Key result
ICE successfully guides Impella optimization to preserve LV cavity space during refractory VF storm ablation.
Case Report (n=1)
No
Intracardiac echocardiography can be used to optimize Impella support levels during catheter ablation for VF storm, ensuring sufficient LV cavity preservation for mapping while maintaining hemodynamic stability.
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May support ICE-guided Impella optimization in VF storm ablation; hypothesis-generating pending prospective validation.
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Kasai et al. (2026) conducted a case report in Ventricular fibrillation storm after myocardial infarction (n=1). Intracardiac echocardiography (ICE) guided Impella support optimization during catheter ablation was evaluated on Successful catheter ablation without complications. Intracardiac echocardiography successfully guided the optimization of Impella support levels to preserve left ventricular cavity space during catheter ablation for a drug-refractory ventricular fibrillation storm.
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