Why the study?
Slow ventricular tachycardia in ICD patients is uncommon and typically considered of minor impact, but understanding its long-term risk is crucial to identify high-risk patients who might benefit from prophylactic ablation and device programming.
Population
A 69-year-old man with CRT-D and sustained VT
Comparison
Endo-epicardial catheter ablation
Design
Case report
Follow-up
48 hours
Key result
Endo-epicardial catheter ablation successfully treated incessant slow ventricular tachycardia originating from the left ventricular summit in a 69-year-old man with ischemic cardiomyopathy.
Authors
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May support endo-epicardial ablation for LV summit VT in ischemic cardiomyopathy; hypothesis-generating case requiring prospective validation.
Case Report (n=1)
An endo-epicardial approach can be crucial for successful ablation of incessant slow VT originating from the left ventricular summit in patients with ischemic cardiomyopathy and ICDs.
Elizalde-Uribe et al. (2023) conducted a case report in Incessant slow monomorphic ventricular tachycardia (n=1). Endo-epicardial catheter ablation was evaluated on Ventricular tachycardia recurrence. Endo-epicardial catheter ablation successfully treated incessant slow ventricular tachycardia originating from the left ventricular summit in a 69-year-old man with ischemic cardiomyopathy.