine 2023/08/01, Vol.62(15), pp.2201-2204 |
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| container_title | Internal Medicine |
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| creator | Izumida, Toshihide Kataoka, Naoya Imamura, Teruhiko Uchida, Keisuke Koi, Takahisa Nakagaito, Masaki Nakamura, Makiko Komatsu, Yuki Nogami, Akihiko Kinugawa, Koichiro |
| description | The therapeutic strategy for sustained ventricular tachycardia (VT) during left ventricular assist device usage remains unclear. We encountered a patient with durable left ventricular assist device who presented sustained VT. Electrophysiological mapping was able to be established appropriately owing to the robust mechanical hemodynamics support despite inter-device interference. The three-dimensional activation map of clinically documented VT demonstrated that the propagation exited from the right ventricular apex through the critical isthmus located at the epicardium or interventricular septum, which was successfully treated by catheter ablation at the exit site. Further experiences like ours should be accumulated to establish a therapeutic strategy. |
| doi_str_mv | 10.2169/internalmedicine.0796-22 |
| format | Article |
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We encountered a patient with durable left ventricular assist device who presented sustained VT. Electrophysiological mapping was able to be established appropriately owing to the robust mechanical hemodynamics support despite inter-device interference. The three-dimensional activation map of clinically documented VT demonstrated that the propagation exited from the right ventricular apex through the critical isthmus located at the epicardium or interventricular septum, which was successfully treated by catheter ablation at the exit site. Further experiences like ours should be accumulated to establish a therapeutic strategy.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.0796-22</identifier><identifier>PMID: 36476550</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Case Report ; Catheter Ablation - methods ; electrical storm ; Heart ; heart failure ; Heart Ventricles ; Heart-Assist Devices ; Hemodynamics ; Hemodynamics - physiology ; Humans ; Internal medicine ; LVAD ; Tachycardia ; Tachycardia, Ventricular - surgery ; Treatment Outcome ; Ventricle ; ventricular tachyarrhythmia</subject><ispartof>Internal Medicine, 2023/08/01, Vol.62(15), pp.2201-2204</ispartof><rights>2023 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2023</rights><rights>Copyright © 2023 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c611t-a3406d8f2b0a8afc38fcf2a5037590f4512182071f0761da5d6ce0c19e0e54d53</citedby><cites>FETCH-LOGICAL-c611t-a3406d8f2b0a8afc38fcf2a5037590f4512182071f0761da5d6ce0c19e0e54d53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465274/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465274/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,1877,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36476550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Izumida, Toshihide</creatorcontrib><creatorcontrib>Kataoka, Naoya</creatorcontrib><creatorcontrib>Imamura, Teruhiko</creatorcontrib><creatorcontrib>Uchida, Keisuke</creatorcontrib><creatorcontrib>Koi, Takahisa</creatorcontrib><creatorcontrib>Nakagaito, Masaki</creatorcontrib><creatorcontrib>Nakamura, Makiko</creatorcontrib><creatorcontrib>Komatsu, Yuki</creatorcontrib><creatorcontrib>Nogami, Akihiko</creatorcontrib><creatorcontrib>Kinugawa, Koichiro</creatorcontrib><title>Bail-out Ablation of Ventricular Tachycardia Electrical Storm in a Patient with a Durable Left Ventricular Assist Device</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>The therapeutic strategy for sustained ventricular tachycardia (VT) during left ventricular assist device usage remains unclear. We encountered a patient with durable left ventricular assist device who presented sustained VT. Electrophysiological mapping was able to be established appropriately owing to the robust mechanical hemodynamics support despite inter-device interference. The three-dimensional activation map of clinically documented VT demonstrated that the propagation exited from the right ventricular apex through the critical isthmus located at the epicardium or interventricular septum, which was successfully treated by catheter ablation at the exit site. Further experiences like ours should be accumulated to establish a therapeutic strategy.