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Card Electrophysiol Clin. 2017 Mar;9(1):47-54. doi: 10.1016/j.ccep.2016.10.003. Epub 2016 Dec 24.

Catheter Ablation for Ventricular Tachycardia in Patients with Nonischemic Cardiomyopathy.

Author information

1
Bordeaux University Hospital, LIRYC Institute, INSERM 1045, Bordeaux University, France. Electronic address: n.clark.thompson@gmail.com.
2
Bordeaux University Hospital, LIRYC Institute, INSERM 1045, Bordeaux University, France.

Abstract

Although catheter ablation has been successful in reducing the recurrence of ventricular tachycardia in patients with ischemic disease, outcomes in patients with nonischemic cardiomyopathy (NICM) have not met with the same results. Success is predicated on a methodical approach to diagnosis of disease type and identification of critical substrate, and the ablation strategies used. Cardiac MRI with delayed enhancement is able to identify areas of substrate involvement, particularly in situations when conventional catheter mapping is not able to do so. Radiofrequency needle, irrigated bipolar radiofrequency, and transcoronary alcohol ablation are effective and alternative techniques to endocardial and epicardial ablation.

KEYWORDS:

Ablation; Nonischemic cardiomyopathy; Ventricular tachycardia

PMID:
28167085
DOI:
10.1016/j.ccep.2016.10.003
[Indexed for MEDLINE]

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