Landing on the spot: Approaches to outflow tract PVCs; from ECG to EGMs to intracardiac echocardiography.
catheter ablation
outflow tract
premature ventricular complexes
ventricular ectopy
Journal
Pacing and clinical electrophysiology : PACE
ISSN: 1540-8159
Titre abrégé: Pacing Clin Electrophysiol
Pays: United States
ID NLM: 7803944
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
revised:
30
04
2021
received:
30
08
2020
accepted:
30
05
2021
pubmed:
4
6
2021
medline:
1
2
2022
entrez:
3
6
2021
Statut:
ppublish
Résumé
Premature ventricular complexes (PVCs) are increasingly recognized, as the use of ECG wearables becomes more widespread. In particular, PVCs arising from both the right ventricular outflow tract (RVOT) and left ventricular outflow tract (LVOT) comprise the majority of these arrhythmias and form a significant component of an electrophysiology practice. A keen understanding of the correlative anatomy of the outflow tracts, in addition to recognizing key ECG indices illustrating PVC sites of origin, are fundamental in preparing for a successful ablation. Patient selection, incorporating symptomatology, structural disease, and PVC burden can pose a challenge, though tools such as the ABC-VT risk score may help identify those patients with a higher risk of clinical deterioration. Utilizing intracardiac echocardiography to highlight salient anatomic features not visible with fluoroscopy allows for a more precise and safer ablation. Interpretation of intracardiac EGMs, and the careful examination for low amplitude highly fractionated pre-potentials, enhanced by the advent of new developed mapping/ablation catheters, remains crucial. Utilizing these tools will guide the electrophysiologist to an efficient and effective outflow tract PVC ablation.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1449-1463Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Carpenter A, Frontera A. Smart-watches: a potential challenger to the implantable loop recorder. EP Eur. 2016;18:791-793.
Ho SY. Anatomic insights for catheter ablation of ventricular tachycardia. Heart Rhythm. 2009;6:S77-S80.
Ho S. Structure and anatomy of the aortic root. Eur J Echocardiogr. 2009:10:i3-i10. Eur J Echocardiogr J Work Group Echocardiogr Eur Soc Cardiol. Feb 1;10:i3-10.
Takumi Yamada, Thomas McElderryH, Harish Doppalapudi, et al. Idiopathic ventricular arrhythmias originating from the left ventricular summit. Circ Arrhythm Electrophysiol. 2010;3:616-623.
Hasdemi̇r C, Aktas S, Govsa F, et al. Demonstration of ventricular myocardial extensions into the pulmonary artery and aorta beyond the ventriculo-arterial junction. Pacing Clin Electrophysiol. 2007;30:534-539.
Hiss Roland G, Lamb Lawrence E. Electrocardiographic findings in 122,043 individuals. Circulation. 1962;25:947-961.
Nguyen KT, Vittinghoff E, Dewland TA, et al. Ectopy on a single 12-Lead ECG, incident cardiac myopathy, and death in the community. J Am Heart Assoc. 2017;6.
Heckbert SR, Austin TR, Jensen PN, et al. Yield and consistency of arrhythmia detection with patch electrocardiographic monitoring: the Multi-Ethnic Study of Atherosclerosis. J Electrocardiol. 2018;51:997-1002.
Tada H, Tadokoro K, Miyaji K, et al. Idiopathic ventricular arrhythmias arising from the pulmonary artery: prevalence, characteristics, and topography of the arrhythmia origin. Heart Rhythm. 2008;5:419-426.
Zhong L, Lee Y-H, Huang X-M, et al. Relative efficacy of catheter ablation vs antiarrhythmic drugs in treating premature ventricular contractions: a single-center retrospective study. Heart Rhythm. 2014;11:187-193./bib>
Latchamsetty R, Yokokawa M, Morady F, et al. Multicenter outcomes for catheter ablation of idiopathic premature ventricular complexes. JACC Clin Electrophysiol. 2015;1:116-123.
