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Retrograde Coronary Venous Ethanol Ablation for Ventricular Tachycardia in a Patient with Inaccessible Substrate Due to Previous Surgery
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  • Nicholas Weinand,
  • Munveer Thind,
  • Brian Pomerantz,
  • Tiffany Hu,
  • William Stevenson,
  • Travis Richardson
Nicholas Weinand
Vanderbilt Department of Medicine
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Munveer Thind
Vanderbilt University Division of Cardiovascular Medicine
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Brian Pomerantz
Vanderbilt University Division of Cardiovascular Medicine
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Tiffany Hu
Vanderbilt University Division of Cardiovascular Medicine
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William Stevenson
Vanderbilt University Division of Cardiovascular Medicine
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Travis Richardson
Vanderbilt University Division of Cardiovascular Medicine

Corresponding Author:travis.d.richardson@vumc.org

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Abstract

Introduction: Catheter-based radiofrequency (RF) ablation is generally regarded as the standard approach for patients with ventricular tachycardia (VT) refractory to antiarrhythmic drug therapy and may be considered as a first line approach when there is a preference to avoid these agents. Patients with a history of cardiac surgery may have VT substrate inaccessible to catheter ablation due to intervening prosthetic materials or scar. Methods and results: This article describes a 55-year-old patient with history of surgically repaired subvalvular aortic stenosis and subsequent valve-sparing root replacement who presented with sustained VT. After RF ablation failed due to VT substrate “guarded” by graft material, retrograde coronary venous ethanol ablation (RCVEA) was employed to successfully treat the clinical VT. Conclusion: RCVEA ablation can be useful for treating VT when conventional ablation is limited by inaccessible substrate due to prior cardiac surgery.
05 Jun 2024Submitted to Journal of Cardiovascular Electrophysiology
06 Jun 2024Submission Checks Completed
06 Jun 2024Assigned to Editor
06 Jun 2024Review(s) Completed, Editorial Evaluation Pending
06 Jun 2024Reviewer(s) Assigned
01 Jul 2024Editorial Decision: Revise Minor
04 Jul 20241st Revision Received
04 Jul 2024Review(s) Completed, Editorial Evaluation Pending
04 Jul 2024Submission Checks Completed
04 Jul 2024Assigned to Editor
04 Jul 2024Reviewer(s) Assigned
17 Jul 2024Editorial Decision: Accept