</description><subject>Case Report</subject><subject>Catheter Ablation - methods</subject><subject>electrical storm</subject><subject>Heart</subject><subject>heart failure</subject><subject>Heart Ventricles</subject><subject>Heart-Assist Devices</subject><subject>Hemodynamics</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>LVAD</subject><subject>Tachycardia</subject><subject>Tachycardia, Ventricular - surgery</subject><subject>Treatment Outcome</subject><subject>Ventricle</subject><subject>ventricular tachyarrhythmia</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkVtv1DAQhS0EokvhLyBLvPCS4kvsJE9oactFWqlIFF6tWWfc9cqbFNsp9N_jaJcVLS9jWfOdM2MfQihnZ4Lr7p0fMsYBwg57b_2AZ6zpdCXEE7Lgsu6qRkj1lCxYx9tKlHJCXqS0ZUy2TSeekxOp60YrxRbk9wfwoRqnTJfrANmPAx0d_YFDjt5OASK9Bru5txB7D_QyoJ0bEOi3PMYd9QMF-rXoioD-8nlTrhdThHVAukKXHzgtU_Ip0wu88xZfkmcOQsJXh_OUfP94eX3-uVpdffpyvlxVVnOeK5A1033rxJpBC87K1lknQDHZqI65WnHBW8Ea7lijeQ-q1xaZ5R0yVHWv5Cl5v_e9ndblu-y8DwRzG_0O4r0ZwZuHncFvzM14ZzirtRJNXRzeHhzi-HPClM3OJ4shwIDjlIxolJSMc94W9M0jdDtOc1CFalUx1LWYDds9ZeOYUkR33IYzM-drHudr5nyNEEX6-t_XHIV_Ay3A1R7Ypgw3eAQgZm8D_u-sheFqrocRR9JuIBoc5B949sUy</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>Izumida, Toshihide</creator><creator>Kataoka, Naoya</creator><creator>Imamura, Teruhiko</creator><creator>Uchida, Keisuke</creator><creator>Koi, Takahisa</creator><creator>Nakagaito, Masaki</creator><creator>Nakamura, Makiko</creator><creator>Komatsu, Yuki</creator><creator>Nogami, Akihiko</creator><creator>Kinugawa, Koichiro</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230801</creationdate><title>Bail-out Ablation of Ventricular Tachycardia Electrical Storm in a Patient with a Durable Left Ventricular Assist Device</title><author>Izumida, Toshihide ; Kataoka, Naoya ; Imamura, Teruhiko ; Uchida, Keisuke ; Koi, Takahisa ; Nakagaito, Masaki ; Nakamura, Makiko ; Komatsu, Yuki ; Nogami, Akihiko ; Kinugawa, Koichiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c611t-a3406d8f2b0a8afc38fcf2a5037590f4512182071f0761da5d6ce0c19e0e54d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Case Report</topic><topic>Catheter Ablation - methods</topic><topic>electrical storm</topic><topic>Heart</topic><topic>heart failure</topic><topic>Heart Ventricles</topic><topic>Heart-Assist Devices</topic><topic>Hemodynamics</topic><topic>Hemodynamics - physiology</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>LVAD</topic><topic>Tachycardia</topic><topic>Tachycardia, Ventricular - surgery</topic><topic>Treatment Outcome</topic><topic>Ventricle</topic><topic>ventricular tachyarrhythmia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Izumida, Toshihide</creatorcontrib><creatorcontrib>Kataoka, Naoya</creatorcontrib><creatorcontrib>Imamura, Teruhiko</creatorcontrib><creatorcontrib>Uchida, Keisuke</creatorcontrib><creatorcontrib>Koi, Takahisa</creatorcontrib><creatorcontrib>Nakagaito, Masaki</creatorcontrib><creatorcontrib>Nakamura, Makiko</creatorcontrib><creatorcontrib>Komatsu, Yuki</creatorcontrib><creatorcontrib>Nogami, Akihiko</creatorcontrib><creatorcontrib>Kinugawa, Koichiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Izumida, Toshihide</au><au>Kataoka, Naoya</au><au>Imamura, Teruhiko</au><au>Uchida, Keisuke</au><au>Koi, Takahisa</au><au>Nakagaito, Masaki</au><au>Nakamura, Makiko</au><au>Komatsu, Yuki</au><au>Nogami, Akihiko</au><au>Kinugawa, Koichiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bail-out Ablation of Ventricular Tachycardia Electrical Storm in a Patient with a Durable Left Ventricular Assist Device</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2023-08-01</date><risdate>2023</risdate><volume>62</volume><issue>15</issue><spage>2201</spage><epage>2204</epage><pages>2201-2204</pages><artnum>0796-22</artnum><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>The therapeutic strategy for sustained ventricular tachycardia (VT) during left ventricular assist device usage remains unclear. We encountered a patient with durable left ventricular assist device who presented sustained VT. Electrophysiological mapping was able to be established appropriately owing to the robust mechanical hemodynamics support despite inter-device interference. The three-dimensional activation map of clinically documented VT demonstrated that the propagation exited from the right ventricular apex through the critical isthmus located at the epicardium or interventricular septum, which was successfully treated by catheter ablation at the exit site. 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| source | MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; PubMed Central; PubMed Central Open Access |
| subjects | Case Report Catheter Ablation - methods electrical storm Heart heart failure Heart Ventricles Heart-Assist Devices Hemodynamics Hemodynamics - physiology Humans Internal medicine LVAD Tachycardia Tachycardia, Ventricular - surgery Treatment Outcome Ventricle ventricular tachyarrhythmia |
| title | Bail-out Ablation of Ventricular Tachycardia Electrical Storm in a Patient with a Durable Left Ventricular Assist Device |
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