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Out Flow tract VT, Diagnostic Tools and Ablation Weapons

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Dr.Mahmoud Abbas
Dr.Mahmoud Abbas

Lecture presented by Dr Sherif Hamed at the Egyptian Critical care Summit , the leading critical care event and medical exhibition in Egypt

Health & Medicine
1 of 46
Out Flow tract VT, Diagnostic Tools and Ablation Weapons Prof . Dr. Sherif H. Zaky
fl
LBBB morphology + Inf. AXIS
ANATOMY OF OUTFLOW TRACT
fl

Clinical Characteristics
How to distinguish malignant forms of RVOT     
How to distinguish malignant forms of RVOT Shimizu W; Heart Rhythm,2009
Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy :
ECG diagnosis Septal (Ant.)Free wall
Betenesky B, JACC,2011, 57; 2255-2263
ECG diagnosis (LVOT) VT SUP INF RL These VTs arise from the :   
Right Inf Axis rS in Lead I
Indications for catheter ablation
Results of catheter ablation 90% success in adult series 5% risk of recurrence Should ablation not be first line therapy ?
Outcome of Radiofrequency Catheter Ablation in Patients with Idiopathic Right Ventricular Outflow Tract Tachycardia Calvo N et al, Indian Pacing and Electrophysiology Journal (13 (1): 14-33 (2013)
 µ
49 Ys old female, Palpitation, Normal heart and failed 3 AAA
Pacemapping 12/12 lead matching Activation mapping
Clinical VT 30 Ys old male, Activation Mapping LAT = -50 msec
NI, 35 Ys old Female
RVOT LVOT
Blue dots indicate Site at which RF eradicated PVCs RVOT LVOT
LEFT CORONARY CUSPOGRAM LM CS RV LAO RF Successful site
Successful site RF CS RV RAO
START OF RF
Summary
THANK YOU

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