TY - JOUR
T1 - Venous Ethanol Ablation Approaches for Radiofrequency-Refractory Cardiac Arrhythmias
AU - Fuentes, Stephanie
AU - Valderrábano, Miguel
N1 - Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2023/9
Y1 - 2023/9
N2 - Purpose of Review: In this review, we summarize the procedural approach and outcomes of venous ethanol infusion in the treatment of ventricular arrhythmias with intramural site of origin. Recent Findings: Coronary venous ethanol infusion has emerged as a novel, safe, and effective adjunctive strategy to radiofrequency ablation of drug refractory ventricular arrhythmias with an intramural origin. Summary: Radiofrequency catheter ablation is the first-line treatment for drug refractory ventricular arrythmias. Its success is highly dependent on the ability to reach targeted myocardium. Radiofrequency failures are common in patients with ventricular arrhythmias arising from deep intramural substrates, and those whose origin is in close proximity to vital structures such as coronary arteries or the phrenic nerve. Coronary venous ethanol infusion has emerged as a novel technique that circumvents these limitations.
AB - Purpose of Review: In this review, we summarize the procedural approach and outcomes of venous ethanol infusion in the treatment of ventricular arrhythmias with intramural site of origin. Recent Findings: Coronary venous ethanol infusion has emerged as a novel, safe, and effective adjunctive strategy to radiofrequency ablation of drug refractory ventricular arrhythmias with an intramural origin. Summary: Radiofrequency catheter ablation is the first-line treatment for drug refractory ventricular arrythmias. Its success is highly dependent on the ability to reach targeted myocardium. Radiofrequency failures are common in patients with ventricular arrhythmias arising from deep intramural substrates, and those whose origin is in close proximity to vital structures such as coronary arteries or the phrenic nerve. Coronary venous ethanol infusion has emerged as a novel technique that circumvents these limitations.
KW - Ethanol
KW - LV summit
KW - Ventricular arrhythmias
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U2 - 10.1007/s11886-023-01914-6
DO - 10.1007/s11886-023-01914-6
M3 - Review article
C2 - 37450261
AN - SCOPUS:85164799008
VL - 25
SP - 917
EP - 924
JO - Current Cardiology Reports
JF - Current Cardiology Reports
SN - 1523-3782
IS - 9
ER -