Loading…

Efficacy and Safety of Strict Voltage-based Substrate Mapping and Radiofrequency Catheter Ablation in Electrical Storms—Review of Substrate-mapping Guided Ablation in Frequent Appropriate Shocks

Background: We investigated the efficacy and safety of strict voltage-based substrate mapping and radiofrequency catheter ablation (SV-substrate-map ablation) in patients with electrical storm. Methods and Results: SV-substrate-map ablation was performed in 15 patients suffering from multiple approp...

Full description

Saved in:
Bibliographic Details
Published in:Journal of Arrhythmia 2009-01, Vol.25 (4), p.193-202
Main Authors: Arimoto, Takanori, MD, Tada, Hiroshi, MD, Sekiguchi, Yukio, MD, Koyama, Takashi, MD, Igarashi, Miyako, MD, Yamasaki, Hiro, MD, Machino, Takeshi, MD, Kuroki, Kenji, MD, Kuga, Keisuke, MD, Aonuma, Kazutaka, MD
Format: Article
Language:English
Subjects:
Online Access:Request full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 202
container_issue 4
container_start_page 193
container_title Journal of Arrhythmia
container_volume 25
creator Arimoto, Takanori, MD
Tada, Hiroshi, MD
Sekiguchi, Yukio, MD
Koyama, Takashi, MD
Igarashi, Miyako, MD
Yamasaki, Hiro, MD
Machino, Takeshi, MD
Kuroki, Kenji, MD
Kuga, Keisuke, MD
Aonuma, Kazutaka, MD
description Background: We investigated the efficacy and safety of strict voltage-based substrate mapping and radiofrequency catheter ablation (SV-substrate-map ablation) in patients with electrical storm. Methods and Results: SV-substrate-map ablation was performed in 15 patients suffering from multiple appropriate shocks (6.0 ± 3.8/day) from implantable cardioverter defibrillators (ICDs). Strict voltage criteria were defined as: non-arrhythmogenic areas, >0.6mV; low voltage areas, >0.1 to ≤0.6 mV; and scar, ≤0.1 mV. Using an electroanatomic mapping system, catheter ablation was performed at every possible arrhythmogenic region inside the low voltage areas. Further, we presented a review of the literature and investigated the published data on substrate-mapping guided ablation for electrical storm. After repeat endocardial ablation procedures in 4 patients and an epicardial approach in one, the targeted ventricular tachycardias (VTs) were successfully ablated, and the electrical storms were completely controlled in all. During a mean follow-up period of 801 ± 409 days, only one VT followed by an appropriate ICD shock was observed. No potential complications occurred during the procedure or follow-up. Our results were comparable or better than that of previous substrate-mapping guided ablation studies. Conclusion: SV-substrate-mapping ablation may be effective and safe for resolving serious clinical situations and prolonging the longevity of ICD devices in patients with electrical storms.
doi_str_mv 10.1016/S1880-4276(09)80003-3
format article
fullrecord <record><control><sourceid>proquest_24P</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_993e4b83092243ddb04db57f3f98aeec</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S1880427609800033</els_id><doaj_id>oai_doaj_org_article_993e4b83092243ddb04db57f3f98aeec</doaj_id><sourcerecordid>3074760810</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4623-3f63b8b8ee05d945b825f1ec7ec155dee258dfc354440a971961f58707f656683</originalsourceid><addsrcrecordid>eNqNkcFu1DAQhiMEEqXwCEiRuMAhMI7txOGAtKq6paioUhe4Wo493nWbjRfHS7U3HoJH4kl4EpykFI6cbI3n_-Yf_1n2nMBrAqR6syJCQMHKunoJzSsBALSgD7KjVKZFSZh4ON3nlsfZk2G4BuCCEXKU_Ty11mmlD7nqTb5SFuMh9zZfxeB0zL_4Lqo1Fq0aMD3v2yEGFTH_qHY7168n0ZUyztuAX_fYJ86JihuMGPJF26nofJ-