We report a case of septal ventricular tachycardia with previous failed ablation attempts that was successfully treated using a bipolar ablation strategy, with the significant contribution of intracardiac echocardiography (ICE). ICE was utilized to enhance procedural safety by preventing steam pops and late ventricular septal defects (VSD) and to optimize outcomes by ensuring homogeneous ablation of the septal tissue, visually confirming a transmural lesion.