Key result
Brachial access enables successful VT ablation without recurrence at 1 month when femoral access fails.
Why the study?
Access to the left ventricle for ischemic scar mediated VT ablation via femoral vein or artery may not be possible in patients with severe peripheral arterial disease.
Case Report (n=1)
No
Brachial access enables VT ablation when femoral routes are unavailable; extends technical options but leaves open broader safety and efficacy.
Ischemic scar mediated VT ablation has evolved to being performed through the femoral vein and femoral artery with either transseptal or retrograde access to the left ventricle (LV). However, in some patients with severe peripheral arterial disease (PAD), access to the left ventricle via the femoral vein or artery may not be possible.
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Tolat et al. (2023) conducted a case report in Recurrent ischemic scar-mediated ventricular tachycardia (n=1). Ventricular tachycardia ablation via right brachial artery and vein access with integrated imaging was evaluated on Procedural success and absence of recurrent VT. Ventricular tachycardia ablation was successfully performed via right brachial artery and vein access using integrated imaging in a patient lacking femoral access, with no recurrent VT at 1 month.
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