7Pj_tUI9E1SWyD9vh1_cfV_jN4e007A-32N5xz_bOpIH_IpbzhJgvdrvgd8GNPlYbr2-Gp9kjq7oBn92dx9nn5emnk_fFxeXZ-cniotCsKtOf2Iq2ohWIwE3DeCtKbgnqGjXh3CCWXBirKWeMgWpq0lTEclFDbSteVYIeZ-cz13h1LZOFrQoH6ZWTU8GHtVQhOt2hbBqKrBUUmrJk1JgWmGl5balthELUifViZqVl0l5DlNd-H_pkX1KoWV2BIJC6-Nylgx-GgPZ-KgE5hi-n8OWYrIRGTuFLmnRvZ92t6_DwfyL54XJBSTOKl7N4i2aMzPed6_GvP7MhKoRNlCUkNUDJgckRAUktoYSSUtbwEfRuBmEKJYUdpE6kEXmDBxzugUQOpYTZ1WgKmskSpb8BOTjiGA</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3074760810</pqid></control><display><type>article</type><title>Efficacy and Safety of Strict Voltage-based Substrate Mapping and Radiofrequency Catheter Ablation in Electrical Storms—Review of Substrate-mapping Guided Ablation in Frequent Appropriate Shocks</title><source>Wiley Open Access Journals</source><creator>Arimoto, Takanori, MD ; Tada, Hiroshi, MD ; Sekiguchi, Yukio, MD ; Koyama, Takashi, MD ; Igarashi, Miyako, MD ; Yamasaki, Hiro, MD ; Machino, Takeshi, MD ; Kuroki, Kenji, MD ; Kuga, Keisuke, MD ; Aonuma, Kazutaka, MD</creator><creatorcontrib>Arimoto, Takanori, MD ; Tada, Hiroshi, MD ; Sekiguchi, Yukio, MD ; Koyama, Takashi, MD ; Igarashi, Miyako, MD ; Yamasaki, Hiro, MD ; Machino, Takeshi, MD ; Kuroki, Kenji, MD ; Kuga, Keisuke, MD ; Aonuma, Kazutaka, MD ; Graduate School of Comprehensive Human Sciences ; Cardiovascular Division ; Institute ; University of Tsukuba ; of Clinical Medicine</creatorcontrib><description>Background: We investigated the efficacy and safety of strict voltage-based substrate mapping and radiofrequency catheter ablation (SV-substrate-map ablation) in patients with electrical storm. Methods and Results: SV-substrate-map ablation was performed in 15 patients suffering from multiple appropriate shocks (6.0 ± 3.8/day) from implantable cardioverter defibrillators (ICDs). Strict voltage criteria were defined as: non-arrhythmogenic areas, &gt;0.6mV; low voltage areas, &gt;0.1 to ≤0.6 mV; and scar, ≤0.1 mV. Using an electroanatomic mapping system, catheter ablation was performed at every possible arrhythmogenic region inside the low voltage areas. Further, we presented a review of the literature and investigated the published data on substrate-mapping guided ablation for electrical storm. After repeat endocardial ablation procedures in 4 patients and an epicardial approach in one, the targeted ventricular tachycardias (VTs) were successfully ablated, and the electrical storms were completely controlled in all. During a mean follow-up period of 801 ± 409 days, only one VT followed by an appropriate ICD shock was observed. No potential complications occurred during the procedure or follow-up. Our results were comparable or better than that of previous substrate-mapping guided ablation studies. Conclusion: SV-substrate-mapping ablation may be effective and safe for resolving serious clinical situations and prolonging the longevity of ICD devices in patients with electrical storms.</description><identifier>ISSN: 1880-4276</identifier><identifier>EISSN: 1883-2148</identifier><identifier>DOI: 10.1016/S1880-4276(09)80003-3</identifier><language>eng</language><publisher>Tokyo: Japanese Heart Rhythm Society</publisher><subject>Ablation ; Cardiovascular ; Catheter ablation ; Catheters ; Electrical storm ; Epicardial ; Implantable cardioverter defibrillator ; Storms ; Substrate mapping</subject><ispartof>Journal of Arrhythmia, 2009-01, Vol.25 (4), p.193-202</ispartof><rights>Japanese Heart Rhythm Society</rights><rights>2009 Japanese Heart Rhythm Society</rights><rights>2009. