PMID- 17005591
OWN - NLM
STAT- MEDLINE
DCOM- 20070130
LR  - 20061017
IS  - 1099-5129 (Print)
IS  - 1099-5129 (Linking)
VI  - 8
IP  - 11
DP  - 2006 Nov
TI  - Transcatheter ablation through the cardiac veins in a patient with a 
      biventricular device and left ventricular epicardial arrhythmias.
PG  - 980-3
AB  - Left ventricular outflow tract (LVOT) may be a source of repeated premature 
      ventricular complexes (PVCs). In symptomatic patients, radiofrequency catheter 
      ablation (RFCA) can be effective, either from endocardial or from epicardial 
      sites. A 50-year-old patient, with dilated cardiomyopathy (DCM) and severe left 
      ventricular (LV) dysfunction, left bundle branch block (LBBB), New York Heart 
      Association (NYHA) class IV, received a biventricular implantable 
      cardioverter/defibrillator (ICD) in 2002. Despite drug therapy, PVCs were 
      frequent (21.019/24 h) including prolonged runs, prompting ICD intervention. 
      Premature ventricular complexes showed an inferior axis morphology, with an R/S 
      ratio in V3>1, suggesting an LVOT origin. Despite the cardiac resynchronization 
      therapy (CRT) device, successful RFCA was performed through the anterior venous 
      branch, with a favourable clinical outcome. To our knowledge, this is the first 
      case describing epicardial RFCA of a PVC focus from cardiac veins in the presence 
      of a CRT device.
FAU - Mantica, Massimo
AU  - Mantica M
AD  - Cardiac Arrhythmia Center and Electrophysiology Laboratory, St Ambrogio's 
      Clinical Institute, University of Milan, Via Faravelli 16, Milan 20149, Italy. 
      massimo.mantica@grupposandonato.it
FAU - De Luca, Lucia
AU  - De Luca L
FAU - Fagundes, Rafael
AU  - Fagundes R
FAU - Tondo, Claudio
AU  - Tondo C
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20060927
PL  - England
TA  - Europace
JT  - Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal 
      of the working groups on cardiac pacing, arrhythmias, and cardiac cellular 
      electrophysiology of the European Society of Cardiology
JID - 100883649
SB  - IM
MH  - *Cardiac Pacing, Artificial
MH  - Catheter Ablation/*methods
MH  - Coronary Vessels/*surgery
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Pericardium/*surgery
MH  - Veins/*surgery
MH  - Ventricular Dysfunction, Left/etiology/*prevention & control
MH  - Ventricular Premature Complexes/complications/*surgery/therapy
EDAT- 2006/09/29 09:00
MHDA- 2007/01/31 09:00
CRDT- 2006/09/29 09:00
PHST- 2006/09/29 09:00 [pubmed]
PHST- 2007/01/31 09:00 [medline]
PHST- 2006/09/29 09:00 [entrez]
AID - eul098 [pii]
AID - 10.1093/europace/eul098 [doi]
PST - ppublish
SO  - Europace. 2006 Nov;8(11):980-3. doi: 10.1093/europace/eul098. Epub 2006 Sep 27.