Key result
Anterior left fascicle ablation prevents recurrent VA in a patient with idiopathic VF.
Case Report (n=1)
No
Interventional therapy may be an effective, long-lasting solution for recurrent malignant arrhythmias such as idiopathic ventricular fibrillation originating from Purkinje fibers.
May support targeted fascicular ablation in select idiopathic VF cases; hypothesis-generating, requires prospective validation.
"Idiopathic" ventricular fibrillations are rare and are estimated between 5% and 10% of survivors of hospital cardiac arrest, for at least some of them have as origin, a trigger in the Purkinje fibers. Interventional therapy could be an effective, long-lasting solution for these recurrent malignant arrhythmias and should be considered.
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Loumaye et al. (2016) conducted a case report in Idiopathic ventricular fibrillation (n=1). Radiofrequency ablation was evaluated on Recurrence of sustained ventricular arrhythmia. Radiofrequency ablation of the anterior left fascicle successfully prevented the recurrence of sustained ventricular arrhythmias in a patient with idiopathic ventricular fibrillation.
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