Special considerations in mapping and ablation of focal ventricular arrhythmias originating from the left ventricular outflow tract in patients with a transcatheter aortic valve replacement

Research output: Contribution to journalArticlepeer-review

Abstract

Transcatheter aortic valve replacements (TAVRs) have been increasingly performed in high-risk patients with severe aortic stenosis. Focal ventricular arrhythmias (VAs) originating from the left ventricular outflow tract (LVOT) can occur after a TAVR, and radiofrequency catheter ablation (RFCA) should be considered as a treatment option when those VAs are drug-refractory. There are specific challenges in the RFCA of LVOT VAs after a TAVR because the tubular structure of the TAVR device sits in the LVOT. However, if the anatomical background of the TAVR and LVOT VAs are well understood and the anatomical relationship between the TAVR device and LVOT is sufficiently evaluated, RFCA of LVOT VAs in patients with a TAVR should be safe and highly successful.

Original languageEnglish (US)
Pages (from-to)2640-2647
Number of pages8
JournalJournal of cardiovascular electrophysiology
Volume30
Issue number11
DOIs
StatePublished - Nov 1 2019
Externally publishedYes

Keywords

  • left ventricular outflow tract
  • radiofrequency catheter ablation
  • transcatheter aortic valve replacement
  • ventricular arrhythmia

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