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3074760810/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3074760810?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,11543,25734,27905,27906,36993,44571,46033,46457,74875</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1016%2FS1880-4276%2809%2980003-3$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc></links><search><creatorcontrib>Arimoto, Takanori, MD</creatorcontrib><creatorcontrib>Tada, Hiroshi, MD</creatorcontrib><creatorcontrib>Sekiguchi, Yukio, MD</creatorcontrib><creatorcontrib>Koyama, Takashi, MD</creatorcontrib><creatorcontrib>Igarashi, Miyako, MD</creatorcontrib><creatorcontrib>Yamasaki, Hiro, MD</creatorcontrib><creatorcontrib>Machino, Takeshi, MD</creatorcontrib><creatorcontrib>Kuroki, Kenji, MD</creatorcontrib><creatorcontrib>Kuga, Keisuke, MD</creatorcontrib><creatorcontrib>Aonuma, Kazutaka, MD</creatorcontrib><creatorcontrib>Graduate School of Comprehensive Human Sciences</creatorcontrib><creatorcontrib>Cardiovascular Division</creatorcontrib><creatorcontrib>Institute</creatorcontrib><creatorcontrib>University of Tsukuba</creatorcontrib><creatorcontrib>of Clinical Medicine</creatorcontrib><title>Efficacy and Safety of Strict Voltage-based Substrate Mapping and Radiofrequency Catheter Ablation in Electrical Storms—Review of Substrate-mapping Guided Ablation in Frequent Appropriate Shocks</title><title>Journal of Arrhythmia</title><description>Background: We investigated the efficacy and safety of strict voltage-based substrate mapping and radiofrequency catheter ablation (SV-substrate-map ablation) in patients with electrical storm. Methods and Results: SV-substrate-map ablation was performed in 15 patients suffering from multiple appropriate shocks (6.0 ± 3.8/day) from implantable cardioverter defibrillators (ICDs). Strict voltage criteria were defined as: non-arrhythmogenic areas, &gt;0.6mV; low voltage areas, &gt;0.1 to ≤0.6 mV; and scar, ≤0.1 mV. Using an electroanatomic mapping system, catheter ablation was performed at every possible arrhythmogenic region inside the low voltage areas. Further, we presented a review of the literature and investigated the published data on substrate-mapping guided ablation for electrical storm. After repeat endocardial ablation procedures in 4 patients and an epicardial approach in one, the targeted ventricular tachycardias (VTs) were successfully ablated, and the electrical storms were completely controlled in all. During a mean follow-up period of 801 ± 409 days, only one VT followed by an appropriate ICD shock was observed. No potential complications occurred during the procedure or follow-up. Our results were comparable or better than that of previous substrate-mapping guided ablation studies. Conclusion: SV-substrate-mapping ablation may be effective and safe for resolving serious clinical situations and prolonging the longevity of ICD devices in patients with electrical storms.</description><subject>Ablation</subject><subject>Cardiovascular</subject><subject>Catheter ablation</subject><subject>Catheters</subject><subject>Electrical storm</subject><subject>Epicardial</subject><subject>Implantable cardioverter defibrillator</subject><subject>Storms</subject><subject>Substrate