Ablation of ischemic ventricular tachycardia: evidence, techniques, results, and future directions

PURPOSE OF REVIEW This article summarizes current understanding of the arrhythmia substrate and effect of catheter ablation for infarct-related ventricular tachycardia, focusing on recent findings. RECENT FINDINGS Clinical studies support the use of catheter ablation earlier in the course of ischemic disease with moderate success in reducing arrhythmia recurrence and shocks from implantable defibrillators, although mortality remains unchanged. Ablation can be lifesaving for patients presenting with electrical storm. Advanced mapping systems with image integration facilitate identification of potential substrate, and several different approaches to manage hemodynamically unstable ventricular tachycardia have emerged. Novel ablation techniques that allow deeper lesion formation are in development. SUMMARY Catheter ablation is an important therapeutic option for preventing or reducing episodes of ventricular tachycardia in patients with ischemic cardiomyopathy. Present technologies allow successful ablation in the majority of patients, even when the arrhythmia is hemodynamically unstable. Failure of the procedure is often because of anatomic challenges that will hopefully be addressed with technological progress.

Better Lesion Creation And Assessment During Catheter Ablation

Permanent destruction of abnormal cardiac tissue responsible for cardiac arrhythmogenesis whilst avoiding collateral tissue injury forms the cornerstone of catheter ablation therapy. As the acceptance and performance of catheter ablation increases worldwide, limitations in current technology are becoming increasingly apparent in the treatment of complex arrhythmias such as atrial fibrillation. This review will discuss the role of new technologies aimed to improve lesion formation with the ultimate goal of improving arrhythmia-free survival of patients undergoing catheter ablation of atrial arrhythmias.

Radiofrequency radiation levels and population exposure in urban areas of the Eastern United States /

Issued May 1978.

Phase of the low radiofrequency ground wave

Bibliography: p. 10.

The carbon-carbon assessment program : appendix B, 50 MW ablation testing and results : [final report, May 73-March 74] /

Performing organization (under Contract or Grant no. F33615-71-C-1215): Aerotherm Division/Acurex Corporation.

The study of ablation of structural plastic materials

"Preprint copy."

Principes d'adénisation; ou, Traité de l'ablation des glandes nidoriennes qui communiquent, par leur sécrétion plus ou moins fétide, un mauvais goût aux espèces animales alimentaires et donnent une odeur insupportable aux espèces d'agrément; et exposition générale des règles à suivre dans l'amélioration de la chair des animaux.

Mode of access: Internet.

Die Ablation der Rhone in ihrem Walliser Einzugsgebiete im Jahre 1904/05.

Thesis (doctoral)--Universität Bern, 1906.

Variational analysis of ablation for variable properties

"Work was performed as part of a Cornell Aeronautical Laboratory Internal Research Project."