Ablation with zero‐fluoroscopy of premature ventricular complexes from aortic sinus cusps: A single‐center experience

Abstract Background Catheter ablation of premature ventricular complexes from aortic sinus cusps (ASC‐PVC) is a complex procedure that conventionally requires coronary catheterization (CC) to localize coronary artery ostium (CAO). Little published information is available on the mapping and ablation...

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Autores principales:	Pablo J. Sánchez‐Millán, Guillermo Gutiérrez‐Ballesteros, Manuel Molina‐Lerma, Rosa Macías‐Ruiz, Juan Jiménez‐Jáimez, Luis Tercedor, Miguel Álvarez
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	aortic sinus cusp ventricular arrhythmias intracardiac echocardiography zero‐fluoroscopy Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/accbcbf0de814f1dabd8f4bccfb73278
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spelling	oai:doaj.org-article:accbcbf0de814f1dabd8f4bccfb732782021-12-02T08:25:11ZAblation with zero‐fluoroscopy of premature ventricular complexes from aortic sinus cusps: A single‐center experience1883-21481880-427610.1002/joa3.12642https://doaj.org/article/accbcbf0de814f1dabd8f4bccfb732782021-12-01T00:00:00Zhttps://doi.org/10.1002/joa3.12642https://doaj.org/toc/1880-4276https://doaj.org/toc/1883-2148Abstract Background Catheter ablation of premature ventricular complexes from aortic sinus cusps (ASC‐PVC) is a complex procedure that conventionally requires coronary catheterization (CC) to localize coronary artery ostium (CAO). Little published information is available on the mapping and ablation with zero‐fluoroscopy (ZF) of ASC‐PVC. The aim of the study was to determine the efficacy and safety of ASC‐PVC ablation with a ZF approach guided by 3D intracardiac echocardiography integration in the electroanatomical mapping system (ICE 3D‐EAM). Methods This observational study included one patient cohort treated conventionally and another treated with ICE 3D‐EAM‐guided ZF ablation. Clinical, efficacy, and safety outcomes were evaluated acutely and at 3 months follow‐up. Results The study included 21 patients with ASC‐PVC: 10 in the ZF group (age 49 ± 16 years, 60% males) and 11 in the control group (age 47 ± 15 years, 27% males). Fluoroscopy was not required for any patient in the ZF group. Acute success was obtained in 80% of the ZF group vs 55% of the control group (P = .36). The recurrence rate was 30% in the ZF group vs 27% in the control group (P = 1). One nonsevere complication was observed in the ZF group (P = .48). Conclusions ZF catheter ablation of ASC‐PVC guided by ICE 3D‐EAM is feasible, effective, and safe.Pablo J. Sánchez‐MillánGuillermo Gutiérrez‐BallesterosManuel Molina‐LermaRosa Macías‐RuizJuan Jiménez‐JáimezLuis TercedorMiguel ÁlvarezWileyarticleaortic sinus cusp ventricular arrhythmiasintracardiac echocardiographyzero‐fluoroscopyDiseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of Arrhythmia, Vol 37, Iss 6, Pp 1497-1505 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	aortic sinus cusp ventricular arrhythmias intracardiac echocardiography zero‐fluoroscopy Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	aortic sinus cusp ventricular arrhythmias intracardiac echocardiography zero‐fluoroscopy Diseases of the circulatory (Cardiovascular) system RC666-701 Pablo J. Sánchez‐Millán Guillermo Gutiérrez‐Ballesteros Manuel Molina‐Lerma Rosa Macías‐Ruiz Juan Jiménez‐Jáimez Luis Tercedor Miguel Álvarez Ablation with zero‐fluoroscopy of premature ventricular complexes from aortic sinus cusps: A single‐center experience
description	Abstract Background Catheter ablation of premature ventricular complexes from aortic sinus cusps (ASC‐PVC) is a complex procedure that conventionally requires coronary catheterization (CC) to localize coronary artery ostium (CAO). Little published information is available on the mapping and ablation with zero‐fluoroscopy (ZF) of ASC‐PVC. The aim of the study was to determine the efficacy and safety of ASC‐PVC ablation with a ZF approach guided by 3D intracardiac echocardiography integration in the electroanatomical mapping system (ICE 3D‐EAM). Methods This observational study included one patient cohort treated conventionally and another treated with ICE 3D‐EAM‐guided ZF ablation. Clinical, efficacy, and safety outcomes were evaluated acutely and at 3 months follow‐up. Results The study included 21 patients with ASC‐PVC: 10 in the ZF group (age 49 ± 16 years, 60% males) and 11 in the control group (age 47 ± 15 years, 27% males). Fluoroscopy was not required for any patient in the ZF group. Acute success was obtained in 80% of the ZF group vs 55% of the control group (P = .36). The recurrence rate was 30% in the ZF group vs 27% in the control group (P = 1). One nonsevere complication was observed in the ZF group (P = .48). Conclusions ZF catheter ablation of ASC‐PVC guided by ICE 3D‐EAM is feasible, effective, and safe.
format	article
author	Pablo J. Sánchez‐Millán Guillermo Gutiérrez‐Ballesteros Manuel Molina‐Lerma Rosa Macías‐Ruiz Juan Jiménez‐Jáimez Luis Tercedor Miguel Álvarez
author_facet	Pablo J. Sánchez‐Millán Guillermo Gutiérrez‐Ballesteros Manuel Molina‐Lerma Rosa Macías‐Ruiz Juan Jiménez‐Jáimez Luis Tercedor Miguel Álvarez
author_sort	Pablo J. Sánchez‐Millán
title	Ablation with zero‐fluoroscopy of premature ventricular complexes from aortic sinus cusps: A single‐center experience
title_short	Ablation with zero‐fluoroscopy of premature ventricular complexes from aortic sinus cusps: A single‐center experience
title_full	Ablation with zero‐fluoroscopy of premature ventricular complexes from aortic sinus cusps: A single‐center experience
title_fullStr	Ablation with zero‐fluoroscopy of premature ventricular complexes from aortic sinus cusps: A single‐center experience
title_full_unstemmed	Ablation with zero‐fluoroscopy of premature ventricular complexes from aortic sinus cusps: A single‐center experience
title_sort	ablation with zero‐fluoroscopy of premature ventricular complexes from aortic sinus cusps: a single‐center experience
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/accbcbf0de814f1dabd8f4bccfb73278
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Ablation with zero‐fluoroscopy of premature ventricular complexes from aortic sinus cusps: A single‐center experience

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