mapping</subject><issn>1880-4276</issn><issn>1883-2148</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNkcFu1DAQhiMEEqXwCEiRuMAhMI7txOGAtKq6paioUhe4Wo493nWbjRfHS7U3HoJH4kl4EpykFI6cbI3n_-Yf_1n2nMBrAqR6syJCQMHKunoJzSsBALSgD7KjVKZFSZh4ON3nlsfZk2G4BuCCEXKU_Ty11mmlD7nqTb5SFuMh9zZfxeB0zL_4Lqo1Fq0aMD3v2yEGFTH_qHY7168n0ZUyztuAX_fYJ86JihuMGPJF26nofJ-7Pj_tUI9E1SWyD9vh1_cfV_jN4e007A-32N5xz_bOpIH_IpbzhJgvdrvgd8GNPlYbr2-Gp9kjq7oBn92dx9nn5emnk_fFxeXZ-cniotCsKtOf2Iq2ohWIwE3DeCtKbgnqGjXh3CCWXBirKWeMgWpq0lTEclFDbSteVYIeZ-cz13h1LZOFrQoH6ZWTU8GHtVQhOt2hbBqKrBUUmrJk1JgWmGl5balthELUifViZqVl0l5DlNd-H_pkX1KoWV2BIJC6-Nylgx-GgPZ-KgE5hi-n8OWYrIRGTuFLmnRvZ92t6_DwfyL54XJBSTOKl7N4i2aMzPed6_GvP7MhKoRNlCUkNUDJgckRAUktoYSSUtbwEfRuBmEKJYUdpE6kEXmDBxzugUQOpYTZ1WgKmskSpb8BOTjiGA</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Arimoto, Takanori, MD</creator><creator>Tada, Hiroshi, MD</creator><creator>Sekiguchi, Yukio, MD</creator><creator>Koyama, Takashi, MD</creator><creator>Igarashi, Miyako, MD</creator><creator>Yamasaki, Hiro, MD</creator><creator>Machino, Takeshi, MD</creator><creator>Kuroki, Kenji, MD</creator><creator>Kuga, Keisuke, MD</creator><creator>Aonuma, Kazutaka, MD</creator><general>Japanese Heart Rhythm Society</general><general>John Wiley &amp; Sons, Inc</general><general>Wiley</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>DOA</scope></search><sort><creationdate>20090101</creationdate><title>Efficacy and Safety of Strict Voltage-based Substrate Mapping and Radiofrequency Catheter Ablation in Electrical Storms—Review of Substrate-mapping Guided Ablation in Frequent Appropriate Shocks</title><author>Arimoto, Takanori, MD ; Tada, Hiroshi, MD ; Sekiguchi, Yukio, MD ; Koyama, Takashi, MD ; Igarashi, Miyako, MD ; Yamasaki, Hiro, MD ; Machino, Takeshi, MD ; Kuroki, Kenji, MD ; Kuga, Keisuke, MD ; Aonuma, Kazutaka, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4623-3f63b8b8ee05d945b825f1ec7ec155dee258dfc354440a971961f58707f656683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Ablation</topic><topic>Cardiovascular</topic><topic>Catheter ablation</topic><topic>Catheters</topic><topic>Electrical storm</topic><topic>Epicardial</topic><topic>Implantable cardioverter defibrillator</topic><topic>Storms</topic><topic>Substrate mapping</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arimoto, Takanori, MD</creatorcontrib><creatorcontrib>Tada, Hiroshi, MD</creatorcontrib><creatorcontrib>Sekiguchi, Yukio, MD</creatorcontrib><creatorcontrib>Koyama, Takashi, MD</creatorcontrib><creatorcontrib>Igarashi, Miyako, MD</creatorcontrib><creatorcontrib>Yamasaki, Hiro, MD</creatorcontrib><creatorcontrib>Machino, Takeshi, MD</creatorcontrib><creatorcontrib>Kuroki, Kenji, MD</creatorcontrib><creatorcontrib>Kuga, Keisuke, MD</creatorcontrib><creatorcontrib>Aonuma, Kazutaka, MD</creatorcontrib><creatorcontrib>Graduate School of Comprehensive Human Sciences</creatorcontrib><creatorcontrib>Cardiovascular Division</creatorcontrib><creatorcontrib>Institute</creatorcontrib><creatorcontrib>University of Tsukuba</creatorcontrib><creatorcontrib>of Clinical Medicine</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Directory of Open Access Journals</collection><jtitle>Journal of Arrhythmia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Arimoto, Takanori, MD</au><au>Tada, Hiroshi, MD</au><au>Sekiguchi, Yukio, MD</au><au>Koyama, Takashi, MD</au><au>Igarashi, Miyako, MD</au><au>Yamasaki, Hiro, MD</au><au>Machino, Takeshi, MD</au><au>Kuroki, Kenji, MD</au><au>Kuga, Keisuke, MD</au><au>Aonuma, Kazutaka, MD</au><aucorp>Graduate School of Comprehensive Human Sciences</aucorp><aucorp>Cardiovascular Division</aucorp><aucorp>Institute</aucorp><aucorp>University of Tsukuba</aucorp><aucorp>of Clinical Medicine</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy and Safety of Strict Voltage-based Substrate Mapping and Radiofrequency Catheter Ablation in Electrical Storms—Review of Substrate-mapping