Key result
Open radiofrequency clamp ablation during LVAD implantation successfully treats persistent VT for 148 days.
Case Report (n=1)
No
Open surgical ablation of the left ventricle during LVAD implantation is a feasible approach for treating persistent ventricular tachycardia in patients with ischemic cardiomyopathy.
Answers are grounded in this paper and cite their sources.
May warrant consideration for refractory VT at LVAD implantation; leaves open safety and efficacy in larger cohorts.
This report describes the successful treatment of persistent ventricular tachycardia in a 66-year-old patient with ischemic cardiomyopathy during left ventricular assist device (LVAD) implantation. Recurrent episodes of ventricular tachycardia led to cardiac decompensation necessitating LVAD implantation. After opening the left ventricle, an AtriCure Isolator Synergy OLL2 radiofrequency clamp was used to perform 4 sets of transmural lesions. Transmurality was observed in all lesions. A HeartMate 3 (Abbott) LVAD was implanted in standard fashion. The lesions were connected with an epicardial ablation line using a radiofrequency catheter. The patient was discharged home without complications and with a stable rhythm.
No takes yet. Share an insight, caveat, or question.
Hrytsyna et al. (2022) conducted a case report in Ischemic cardiomyopathy with persistent ventricular tachycardia (n=1). Open ablation of the left ventricle using AtriCure Isolator Synergy OLL2 radiofrequency clamp during LVAD implantation was evaluated on Stable rhythm and absence of complications. Open ablation of the left ventricle using a radiofrequency clamp during LVAD implantation successfully treated persistent ventricular tachycardia, resulting in a stable rhythm over 148 days.
Synapse has enriched 10 related papers. Consider them for comparative context: