Alcohol Ablation for Ventricular Tachycardia
Overview
Affiliations
Catheter-based radiofrequency (RF) ablation is an effective, well-established therapy for ventricular tachycardia (VT). However, a large number of patients still have recurrences, particularly those with substrates arising from intramural locations that are inaccessible through endo- or epicardial catheter approaches. Several unconventional ablation techniques have been proposed to treat RF-refractory VT, including transarterial coronary ethanol ablation and retrograde coronary venous ethanol ablation. We review the evidence regarding the mechanisms, procedural aspects, and alcohol ablation outcomes for ventricular arrhythmias.
Targeting Ventricular Arrhythmias in Non-Ischemic Patients: Advances in Diagnosis and Treatment.
Stanciulescu L, Dorobantu M, Vatasescu R Diagnostics (Basel). 2025; 15(4).
PMID: 40002571 PMC: 11854509. DOI: 10.3390/diagnostics15040420.
Rodkiewicz D, Momot K, Kozluk E, Piatkowska A, Rogala K, Puchalska L Cardiol J. 2024; 31(6):794-801.
PMID: 39158516 PMC: 11706260. DOI: 10.5603/cj.98002.
Stanciulescu L, Vatasescu R Biomedicines. 2024; 12(2).
PMID: 38397868 PMC: 10886924. DOI: 10.3390/biomedicines12020266.
Stojadinovic P, Wichterle D, Peichl P, Stiavnicky P, cihak R, Kautzner J HeartRhythm Case Rep. 2023; 9(1):2-5.
PMID: 36685688 PMC: 9845546. DOI: 10.1016/j.hrcr.2022.09.009.
Needle-Tipped Catheter Ablation of Papillary Muscle Results in Deeper and Larger Ablation Lesions.
Nussinovitch U, Wang P, Babakhanian M, Narayan S, Viswanathan M, Badhwar N J Cardiovasc Transl Res. 2022; 16(3):636-643.
PMID: 36264437 PMC: 10115905. DOI: 10.1007/s12265-022-10331-z.