Guided Ablation in Frequent Appropriate Shocks</atitle><jtitle>Journal of Arrhythmia</jtitle><date>2009-01-01</date><risdate>2009</risdate><volume>25</volume><issue>4</issue><spage>193</spage><epage>202</epage><pages>193-202</pages><issn>1880-4276</issn><eissn>1883-2148</eissn><abstract>Background: We investigated the efficacy and safety of strict voltage-based substrate mapping and radiofrequency catheter ablation (SV-substrate-map ablation) in patients with electrical storm. Methods and Results: SV-substrate-map ablation was performed in 15 patients suffering from multiple appropriate shocks (6.0 ± 3.8/day) from implantable cardioverter defibrillators (ICDs). Strict voltage criteria were defined as: non-arrhythmogenic areas, &gt;0.6mV; low voltage areas, &gt;0.1 to ≤0.6 mV; and scar, ≤0.1 mV. Using an electroanatomic mapping system, catheter ablation was performed at every possible arrhythmogenic region inside the low voltage areas. Further, we presented a review of the literature and investigated the published data on substrate-mapping guided ablation for electrical storm. After repeat endocardial ablation procedures in 4 patients and an epicardial approach in one, the targeted ventricular tachycardias (VTs) were successfully ablated, and the electrical storms were completely controlled in all. During a mean follow-up period of 801 ± 409 days, only one VT followed by an appropriate ICD shock was observed. No potential complications occurred during the procedure or follow-up. Our results were comparable or better than that of previous substrate-mapping guided ablation studies. Conclusion: SV-substrate-mapping ablation may be effective and safe for resolving serious clinical situations and prolonging the longevity of ICD devices in patients with electrical storms.</abstract><cop>Tokyo</cop><pub>Japanese Heart Rhythm Society</pub><doi>10.1016/S1880-4276(09)80003-3</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext_linktorsrc
identifier ISSN: 1880-4276
ispartof Journal of Arrhythmia, 2009-01, Vol.25 (4), p.193-202
issn 1880-4276
1883-2148
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_993e4b83092243ddb04db57f3f98aeec
source Wiley Open Access Journals
subjects Ablation
Cardiovascular
Catheter ablation
Catheters
Electrical storm
Epicardial
Implantable cardioverter defibrillator
Storms
Substrate mapping
title Efficacy and Safety of Strict Voltage-based Substrate Mapping and Radiofrequency Catheter Ablation in Electrical Storms—Review of Substrate-mapping Guided Ablation in Frequent Appropriate Shocks
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-18T22%3A13%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_24P&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Efficacy%20and%20Safety%20of%20Strict%20Voltage-based%20Substrate%20Mapping%20and%20Radiofrequency%20Catheter%20Ablation%20in%20Electrical%20Storms%E2%80%94Review%20of%20Substrate-mapping%20Guided%20Ablation%20in%20Frequent%20Appropriate%20Shocks&rft.jtitle=Journal%20of%20Arrhythmia&rft.au=Arimoto,%20Takanori,%20MD&rft.aucorp=Graduate%20School%20of%20Comprehensive%20Human%20Sciences&rft.date=2009-01-01&rft.volume=25&rft.issue=4&rft.spage=193&rft.epage=202&rft.pages=193-202&rft.issn=1880-4276&rft.eissn=1883-2148&rft_id=info:doi/10.1016/S1880-4276(09)80003-3&rft_dat=%3Cproquest_24P%3E3074760810%3C/proquest_24P%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c4623-3f63b8b8ee05d945b825f1ec7ec155dee258dfc354440a971961f58707f656683%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3074760810&rft_id=info:pmid/&rfr_iscdi=true