Cronin EM, Bogun FM, Maury P, et al. 2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias. Eur Eur Pacing Arrhythm Card Electrophysiol J Work Groups Card Pacing Arrhythm Card Cell Electrophysiol Eur Soc Cardiol. 2019;21:1143-1144.
Agarwal SK, Simpson RJ, Rautaharju P, et al. Relationship of ventricular premature complexes to heart failure (From the Atherosclerosis Risk in Communities [ARIC] Study). Am J Cardiol. 2012;109:105-109.
Baman TS, Lange DC, Ilg KJ, et al. Relationship between burden of premature ventricular complexes and left ventricular function. Heart Rhythm. 2010;7:865-869.
Dukes JW, Dewland TA, Vittinghoff E, et al. Ventricular ectopy as a predictor of heart failure and death. J Am Coll Cardiol. 2015;66:101-109.
Deyell MW, Park K-M, Han Y, et al. Predictors of recovery of left ventricular dysfunction after ablation of frequent ventricular premature depolarizations. Heart Rhythm. 2012;9:1465-1472.
Sun Y, Blom NA, Yu Y, et al. The influence of premature ventricular contractions on left ventricular function in asymptomatic children without structural heart disease: an echocardiographic evaluation. Int J Cardiovasc Imaging. 2003;19:295-299.
Kawamura M, Badhwar N, Vedantham V, et al. Coupling interval dispersion and body mass index are independent predictors of idiopathic premature ventricular complex-induced cardiomyopathy. J Cardiovasc Electrophysiol. 2014;25:756-762.
Olgun H, Yokokawa M, Baman T, et al. The role of interpolation in PVC-induced cardiomyopathy. Heart Rhythm. 2011;8:1046-1049.
Voskoboinik A, Hadjis A, Alhede C, et al. Predictors of adverse outcome in patients with frequent premature ventricular complexes: the ABC-VT risk score. 2020.
Kamakura S, Shimizu W, Matsuo K, et al. Localization of optimal ablation site of idiopathic ventricular tachycardia from right and left ventricular outflow tract by body surface ECG. Circulation. 1998;98:1525-1533. Oct 13.
Anderson Robert D, Saurabh Kumar, Ramanathan Parameswaran, et al. Differentiating right- and left-sided outflow tract ventricular arrhythmias. Circ Arrhythm Electrophysiol. 2019;12:e007392. Jun 1.
Betensky BP, Park RE, Marchlinski FE, et al. The V(2) transition ratio: a new electrocardiographic criterion for distinguishing left from right ventricular outflow tract tachycardia origin. J Am Coll Cardiol. 2011;57:2255-2262. May 31.
Sekiguchi Y, Aonuma K, Takahashi A, et al. Electrocardiographic and electrophysiologic characteristics of ventricular tachycardia originating within the pulmonary artery. J Am Coll Cardiol. 2005;45:887-895. Mar 15.
Bala R, Garcia FC, Hutchinson MD, et al. Electrocardiographic and electrophysiologic features of ventricular arrhythmias originating from the right/left coronary cusp commissure. Heart Rhythm. 2010;7:312-322. Mar.
Yamada T, Yoshida N, Murakami Y, et al. Electrocardiographic characteristics of ventricular arrhythmias originating from the junction of the left and right coronary sinuses of Valsalva in the aorta: the activation pattern as a rationale for the electrocardiographic characteristics. Heart Rhythm. 2008;5:184-192. Feb.
Yamada T, Lau YR, Litovsky SH, et al. Prevalence and clinical, electrocardiographic, and electrophysiologic characteristics of ventricular arrhythmias originating from the noncoronary sinus of Valsalva. Heart Rhythm. 2013;10:1605-1612. Nov 1.
Songwen Chen, Xiaofeng Lu, Shi Peng, et al. Ablation at right coronary cusp as an alternative and favorable approach to eliminate premature ventricular complexes originating from the proximal left anterior fascicle. Circ Arrhythm Electrophysiol. 2020;13:e008173. May 1.
