Universität zu Köln

Emmel, Mathias, Sreeram, Nayaranswami, Khalil, Markus, Adelmann, Roland and Brockmeier, Konrad (2011). Ablation strategies in a patient with Belhassen tachycardia. J. Electrocardiol., 44 (6). S. 802 - 806. PHILADELPHIA: CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS. ISSN 0022-0736

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Abstract

The verapamil-sensitive Belhassen tachycardia is a ventricular reentrant tachycardia, involving left-sided Purkinje fibers and abnormal Purkinje or myocardial tissue. Ablation is feasible, targeting a diastolic fascicular potential in the apical left ventricle. Case report: We report on a 13-year-old girl with left posterior fascicular ventricular tachycardia. Tachycardia stopped during ablation, targeting a left-sided distal fascicular potential, and afterward, there was no tachycardia inducible, but it reoccurred 2 weeks later. During a second procedure, we transected the left posterior fascicle by a line, also with early success. After a further recurrence, we ablated a longer proximal segment of the left posterior fascicle including its most proximal electrograms. After this ablation, there was no further recurrence. Conclusion: In refractory patients, proximal ablation of the posterior fascicle might be indicated. (C) 2011 Elsevier Inc. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Emmel, Mathias UNSPECIFIED UNSPECIFIED UNSPECIFIED Sreeram, Nayaranswami UNSPECIFIED UNSPECIFIED UNSPECIFIED Khalil, Markus UNSPECIFIED UNSPECIFIED UNSPECIFIED Adelmann, Roland UNSPECIFIED UNSPECIFIED UNSPECIFIED Brockmeier, Konrad UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-486147
DOI:	10.1016/j.jelectrocard.2011.02.003
Journal or Publication Title:	J. Electrocardiol.
Volume:	44
Number:	6
Page Range:	S. 802 - 806
Date:	2011
Publisher:	CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
Place of Publication:	PHILADELPHIA
ISSN:	0022-0736
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LEFT-VENTRICULAR TACHYCARDIA; RADIOFREQUENCY CATHETER ABLATION; BRANCH BLOCK MORPHOLOGY; VERAPAMIL Multiple languages Cardiac & Cardiovascular Systems Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48614