Journal of cardiovascular electrophysiology
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J. Cardiovasc. Electrophysiol. · Mar 2011
ReviewVentricular tachycardia in the era of ventricular assist devices.
Sustained ventricular tachycardia (VT) in patients with advanced cardiomyopathy is a potentially life-threatening arrhythmia. Newer treatment strategies have evolved that combine the use of catheter ablation to target the substrate for VT and ventricular assist devices (VADs) to hemodynamically support the failing ventricle. This editorial is targeted to the practicing clinician caring for these difficult patients. The current article reviews the use of percutaneous VADs to support catheter ablation of VT, the use of durable VADs to support the failing heart in patients with recurrent VT, ventricular arrhythmias in patients with durable VADs, and the use of catheter ablation to treat VT in patients with durable VADs.
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J. Cardiovasc. Electrophysiol. · Mar 2011
Case ReportsAblation of incessant left atrial tachycardia without fluoroscopy in a pregnant woman.
Management of symptomatic atrial arrhythmia in pregnancy remains a challenge. In this case report, a pregnant woman with incessant tachycardia underwent successful left atrial ablation. The entire procedure was performed without fluoroscopy. ⋯ Ablation of left atrial tachycardia using ICE and electroanatomical guidance is feasible in pregnant women.