Okumura Y, Henz BD, Johnson SB, et al. Three-dimensional ultrasound for image-guided mapping and intervention: methods, quantitative validation, and clinical feasibility of a novel multimodality image mapping system. Circ Arrhythm Electrophysiol. 2008;1:110-119. Jun 1.
Pons M, Beck L, Leclercq F, et al. Chronic left main coronary artery occlusion: a complication of radiofrequency ablation of idiopathic left ventricular tachycardia. Pacing Clin Electrophysiol PACE. 1997;20:1874-1876. Jul.
Lamberti F, Calo’ L, Pandozi C, et al. Radiofrequency catheter ablation of idiopathic left ventricular outflow tract tachycardia: utility of intracardiac echocardiography. J Cardiovasc Electrophysiol. 2001;12:529-535. May.
Liu CF, Cheung JW, Thomas G, et al. Ubiquitous myocardial extensions into the pulmonary artery demonstrated by integrated intracardiac echocardiography and electroanatomic mapping: changing the paradigm of idiopathic right ventricular outflow tract arrhythmias. Circ Arrhythm Electrophysiol. 2014;7:691-700. Aug.
Kalman JM, Fitzpatrick AP, Olgin JE, et al. Biophysical characteristics of radiofrequency lesion formation in vivo: dynamics of catheter tip-tissue contact evaluated by intracardiac echocardiography. Am Heart J. 1997;133:8-18. Jan.
Letsas KP, Efremidis M, Vlachos K, et al. Right ventricular outflow tract low-voltage areas identify the site of origin of idiopathic ventricular arrhythmias: a high-density mapping study. J Cardiovasc Electrophysiol. 2019;30:2362-2369.
Glashan CA, Tofig BJ, Tao Q, et al. Multisize electrodes for substrate identification in ischemic cardiomyopathy: validation by integration of whole heart histology. JACC Clin Electrophysiol. 2019;5:1130-1140. Oct 1.
Yamada T, Okada T, Murakami Y, et al. Premature ventricular contractions arising from the intramural ventricular septum. Pacing Clin Electrophysiol. 2009;32:e1-3.
Hongwu Chen, Michael Shehata, Charles Swerdlow, et al. Intramural outflow tract ventricular tachycardia. Circ Arrhythm Electrophysiol. 2014;7:978-981. Oct 1.
de Paola AA, Melo WD, Távora MZ, et al. Angiographic and electrophysiological substrates for ventricular tachycardia mapping through the coronary veins. 1998:59-63. Jan.
Takumi Yamada, Harish Doppalapudi, Maddox William R, et al. Prevalence and electrocardiographic and electrophysiological characteristics of idiopathic ventricular arrhythmias originating from intramural foci in the left ventricular outflow tract. Circ Arrhythm Electrophysiol. 2016;9:e004079. Sep 1.
Yamauchi Y, Aonuma K, Takahashi A, et al. Electrocardiographic characteristics of repetitive monomorphic right ventricular tachycardia originating near the His-bundle. J Cardiovasc Electrophysiol. 2005;16:1041-1048.
Liang JJ, Shirai Y, Lin A, et al. Idiopathic outflow tract ventricular arrhythmia ablation: pearls and pitfalls. Arrhythmia Electrophysiol Rev. 2019;8:116-121. May.
Pasquale Santangeli, MarchlinskiFrancis E, Zado Erica S, et al. Percutaneous epicardial ablation of ventricular arrhythmias arising from the left ventricular summit. Circ Arrhythm Electrophysiol. 2015;8:337-343. Apr 1.
Saremi F, Gera A, Yen Ho S, et al. CT and MR imaging of the pulmonary valve. RadioGraphics. 2014;34:51-71. Jan 1.
Cabrera JA, Sánchez-Quintana D. Cardiac anatomy: what the electrophysiologist needs to know. Heart. 2013;99:417-431. Mar 15.