Treatment of Refractory Ventricular Tachycardia with Radiofrequency Ablation and Temporary Mechanical Circulatory Support

Authors

Som P. Singh, University of Texas Health Science Center at Houston, Houston, TXFollow
Alejandro Vidal Margenat, University of Texas Health Science Center at Houston, Houston, TXFollow
David L. Boone, University of Texas Health Science Center at Houston, Houston, TXFollow
Ellen Condoure, Abbott, Houston, TX
Ramesh Hariharan, University of Texas Health Science Center at Houston, Houston, TXFollow

Document Type

Case Report

Abstract

Catheter-based radiofrequency ablation has long been recognized as an effective treatment for refractory ventricular tachycardia (VT). A 57-year-old male with severe coronary artery disease underwent percutaneous mechanical circulatory support because of worsening cardiogenic shock after failed revascularization attempts. Despite aggressive medical management, the patient experienced refractory VT episodes, leading to the decision to proceed with radiofrequency catheter ablation. Notably, the Impella 5.5 device (Abiomed) provided critical left ventricular support during the ablation procedure. This case underscores the potential benefits of Impella support during radiofrequency ablation of complex ventricular arrhythmias.

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

Recommended Citation

Singh, Som P.; Vidal Margenat, Alejandro; Boone, David L.; Condoure, Ellen; and Hariharan, Ramesh (2023) "Treatment of Refractory Ventricular Tachycardia with Radiofrequency Ablation and Temporary Mechanical Circulatory Support," The VAD Journal: Vol. 9(1) :e2023918 DOI: https://doi.org/10.11589/vad/e2023918

Available at: https://digitalcommons.library.tmc.edu/vad/vol9/iss1/8

First Page

e2023918