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Use of half-normal saline irrigant with cooled radiofrequency ablation within the great cardiac vein to ablate premature ventricular contractions arising from the left ventricular summit PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY Sandhu, A., Schuller, J. L., Tzou, W. S., Tumolo, A. Z., Sauer, W. H., Nguyen, D. T. 2019; 42 (3): 301–5

Abstract

A 62-year-old man was referred to our institution for high-density, symptomatic premature ventricular contractions (PVCs) with resultant decrease in left ventricular (LV) function having failed prior ablation attempts. Successful, durable ablation of the patient's mid-myocardial PVC arising from the LV summit region was achieved through the proximal great cardiac vein with ablation depth augmented by use of half-normal saline irrigant. Though standard ablation of ventricular arrhythmias using normal saline irrigation from the coronary venous system has been well-reported, this may be of limited value in addressing mid-myocardial sites of origin. This novel case describes the safe use of cooled radiofrequency ablation with use of half-normal saline irrigant from the distal coronary sinus as an option to address complex sites of PVC origin such as the LV summit.

View details for DOI 10.1111/pace.13527

View details for Web of Science ID 000460951100002

View details for PubMedID 30341919