Ischemic cardiomyopathy: Simultaneous epicardial and endocardial mapping and ablation

Ruhong Jiang; Roderick Tung

doi:10.1007/978-3-030-28533-3_105

Ischemic cardiomyopathy: Simultaneous epicardial and endocardial mapping and ablation

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

A 65-year old male diagnosed with ischemic ventricular tachycardia (VT) underwent ultra-high density electro-anatomic and VT ablation. Simultaneous epicardial-endocardial mapping of VT revealed a circuit with complete endocardial reentry along border zone of basal inferior scar with single loop reentry and incomplete reentry epicardially correlating with basal inferior scar. These observations confirm the functional involvement of the epicardium in the mechanism of ischemic VT, suggesting the role of combined endo-epicardial approach as a first-line strategy in some selected cases.

Original language	English (US)
Title of host publication	Cardiac Electrophysiology
Subtitle of host publication	Clinical Case Review
Publisher	Springer International Publishing
Pages	439-442
Number of pages	4
ISBN (Electronic)	9783030285333
ISBN (Print)	9783030285319
DOIs	https://doi.org/10.1007/978-3-030-28533-3_105
State	Published - Jan 1 2020
Externally published	Yes

Keywords

Ablation
Epicardial mapping
Isochronal late activation map
Substrate mapping
Ventricular tachycardia

ASJC Scopus subject areas

General Medicine

Access to Document

10.1007/978-3-030-28533-3_105

Cite this

@inbook{89f85e2c026c4940a6fd45767b8b8059,

title = "Ischemic cardiomyopathy: Simultaneous epicardial and endocardial mapping and ablation",

abstract = "A 65-year old male diagnosed with ischemic ventricular tachycardia (VT) underwent ultra-high density electro-anatomic and VT ablation. Simultaneous epicardial-endocardial mapping of VT revealed a circuit with complete endocardial reentry along border zone of basal inferior scar with single loop reentry and incomplete reentry epicardially correlating with basal inferior scar. These observations confirm the functional involvement of the epicardium in the mechanism of ischemic VT, suggesting the role of combined endo-epicardial approach as a first-line strategy in some selected cases.",

keywords = "Ablation, Epicardial mapping, Isochronal late activation map, Substrate mapping, Ventricular tachycardia",

author = "Ruhong Jiang and Roderick Tung",

note = "Funding Information: We thank the staffs at Fermilab and collaborating institutions, and acknowledge support from the DOE and NSF (USA); CEA and CNRS/IN2P3 (France); FASI, Rosatom and RFBR (Russia); CAPES, CNPq, FAPERJ, FAPESP and FUNDUNESP (Brazil); DAE and DST (India); Colciencias (Colombia); CONACyT (Mexico); KRF and KOSEF (South Korea); CONICET and UBACyT (Argentina); FOM (The Netherlands); PPARC (United Kingdom); MSMT (Czech Republic); CRC Program, CFI, NSERC and WestGrid Project (Canada); BMBF and DFG (Germany); SFI (Ireland); The Swedish Research Council (Sweden); Research Corporation; Alexander von Humboldt Foundation; and the Marie Curie Program. Publisher Copyright: {\textcopyright} Springer Nature Switzerland AG 2020.",

year = "2020",

month = jan,

day = "1",

doi = "10.1007/978-3-030-28533-3_105",

language = "English (US)",

isbn = "9783030285319",

pages = "439--442",

booktitle = "Cardiac Electrophysiology",

publisher = "Springer International Publishing",

}

TY - CHAP

T1 - Ischemic cardiomyopathy

T2 - Simultaneous epicardial and endocardial mapping and ablation

AU - Jiang, Ruhong

AU - Tung, Roderick

N1 - Funding Information: We thank the staffs at Fermilab and collaborating institutions, and acknowledge support from the DOE and NSF (USA); CEA and CNRS/IN2P3 (France); FASI, Rosatom and RFBR (Russia); CAPES, CNPq, FAPERJ, FAPESP and FUNDUNESP (Brazil); DAE and DST (India); Colciencias (Colombia); CONACyT (Mexico); KRF and KOSEF (South Korea); CONICET and UBACyT (Argentina); FOM (The Netherlands); PPARC (United Kingdom); MSMT (Czech Republic); CRC Program, CFI, NSERC and WestGrid Project (Canada); BMBF and DFG (Germany); SFI (Ireland); The Swedish Research Council (Sweden); Research Corporation; Alexander von Humboldt Foundation; and the Marie Curie Program. Publisher Copyright: © Springer Nature Switzerland AG 2020.

PY - 2020/1/1

Y1 - 2020/1/1

N2 - A 65-year old male diagnosed with ischemic ventricular tachycardia (VT) underwent ultra-high density electro-anatomic and VT ablation. Simultaneous epicardial-endocardial mapping of VT revealed a circuit with complete endocardial reentry along border zone of basal inferior scar with single loop reentry and incomplete reentry epicardially correlating with basal inferior scar. These observations confirm the functional involvement of the epicardium in the mechanism of ischemic VT, suggesting the role of combined endo-epicardial approach as a first-line strategy in some selected cases.

AB - A 65-year old male diagnosed with ischemic ventricular tachycardia (VT) underwent ultra-high density electro-anatomic and VT ablation. Simultaneous epicardial-endocardial mapping of VT revealed a circuit with complete endocardial reentry along border zone of basal inferior scar with single loop reentry and incomplete reentry epicardially correlating with basal inferior scar. These observations confirm the functional involvement of the epicardium in the mechanism of ischemic VT, suggesting the role of combined endo-epicardial approach as a first-line strategy in some selected cases.

KW - Ablation

KW - Epicardial mapping

KW - Isochronal late activation map

KW - Substrate mapping

KW - Ventricular tachycardia

UR - http://www.scopus.com/inward/record.url?scp=85089637160&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85089637160&partnerID=8YFLogxK

U2 - 10.1007/978-3-030-28533-3_105

DO - 10.1007/978-3-030-28533-3_105

M3 - Chapter

SN - 9783030285319

SP - 439

EP - 442

BT - Cardiac Electrophysiology

PB - Springer International Publishing

ER -

Ischemic cardiomyopathy: Simultaneous epicardial and endocardial mapping and ablation

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this