» Articles » PMID: 34104316

Alcohol Ablation for Ventricular Tachycardia

Overview
Date 2021 Jun 9
PMID 34104316
Citations 4
Authors
Affiliations
Soon will be listed here.
Abstract

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.

Citing Articles

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.


Zero-fluoroscopy catheter ablation of premature ventricular contractions: comparative outcomes from the right ventricular outflow tract and other ventricular sites.

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.


Ventricular Tachycardia Catheter Ablation: Retrospective Analysis and Prospective Outlooks-A Comprehensive Review.

Stanciulescu L, Vatasescu R Biomedicines. 2024; 12(2).

PMID: 38397868 PMC: 10886924. DOI: 10.3390/biomedicines12020266.


Retrograde coronary venous ethanol ablation of ventricular tachycardia in a patient after aortic valve replacement and failed both radiofrequency ablation and stereotactic radiotherapy.

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.

References
1.
Sasaki T, Yamashita S, Suzuki M, Okishige K, Goya M, Sasano T . Successful ablation with ethanol infusion to coronary sinus branch in a case with scar-related ventricular tachycardia with left ventricular epicardial reentrant circuit. HeartRhythm Case Rep. 2020; 6(4):226-229. PMC: 7156974. DOI: 10.1016/j.hrcr.2020.01.002. View

2.
Baszko A, Kalmucki P, Siminiak T, Szyszka A . Telescopic coronary sinus cannulation for mapping and ethanol ablation of arrhythmia originating from left ventricular summit. Cardiol J. 2019; 27(3):312-315. PMC: 8015981. DOI: 10.5603/CJ.a2019.0064. View

3.
Ramana R, Wilber D, Leya F . Ethanol septal ablation for refractory ventricular tachycardia. J Invasive Cardiol. 2007; 19(5):E142-5. View

4.
Wright K, Morley T, Bicknell J, Bishop S, Walcott G, Kay G . Retrograde coronary venous infusion of ethanol for ablation of canine ventricular myocardium. J Cardiovasc Electrophysiol. 1998; 9(9):976-84. DOI: 10.1111/j.1540-8167.1998.tb00138.x. View

5.
Chang R, STEVENSON W, Saxon L, Parker J . Increasing catheter ablation lesion size by simultaneous application of radiofrequency current to two adjacent sites. Am Heart J. 1993; 125(5 Pt 1):1276-84. DOI: 10.1016/0002-8703(93)90995-l. View